O to Z flaps in facial reconstructions

Area of Science:

• Plastic Surgery
• Dermatologic Surgery

Background:

• Local flaps are the standard for facial defect reconstruction.
• Optimal scar placement requires planning incisions along minimal skin tension lines.

Observation:

• Two cases utilizing O to Z flaps for supra and infraciliary region reconstruction are presented.
• One case involved a specific hatchet flap variation.

Findings:

• O to Z flaps provide a viable reconstructive option for defects in the eyelid and eyebrow regions.
• Careful planning ensures scars align with aesthetic lines, improving outcomes.

Implications:

• This technique offers an alternative for facial defect repair, potentially enhancing aesthetic results.
• Further studies could explore the versatility and long-term outcomes of O to Z flaps in various facial locations.