The Face Lift SMAS Plication Flap for Reconstruction of Large Temporofrontal Defects: Reconstructive Surgery Meets Cosmetic Surgery

Francesco Moschella, Adriana Cordova, Salvatore D'Arpa, Roberto Pirrello, Giovanni Zabbia, Roberto Pirrello, Daniel Kalbermatten, Adriana Cordova, Salvatore D'Arpa, Francesco Moschella, Giovanni Zabbia

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8 Citazioni (Scopus)

Abstract

Background: Reconstruction of large defects in the temporal region can be performed with skin grafts or pedicled or free flaps. Results are often not optimal because of the patch of a skin graft, lack of availability of local flaps, and distant skin from free flaps. A technique for reconstruction of these defects with local tissue is presented in this article that uses superficial musculoaponeurotic system (SMAS) plication to allow wide advancement of a cervicofacial flap. Methods: Once the defect is outlined, a face-lift–like skin incision is used to raise the flap. The SMAS is plicated with two purse-string sutures that relieve tension on the flap and allow maximal advancement. Thirteen face-lift SMAS plication flaps were used in 12 patients (mean age, 70.2 years) after cancer resection, which was bilateral in one case. Defects up to 8 cm in largest diameter can be closed. In one case of an 8 6-cm defect, a 1 1.5-cm skin graft was necessary. Results: All flaps healed uneventfully, and no reoperation was necessary. Scars are almost completely hidden and the cosmetic result is satisfactory. The asymmetrical face-lift effect fades out within 6 months. Conclusions: The face-lift SMAS plication (FLISP) flap allows reconstruction of large defects in the temporal region with a local flap providing an excellent cosmetic result and avoiding the need for distant tissue and multiple scarring. This flap provides an example of how reconstructive surgery and cosmetic surgery are complementary and can be mutually beneficial. (Plast. Reconstr. Surg. 127: 2068, 2011.)
Lingua originaleEnglish
pagine (da-a)2068-2075
Numero di pagine8
RivistaPlastic and Reconstructive Surgery
Volume127
Stato di pubblicazionePublished - 2011

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Reconstructive Surgical Procedures
Rhytidoplasty
Plastic Surgery
Skin
Free Tissue Flaps
Temporal Lobe
Transplants
Surgical Flaps
Reoperation
Cosmetics
Sutures
Cicatrix
Superficial Musculoaponeurotic System
Neoplasms

All Science Journal Classification (ASJC) codes

  • Surgery

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The Face Lift SMAS Plication Flap for Reconstruction of Large Temporofrontal Defects: Reconstructive Surgery Meets Cosmetic Surgery. / Moschella, Francesco; Cordova, Adriana; D'Arpa, Salvatore; Pirrello, Roberto; Zabbia, Giovanni; Pirrello, Roberto; Kalbermatten, Daniel; Cordova, Adriana; D'Arpa, Salvatore; Moschella, Francesco; Zabbia, Giovanni.

In: Plastic and Reconstructive Surgery, Vol. 127, 2011, pag. 2068-2075.

Risultato della ricerca: Article

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title = "The Face Lift SMAS Plication Flap for Reconstruction of Large Temporofrontal Defects: Reconstructive Surgery Meets Cosmetic Surgery",
abstract = "Background: Reconstruction of large defects in the temporal region can be performed with skin grafts or pedicled or free flaps. Results are often not optimal because of the patch of a skin graft, lack of availability of local flaps, and distant skin from free flaps. A technique for reconstruction of these defects with local tissue is presented in this article that uses superficial musculoaponeurotic system (SMAS) plication to allow wide advancement of a cervicofacial flap. Methods: Once the defect is outlined, a face-lift–like skin incision is used to raise the flap. The SMAS is plicated with two purse-string sutures that relieve tension on the flap and allow maximal advancement. Thirteen face-lift SMAS plication flaps were used in 12 patients (mean age, 70.2 years) after cancer resection, which was bilateral in one case. Defects up to 8 cm in largest diameter can be closed. In one case of an 8 6-cm defect, a 1 1.5-cm skin graft was necessary. Results: All flaps healed uneventfully, and no reoperation was necessary. Scars are almost completely hidden and the cosmetic result is satisfactory. The asymmetrical face-lift effect fades out within 6 months. Conclusions: The face-lift SMAS plication (FLISP) flap allows reconstruction of large defects in the temporal region with a local flap providing an excellent cosmetic result and avoiding the need for distant tissue and multiple scarring. This flap provides an example of how reconstructive surgery and cosmetic surgery are complementary and can be mutually beneficial. (Plast. Reconstr. Surg. 127: 2068, 2011.)",
author = "Francesco Moschella and Adriana Cordova and Salvatore D'Arpa and Roberto Pirrello and Giovanni Zabbia and Roberto Pirrello and Daniel Kalbermatten and Adriana Cordova and Salvatore D'Arpa and Francesco Moschella and Giovanni Zabbia",
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T1 - The Face Lift SMAS Plication Flap for Reconstruction of Large Temporofrontal Defects: Reconstructive Surgery Meets Cosmetic Surgery

