Facial flaps in skin surgery


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Whenever possible, scar lines should be placed along relaxed skin tension lines. Free margins and anatomical units should always be evaluated for possible distortion. Keratoacanthoma Melanoma Squamous Cell Carcinoma Basal Cell Carcinoma. Anatomy and Physiology The microcirculatory system of the skin is composed of the deep vascular plexus at the junction of the subcutaneous fat and reticular dermis and the superficial plexus in the superficial dermal papillae in the papillary dermis. With inferiorly based flaps, the defect is superiorly, and this can result is notching or wrinkling of the nasal ala as the superior nasal skin is pulled laterally. The normal concavity of the nasofacial sulcus can be re-established, using an absorbable suspension suture placed between the undersurface of the dermis of the flap and the periosteum of the nasal bone or maxilla. Mosby-Year Book, Inc;
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Skin Cancer and Flap Surgery for Face and Neck


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Skin Flap Design: Overview, Local Flaps: Anatomy and Physiology, Classification of Flaps


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Skin Flap Surgery

Wide undermining is required for tension-free transposition during a Zitelli modification of a bilobed flap procedure. These flaps are generally used to close a defect in an area of high visibility by moving the defect into an area of low visibility eg, from the forehead to the scalp. Available for Android and iOS devices.
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Facial flaps in skin surgery
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