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An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps
Published on: December 5, 2025
The versatile V-Y flap for facial reconstruction
Michael Omidi1, Mark S Granick
1Department of Surgery, Division of Plastic Surgery, New Jersey Medical School-UMDNJ, Newark, NJ 07103, USA.
Background:
There are many acceptable treatments for facial skin cancer, but some form of surgical excision is by far the most widely accepted. After surgical excision, there will necessarily be a defect that has to be managed. The V-Y flap is a very useful modality for repair of such defects in all zones of the face.
Objective:
This article reviews the indications for V-Y flaps and the surgical technique that should result in a successful reconstruction. Each zone of the face is independently discussed, along with the appropriate variations in technique for each area.
Methods:
An evaluation of the literature as well as the extensive experience of the senior author in performing this procedure provides the basis for this review.
Conclusion:
V-Y flaps are extremely versatile and relatively easy to perform. All areas of the face can be successfully reconstructed after skin cancer removal with V-Y flaps if they are properly designed and executed.