AU - Moschella, Francesco

AU - Cordova, Adriana

AU - D'Arpa, Salvatore

AU - Pirrello, Roberto

AU - Zabbia, Giovanni

AU - Pirrello, Roberto

AU - Kalbermatten, Daniel

AU - Cordova, Adriana

AU - D'Arpa, Salvatore

AU - Moschella, Francesco

AU - Zabbia, Giovanni

PY - 2011

Y1 - 2011

N2 - Background: Reconstruction of large defects in the temporal region can be performed with skin grafts or pedicled or free flaps. Results are often not optimal because of the patch of a skin graft, lack of availability of local flaps, and distant skin from free flaps. A technique for reconstruction of these defects with local tissue is presented in this article that uses superficial musculoaponeurotic system (SMAS) plication to allow wide advancement of a cervicofacial flap. Methods: Once the defect is outlined, a face-lift–like skin incision is used to raise the flap. The SMAS is plicated with two purse-string sutures that relieve tension on the flap and allow maximal advancement. Thirteen face-lift SMAS plication flaps were used in 12 patients (mean age, 70.2 years) after cancer resection, which was bilateral in one case. Defects up to 8 cm in largest diameter can be closed. In one case of an 8 6-cm defect, a 1 1.5-cm skin graft was necessary. Results: All flaps healed uneventfully, and no reoperation was necessary. Scars are almost completely hidden and the cosmetic result is satisfactory. The asymmetrical face-lift effect fades out within 6 months. Conclusions: The face-lift SMAS plication (FLISP) flap allows reconstruction of large defects in the temporal region with a local flap providing an excellent cosmetic result and avoiding the need for distant tissue and multiple scarring. This flap provides an example of how reconstructive surgery and cosmetic surgery are complementary and can be mutually beneficial. (Plast. Reconstr. Surg. 127: 2068, 2011.)

AB - Background: Reconstruction of large defects in the temporal region can be performed with skin grafts or pedicled or free flaps. Results are often not optimal because of the patch of a skin graft, lack of availability of local flaps, and distant skin from free flaps. A technique for reconstruction of these defects with local tissue is presented in this article that uses superficial musculoaponeurotic system (SMAS) plication to allow wide advancement of a cervicofacial flap. Methods: Once the defect is outlined, a face-lift–like skin incision is used to raise the flap. The SMAS is plicated with two purse-string sutures that relieve tension on the flap and allow maximal advancement. Thirteen face-lift SMAS plication flaps were used in 12 patients (mean age, 70.2 years) after cancer resection, which was bilateral in one case. Defects up to 8 cm in largest diameter can be closed. In one case of an 8 6-cm defect, a 1 1.5-cm skin graft was necessary. Results: All flaps healed uneventfully, and no reoperation was necessary. Scars are almost completely hidden and the cosmetic result is satisfactory. The asymmetrical face-lift effect fades out within 6 months. Conclusions: The face-lift SMAS plication (FLISP) flap allows reconstruction of large defects in the temporal region with a local flap providing an excellent cosmetic result and avoiding the need for distant tissue and multiple scarring. This flap provides an example of how reconstructive surgery and cosmetic surgery are complementary and can be mutually beneficial. (Plast. Reconstr. Surg. 127: 2068, 2011.)

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JO - Plastic and Reconstructive Surgery

JF - Plastic and Reconstructive Surgery

SN - 0032-1052

ER -