Author(s)

Mikiko Ooshima, Mariko Kochi, Daichi Morioka^*, Towa Miyamoto, Tomoko Tsuda, Koichi Kadomatsu

Department of Plastic and Reconstructive Surgery, Showa University, Tokyo, Japan.

In young patients, even small circular facial defects after the excision of benign skin tumors present a reconstructive challenge. The usefulness of a V-Y advancement flap for reconstructing such defects is well documented. We refined this technique as a mini V-Y advancement flap consisting of two subcutaneous pedicles that vascularize the skin island via subdermal plexus lateral bridges. This technique was used for 21 middle-aged or younger patients with a small benign skin lesion. None of them experienced any postoperative complications. Aesthetically excellent results were found in all patients. This small advancement flap could be attempted as an alternative to fusiform excision of small skin lesions, particularly in younger patients.

Facial Skin Tumor, Skin Defect, Advancement Flap, Subdermal Plexus

Ooshima, M. , Kochi, M. , Morioka, D. , Miyamoto, T. , Tsuda, T. and Kadomatsu, K. (2018) Bipedicled Mini V-Y Advancement Flap for Skin Defect of the Face. Modern Plastic Surgery, 8, 15-20. doi: 10.4236/mps.2018.82003.