Facial Plast Surg 2018; 34(05): 433-442
DOI: 10.1055/s-0038-1668572
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Enhanced Contouring of Local Flaps

Anthony P. Sclafani
1   Department of Otolaryngology – Head and Neck Surgery, Joan and Sanford I Weill Medical College of Cornell University, Cornell University, New York, New York
2   Center for Facial Plastic Surgery, Chappaqua, New York
,
Jiahui Lin
1   Department of Otolaryngology – Head and Neck Surgery, Joan and Sanford I Weill Medical College of Cornell University, Cornell University, New York, New York
› Author Affiliations
Further Information

Publication History

Publication Date:
08 October 2018 (online)

Abstract

Scars and flaps represent a disruption of the normal skin contour, shape, and texture. Successful reconstruction of facial defects with local flaps requires prior planning to choose the correct reconstructive method. However, thorough preoperative planning should include consideration of adjunctive procedures to improve expected postoperative results as well as potential procedures to improve less-than-ideal results. Approaching facial reconstruction holistically allows the surgeon to soberly assess his/her reconstructive results and attain outstanding appearance.

 
  • References

  • 1 Thomas JR, Mobley SR. Scar revision and camouflage. In: Flint PW, Haughey BH, Lund VJ, Niparko JK, Richardson MA, Robbins KT, Thomas JR. , eds. Cummings Otolaryngology: Head and Neck Surgery. Maryland Heights, MO: Mosby, Inc; 2010: 295-301
  • 2 Chu EA, Byrne PJ, Odland RM, Goding Jr GS. Skin flap physiology and wound healing. In: Flint PW, Haughey BH, Lund VJ, Niparko JK, Richardson MA, Robbins KT, Thomas JR. , eds. Cummings Otolaryngology: Head and Neck Surgery . Maryland Heights, MO: Mosby, Inc; 2010: 1064-1079
  • 3 Sclafani AP, Sclafani JA, Sclafani AM. Successes, revisions, and postoperative complications in 446 Mohs defect repairs. Facial Plast Surg 2012; 28 (03) 358-366
  • 4 Serri R, Iorizzo M. Combating aging skin. Clin Dermatol 2008; 26 (02) 105
  • 5 Cox KW, Larrabee Jr W. A study of skin flap advancement as a function of undermining. Arch Otolaryngol 1982; 108 (03) 151-155
  • 6 Larrabee YC, Phillips DJ, Sclafani AP. Trends in nasal subunit reconstruction by facial plastic and reconstructive surgeons. Facial Plast Surg 2017; 33 (01) 17-19
  • 7 Ibrahim AM, Rabie AN, Borud L, Tobias AM, Lee BT, Lin SJ. Common patterns of reconstruction for Mohs defects in the head and neck. J Craniofac Surg 2014; 25 (01) 87-92
  • 8 Guo L, Pribaz JR, Pribaz JJ. Nasal reconstruction with local flaps: a simple algorithm for management of small defects. Plast Reconstr Surg 2008; 122 (05) 130e-139e
  • 9 Moy RL, Grossfeld JS, Baum M, Rivlin D, Eremia S. Reconstruction of the nose utilizing a bilobed flap. Int J Dermatol 1994; 33 (09) 657-660
  • 10 Hanasono M. Lip reconstruction. In: Hanasono M, Robb G, Skoracki R, Yu P. , eds. Reconstructive Plastic Surgery of the Head and Neck . Stuttgart, Germany: Thieme Medical Publishers; 2016: 5-19
  • 11 Sherris DA, Larrabee Jr WF. Forehead: Principles of Facial Reconstruction . Stuttgart, Germany: Thieme Medical Publishers; 2010: 44-61
  • 12 Sherris DA, Larrabee Jr WF. Fundamental Techniques: Principles of Facial Reconstruction . Stuttgart, Germany: Thieme Medical Publishers; 2010: 10-35
  • 13 Sherris DA, Young PR. Complications involving locoregional flap reconstruction of facial defects. In: Capone R, Sykes J. , eds. Complications in Facial Plastic Surgery . Stuttgart, Germany: Thieme Medical Publishers; 2012: 29-38
  • 14 Hom DB, Linzie BM, Huang TC. The healing effects of autologous platelet gel on acute human skin wounds. Arch Facial Plast Surg 2007; 9 (03) 174-183
  • 15 Rousso JJ, Sclafani AP. Scar revision. In: Sclafani AP. , ed. Total Otolaryngology—Head and Neck Surgery . Stuttgart, Germany: Thieme Medical Publishers; 2015: 342-346
  • 16 Cerrati EW, Thomas JR. Scar revision and recontouring post-Mohs surgery. Facial Plast Surg Clin North Am 2017; 25 (03) 463-471
  • 17 Duplechain JK. Complications in laser resurfacing: avoidance, recognition, and treatment. In: Truswell WH. , ed. Lasers and Light, Peels and Abrasions . Stuttgart, Germany: Thieme Medical Publishers; 2016: 149-156
  • 18 Sclafani A, Sclafani J. Reconstruction of facial soft-tissue defects, Fig 48.2. In: Sclafani A. , ed. Total Otolaryngology–Head and Neck Surgery . Stuttgart, Germany: Thieme Medical Publishers; 2014: 378
  • 19 Sclafani A, Sclafani J. Reconstruction of facial soft-tissue defects, Fig 48.3. In: Sclafani A. , ed. Total Otolaryngology–Head and Neck Surgery . Stuttgart, Germany: Thieme Medical Publishers; 2014: 378