TITLE:
Bipedicled Mini V-Y Advancement Flap for Skin Defect of the Face
AUTHORS:
Mikiko Ooshima, Mariko Kochi, Daichi Morioka, Towa Miyamoto, Tomoko Tsuda, Koichi Kadomatsu
KEYWORDS:
Facial Skin Tumor, Skin Defect, Advancement Flap, Subdermal Plexus
JOURNAL NAME:
Modern Plastic Surgery,
Vol.8 No.2,
April
8,
2018
ABSTRACT: 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.