WebFacial plastic surgery is performed to reshape structures in the head and neck — typically the nose, ears, chin, cheekbones and neckline. People seeking this surgery may be motivated by a desire to reconstruct the … WebThe paramedian forehead flap is classically an axial flap based on the supratrochlear artery 24,25. It is the most useful flap for reconstruction of subtotal and total nasal defects. The excellent vascular supply supports both the flap and any cartilage grafts that are used to rebuild the cartilage framework of the nose.
Facial Plastic and Reconstructive Surgery - Mayo Clinic
WebDec 10, 2024 · It is a vascularized free composite flap containing bone and muscle, with or without skin and provides reliable single-stage reconstruction with excellent functional and aesthetic results. Other vascularized bone flaps used in the head and neck include iliac crest, scapula and radial forearm flaps. Microvascular free tissue transfer allows one ... WebMar 7, 2024 · This flap has proved to be very useful and dependable for the reconstruction of the midface. One of the best applications of the paramedian forehead flap is in the reconstruction of the distal nose, … city wards by runnymede and bloor
Three stage forehead folded flap for Full thickness defects …
WebParamedian Forehead Flap First Stage Your surgeon will take a piece of skin from your forehead off the center (paramedian). This skin is moved down to cover the wound on your nose. (Cartilage can be used to support or rebuild the shape of your nose.) (Forehead flap planned; the nose is prepared. Extra skin may be removed.) WebApr 4, 2024 · The forehead flap has been the workhorse for nasal reconstruction for centuries but requires multiple surgical steps and leads to prominent donor-site scarring. The nasolabial flap allows a single-step reconstruction with a donor-site scar concealed in the nasolabial crease but is conventionally designated for small defects involving the ala. WebMar 7, 2024 · Forehead flaps are 2-stage tissue flaps in which a forehead-based pedicle flap is used to repair more distal nasal defects. This type of flap is generally chosen when a surgical defect in this vicinity cannot be suitably be treated with primary closure, adjacent tissue transfer, or a skin graft. doug andrews life insurance