Scalp Reconstruction
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…
Local Flap Revisions
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…
Forehead Reconstruction
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…
Pedicled Flap Revisions
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…
Introduction to Nose and Simple Nasal Defects
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…
Management of Complications in the Acute Healing Stage
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…
Cartilage Grafts
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,…
Skin Graft Revisions
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…
Chin Reconstruction
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…
Full-Thickness Skin Grafts
Summary Full-thickness skin grafting constitutes a large percentage of procedures for head and neck reconstruction. For color-matched grafts, skin must be harvested from above the clavicles; there are few indications…
