39 Facial Flaps, Scars, and Keloids • Lesions in nasolabial fold, infraciliary area, and junction of nose to face • Advanced along same axis as defect • Examples: – Cheek advancement flap Fig. 39.1 Advancement flap. Tissue elongation or release of tension with a VY-plasty. • Flap in different plane from defect • Examples: • Most versatile of adjacent flaps • Examples: Fig. 39.2a, b Rotation flaps. a Random-pattern flap (with random blood supply from area). b Axial-pattern flap (with blood supply from a single longitudinal artery). Fig. 39.3a–c Regional island flap transplantation. Fig. 39.4a, b Transposition flaps. a Tissue transposition with a Z-plasty. b Coverage plasty using a bilobed flap.
39.1 Advancement Flaps (Fig. 39.1)
39.2 Rotation Flaps (Figs. 39.2 and 39.3)
Nasolabial rotation flap
Glabellar rotation flap
Regional island rotation flap
39.3 Transposition Flaps (Figs. 39.4, 39.5, 39.6)
Classic transposition flap
Bilobed flap (inc. glabellar and melolabial)
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Facial Flaps, Scars, and Keloids
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