Reconstructive Facial Plastic Surgery

This practical step-by-step surgical guide to plastic and reconstructive surgery of the face was written by Professor Hilko Weerda, well-known worldwide for his auricular reconstruction techniques, and for his extensive experience in facial plastic reconstructive surgery and teaching. With more than 600 two-color drawings, the information in this book is easily accessible with a clear and compact text, and very instructive step-by-step illustrations of the various techniques. The first part of the book comprises general information, including the anatomy of the skin and skin flaps, basics of facial surgery, wound healing, instrumentation, suture material, Z-plasty, scar revisions, and defect closing techniques with standard rotation, transposition and advancement flaps. The second, more specific part deals with defect closure techniques in various regions: forehead, nasal, lips, chin, cheek, eyelids, and aurical. The most extensive chapters are devoted to the nasal and aurical regions. There is also a chapter on the harvesting of rib cartilage and specific carving techniques for aurical reconstruction, as well as three short chapters covering myocutaneous island flaps.

1 Anatomy of the Skin and Skin Flaps
The Skin
Types of Skin Flaps
Random Pattern Flaps
Axial Pattern Flaps
Island Flaps
Myocutaneous Island Flaps
Neurovascular Island Flaps
2 Basic Principles of Facial Surgery
Suture Materials and Techniques
Instruments and Accessories
Wound Management, Repair of Small
Defects, and Scar Revision
Relaxed Skin Tension Lines
Vascular Supply and "Esthetic Units"
Wound Management and Scar Revision
Management of Wounds with Traumatic
Tattooing
Scar Revision by W-Plasty and
Webster's Broken-Line Technique
Small Excisions
Z-Plasty
Postoperative Treatment of Scars
Esthetic Units
Tumor Resection with Histologic Control
Free Skin Grafts
Composite Grafts
Graft Nomenclature
3 Coverage of Defects
Local Flaps
Advancement Flaps
Advancement Flap of Burow (1855)
U-Advancement of Burow
V-Y and V-Y-S Advancement of
Aragmaso (1974)
Flaps without Continuous Epithelial
Coverage (Rettinger 1996)
Sliding Flap
Myomucosal Sliding Flap
Pedicled Flaps
Transposition Flap
Rotation Flap
Bilobed Flap
Rhomboid Flap
Turnover Flap
Tubed Pedicle Flap
Distant Flaps
Distant Tubed Pedicle Flap

Special Part
Coverage of Defects in Specific Facial Regions

4 Forehead Region
Median Forehead Region
Wedge-Shaped Defects
H-Flap
Double Rotation Flap
Lateral Forehead Defects
Forehead Rotation

5 Nasal Region
The Glabella and Nasal Root
U-Advancement Flap of Burow
V-Y Advancement
Sliding Flap
The Nasal Dorsum
Bilobed Flap
Island Flap
Rieger Flap
Nasolabial Flap
Cheek Flap
The Nasal Tip
Bilobed Flap
V-Y Advancement of Rieger (1957)
Median Forehead Flap
Larger Defects of the Nasal Tip and Ala
Frontotemporal Flap of Schmid and Meyer
The Nasal Flank
Flap Advancement of Burow (1855)
Median Cheek Rotation of Sercer (1962)
Burow's Laterally Based Cheek
Advancement Flap
Imre's Cheek Rotation (1928)
Cheek U-Flap
Island Flap
Sliding Flap
The Nasal Ala
Full-Thickness Reconstructions
Z-Plasty of Denonvilliers and Joseph
(1931)
Anteriorly Based Alar Rotation
(Weerda 1984)
Modification of the Anteriorly Based
Alar Rotation
Coverage with a Transposition Flap
Lowering the Alar Rim with a Full-
Thickness Bipedicle Flap and
Composite Graft
Turnover Flap and Composite Graft
Converting a Peripheral to a Central
Defect (Haas 1991) and
Reconstructing the Alar Rim with a
Transposition Flap
Wedge-Shaped Defect in the Alar Rim
Nelaton Flap (Nasolabial Flap)
Sliding Flap of Barron et al. (1965) and
Lejour (1972) from the Nasolabial Fold
In-and-Out Flap of Peers (1967)
Median Forehead Flap
Bilobed Flap from the Cheek (Weerda
1983)
The Columella
Nelaton Flap
Frontotemporal Flap of Schmid and
Meyer (1964)
Composite Graft
Partial and Total Nasal Reconstruction
Converse Scalping Flap (Forehead-Scalp
Flap)
Total Nasal Reconstruction with the
Sickle Flap (Farrior 1974)
Median Forehead Flap with Soft-Tissue
Expansion
Nasal Reconstruction with Distant Flaps
Perforations of the Septum
Small Perforations
Large Defects
Oral Mucosal Flap of Meyer (1988)
Nasolabial Flap of Tipton (1975)
Bipedicled Flap of Schultz-Coulon
(1989)