Local Flaps in Facial Reconstruction

Management of Vascular Anomalies of the Face

INTRODUCTION For the purpose of this chapter, the term vascular lesion or vascular anomaly is used to define a variety of cutaneous neoplasms and malformations originating from blood vessels and related structures. Owing to major differences in prognosis and treatment…

Scar Revision and LOCAL Flap Refinement

INTRODUCTION The definition of a scar in Webster’s dictionary is a “mark left after injured tissue has healed.” Any full-thickness injury of the skin, planned or unplanned, will leave a scar. It is the body’s way of repairing itself. Although…

Complications of Local Flaps

INTRODUCTION Complications associated with surgery are perhaps nowhere more apparent and devastating than when they occur on the face. Conley spoke of surgical complications by saying, “These untoward events, unpredictable, and unwanted, lurk in all surgical arenas, in the biologic…

Controlled Tissue Expansion in Facial Reconstruction

INTRODUCTION During the past three decades, many reconstructive surgical procedures have been developed or improved, providing a functional and aesthetic benefit. Among these, tissue expansion offers a unique potential to preserve both form and function. One of the major benefits…

RECONSTRUCTION OF THE SCALP

INTRODUCTION The scalp is a common site for cutaneous malignancies and is frequently subjected to trauma. As such, the surgeon is often faced with complex scalp defects in need of repair. The scalp presents unique challenges to the reconstructive surgeon:…

Reconstruction of Congenital Auricular Malformations

INTRODUCTION The treatment and care of patients with auricular malformations requires a detailed and comprehensive approach for optimal outcomes. It is ideal to establish a relationship with patients and their families early in diagnosis to provide accurate information and address…

Reconstruction of the Auricle

INTRODUCTION Reconstruction of the auricle presents a significant reconstructive challenge, the ultimate goal of which is to achieve as normal an appearance and position of the auricle as possible. The orientation, size, and shape of the reconstructed ear should closely…

RECONSTRUCTION OF THE FOREHEAD

INTRODUCTION A paralyzed and ptotic eyebrow, an oblique midforehead scar, focal alopecia in a brow, an asymmetric hairline – for the skilled reconstructive surgeon these deformities would be considered complications of forehead reconstruction. For the unskilled and unknowledgeable surgeon these…

RECONSTRUCTION OF THE CHEEK

Videos available online INTRODUCTION Achieving aesthetic surgical outcomes after reconstruction of cutaneous cheek defects requires knowledge of cheek anatomy and facial aesthetic regions. The size and location of the defect and the structures adjacent to the defect are assessed to…

Reconstruction of the LIPS

Videos available online INTRODUCTION The upper and lower lips comprise a distinct anatomic unit that is the principal feature of the lower face. The lips play a major role in facial appearance and function. Reconstruction of the lip can present…