Flaps and Grafts in Dermatologic Surgery

Surgical Complications and Revision of Scars

Having a thorough knowledge of common dermatologic surgery complications is essential for physicians to develop a safe surgical practice. Overall, the incidence of complications in dermatologic surgery is very low. However, complications are to be expected, particularly in practices with…

Neck Reconstruction

Introduction and Perioperative Consideration The neck is the portion of the body that links the trunk to the head. As the neck is prone to sun exposure, it is a common location for dermatologic surgeons to remove skin cancers. The…

Perioral Reconstruction

Introduction Skin cancer frequently occurs on and around the lips, and repairs of perioral surgical defects present numerous unique reconstructive challenges. Asymmetries and visible scars in the centrofacial region are distracting to onlookers, reduce levels of perceived attractiveness, and can…

Nasal Reconstruction

Skin cancer wounds commonly occur on the nose, and the nose's unique aesthetic prominence presents particular reconstructive challenges. Although early nasal reconstructive procedures sought simply to cover the exposed wound, modern nasal reconstruction strives to restore a nearly perfect appearance…

Ear Reconstruction

Introduction Repair of the auricle can be traced back to India (600 bce ), with subsequent contributions by the Egyptians, Renaissance Italians, 19th-century surgeons, and finally German surgeons such as Diffenbach, who played a major role in refining auricle reconstruction.…

Cheek Reconstruction

As with other facial areas, the goal of cheek reconstruction is to create the “illusion of normality and the perception that all is as it was.” Normality on the cheeks is defined as symmetrical contour, color, and texture. The face…

Periocular Reconstruction

Introduction Mastering the fundamental techniques of periocular surgery is essential for the Mohs and reconstructive surgeon. The eye holds immeasurable value, visual and aesthetic, that demand understanding and expertise to ensure successful surgical outcomes. The mobile nature of the eyelids…

Forehead and Temple Repair

Successful treatment of the skin cancer patient revolves around three goals: (1) tumor-free surgical margins; (2) preservation of function; and (3) restoration and optimization of cosmesis. Before conceptualizing any repair, the surgeon must keep in mind that the primary goal…

Scalp Reconstruction

Although the scalp represents one of the most visually and anatomically homogeneous regions of the head and neck, its unique anatomic characteristics and subtleties, however, can often make reconstructive surgery in this area quite challenging. The distribution of underlying muscle…

Skin Grafts

Introduction Skin grafts are autologous portions of skin completely divided from their blood supply and transplanted into a recipient wound. Skin grafts vary in their thickness, composition, and intended purpose, and can be categorized broadly as either full-thickness skin grafts…