Summary The utility of cellular and tissue-based wound care products in soft-tissue facial reconstruction is dependent on careful patient selection and wound management. Cellular and tissue-based products can be used…
Summary Very vascular, proceed with caution during in-office procedures. There is very little laxity, especially on the vertex. Scalp will tolerate significant tension on closure. For exposed calvarium, simple bone…
Summary The most frequently indicated revision for local flaps is correction of contour abnormalities. The final result is best if maximal scar maturation is achieved prior to revision. Alar contour…
Summary Borders define the forehead. Heals very well secondarily. Can close under moderate tension. Heals well regardless of vertical or horizontal closure orientation. 11.1 Algorithm for Closure 11.1.1 General Considerations The forehead…
Summary Contour abnormalities in pedicle flap reconstruction are common and easily managed with appropriate revision. Edema and soft-tissue contour abnormalities present at the time of flap division and inset will…
Summary Nasal reconstruction is the most technically challenging facial reconstruction. There are special considerations to be made when reconstructing defects in the upper two-thirds versus the lower third of the…
Summary Postoperative bleeding and hematoma are an ever-present risk given the current preference to perform Mohs excisions and repairs with no regard to patient’s anticoagulation status. Although gratifyingly rare, appropriate…
Summary box Conchal cartilage is adequate for the majority of nasal reconstruction. The morbidity of graft harvest is not trivial. Care must be taken during harvest, especially in elderly patients,…
Summary The chin is a prominent aesthetic subunit. Its reconstruction is complicated by the fact that it is a prominent convexity with little inherent laxity and little surrounding laxity. It…
Summary Even though on initial postoperative visits skin grafts are often marginal in appearance, they very rarely need complete revision once healed. Skin graft contour abnormalities are most commonly concavity…
