The reversed dermis flap.

Area of Science:

• Plastic Surgery
• Surgical Techniques
• Dermatology

Background:

• The reversed dermis principle, established by Hynes, offers a unique approach to tissue manipulation in reconstructive surgery.
• Application of this principle has primarily focused on specific flap designs.

Observation:

• This principle has been successfully adapted for two main types of flaps: the direct bridge pedicle flap and the turn-over local flap.
• The utility of the reversed dermis principle extends beyond these primary applications.

Findings:

• The direct bridge pedicle flap and turn-over local flap are the principal varieties employing the reversed dermis principle.
• The core concept of the reversed dermis principle demonstrates potential applicability in free flap surgery.

Implications:

• This principle expands the versatility of reconstructive options available to surgeons.
• Further research may elucidate broader applications of the reversed dermis principle in various flap surgeries, including free flaps.