Need for cosmetic reconstruction around the shoulder is uncommon and is always challenging to the plastic surgeon. In this area, the scars often have a tendency to undergo hypertrophy. Any reconstruction in this area requires careful planning of incisions. In the following case report, we present an augmentation technique of the shoulder-contour defect. The use of an endoscopic pocket dissection helps in avoiding long scars in this notorious area. If planned and executed properly, this technique can be a valuable option for reconstruction of contour defects in difficult areas such as the shoulder.
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