xRead - Facial Reconstruction Following Mohs Micrographic Surgery

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Fig. 23. Chin O-T flap. ( A ) Patient with a 2.8 cm 2.5 cm defect of the central chin. An O to T closure was de signed with the lateral limbs being placed along the jaw line. The striped portion shows a standing cutaneous deformity being removed up toward the lip. The arrows depict the vectors of advancement. ( B ) This area was then widely undermined. The vertical incision in the midportion of the chin was at the greatest tension and was closed with vertical mattress sutures to achieve skin eversion. ( C ) The 9-month postoperative appearance.

Fig. 24. Chin V-Y flap. ( A ) Patient with a right lower chin Mohs defect measuring 3.0 cm 2.5 cm. A standard V-Y advancement flap is designed from skin advancing from the neck. The arrow depicts the vector of advancement. ( B ) After wide undermining, the flap was advanced into the defect. ( C ) The 8-month postoperative appearance.