Facial flaps in skin surgery

When properly executed, adherence to the principle of separate 3-layered reconstruction of full-thickness defects generally preserves function and minimizes the effect of contraction. In all patients, the diagnosis was confirmed by histopathological examination before definitive management. The Hughes flap has a pedicle at its superior aspect, and its width matches the width of the defect. The authors certify that they have obtained all appropriate patient consent forms. What would you like to print? A Burow triangle was removed posteriorly and is not visible in the image. The forehead flap is a two-stage procedure, and patients should be explained this pre-operatively along with their appearance between the two stages of the procedure.

This side by side effort — with the Mohs skin cancer dermatologic surgeon treating the cancer, and our facial plastic surgeons repairing the resultant defect on the face — is the only one of its kind in the region. Other flaps that have been used in the reconstruction of nasal defects is the glabellar flap. Every rhombic defect has 4 potential closure flaps. Contracted scar from a previous attempt to reconstruct the upper lip. View Flash Presentation - Nose Reconstruction: The goal of eyelid reconstruction is to restore functional eyelids, with satisfactory protection of the globe and adequate cosmesis.

Z-plasty after transposition and closure of the flaps. May not be suitable for all viewers Inferiorly based nasolabial flaps can be used to reconstruct lower nasal defects. To prevent infection antibiotics are prescribed. This approach results in a suture line with a Y configuration, although the ultimate scar more closely resembles a lollipop because the leading edge of the flap is the edge of the defect.