Combination Facial Reconstruction after Mohs Surgery

Stanislav N. Tolkachjov, MD, FAAD, FACMS Director of Mohs Micrographic & Reconstructive Surgery Epiphany Dermatology Dallas-Fort Worth Metroplex, Texas, USA Clinical Assistant Professor, Department of Dermatology, University of Texas at Southwestern Clinical Associate Professor, Texas A&M College of Medicine Core Clinical Faculty, Dermatology Residency, Baylor University Medical Center Dallas, Texas, USA Felipe B. Cerci, MD, MSc Mohs Curitiba-Clínica Cepelle and Hospital Universitário Evangélico Mackenzie Curitiba, Brazil

NOSE: 1. Nasolabial Interpolation Flap + Cartilage Graft + Primary Closure + Granulation. 2. Transposition Flap + Full-Thickness Skin Graft. 3. Rotation Flap + Transposition Flap + Advancement Flap + Burow’s Full-Thickness Skin Graft. 4. West by East–West Flap. 5. Bilateral Advancement Flap + Burow’s Full-Thickness Skin Graft. 6. Crescentic Advancement Flap + Granulation. 7. Advancement Flap + Burow’s Full-Thickness Skin Graft. 8. Dorsal Nasal Rotation Flap + Lateral Advancement Flap. 9. East–West Flap + Transposition Flap + Lateral Advancement Flap. 10. Rotation Flap + Advancement Flap. 11. Nasolabial Interpolation Flap + Rotation Flap. 12. Folded Paramedian Forehead Flap + Cartilage Graft. 13. Paramedian Forehead Flap + Cheek Advancement Flap. TEMPLE: 14. Advancement Flap + Transposition Flap + Primary Closure. 15. Cheek Advancement Flap + Burow’s Full-Thickness Skin Graft. 16. Advancement Flap + Full-Thickness Skin Graft + Granulation. 17. Advancement Flap + Burow’s Full-Thickness Skin Graft. 18. Rotation Flap. 19. Combo-Z Flap. SCALP AND FOREHEAD: 20. Forehead Advancement Flap + Burow’s Full-Thickness Skin Graft. 21. Primary Closure + Hinge Flap + Burow’s Full-Thickness Skin Graft + Puracol®. 22. Double Rotation Flap. 23. A-T Advancement Flap + Burow’s Full-Thickness Skin Graft. 24. Triple Rotation Flap (Pinwheel Flap) + Burow’s Full-Thickness Skin Graft . 25. Bilateral Rotation Flap + Full-Thickness Skin Graft. 26. Transposition Flap + Granulation. 27. Primary Closure + Hinge Flap + Burow’s Full-Thickness Skin Graft. CHEEK: 28. Primary Closure + Burow’s Full-Thickness Skin Graft. 29. V-Y Advancement Flap + Crescentic Advancement Flap + Burow’s Full-Thickness Skin Graft. 30. Cheek Rotation Flap + Advancement Flap + Burow’s Full-Thickness Skin Graft. 31. Primary Closure + Burow’s Full-Thickness Skin Graft. 32. Bilateral Rotation Flaps. 33. V-Y Advancement Flap + Primary Closure. EAR: 34. Postauricular Interpolation Flap + Cartilage Graft. 35. Rotation Flap + Full-Thickness Skin Graft + Integra. 36. Helical Rim Advancement Flap + Wedge. 37. Transposition Flap + Rotation Flap. 38. Double Transposition Flap. 39. Postauricular Interpolation Flap + TheraSkin®. 40. Transposition Flap + Full-Thickness Skin Graft. 41. Cartilage Graft + Full-Thickness Skin Graft. 42. Modifi ed Wedge Closure. 43. Preauricular Interpolation Flap + Cartilage Graft. PERIORAL: 44. Crescentic Burow’s Advancement Flap. 45. Pincer Flap + Mucosal V-Y Advancement Flap. 46. Lateral Advancement Flap + Burow’s Full-Thickness Skin Graft. 47. Bilateral Rotation Flap. 48. Pincer Flap + Seagull Flap. 49. Bilateral Advancement Flap. 50. Advancement Flap + Mucosal Advancement Flap. 51. Crescentic Burow’s Advancement Flap + Mucosal Advancement Flap. 52. V-Y Advancement Flap + Island Transposition Flap + Burow’s Full-Thickness Skin Graft + Granulation. PERIOCULAR: 53. Rotation Flap + Island Pedicle Flap. 54. Tenzel Flap. 55. Primary Closure + Hinge Flap + Burow’s Full-Thickness Skin Graft. 56. Bilateral Rotation Flap + Burow’s Full-Thickness Skin Graft + Granulation. 57. Rotation Flap + Primary Closure + Burow’s Full-Thickness Skin Graft. 58. Rotation Flap + Burow’s Full-Thickness Skin Graft. 59. Primary Closure + Burow’s Full-Thickness Skin Graft. 60. Primary Closure + Burrow’s Full-Thickness Skin Graft + Granulation. 61. Advancement + Transposition Flap + Burow’s Full-Thickness Skin Graft + Granulation.