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Vascular Postoperative Changes After Facial Flap Repairs: An Opportunity for Early Intervention
Hannah S Berman1, Olufolakemi Awe2, Michael G Heckman3
1Department of Dermatology, Mayo Clinic, Jacksonville, Florida.
Summary
Facial flap repairs after Mohs surgery can cause cosmetic changes. Nasal reconstructions showed more telangiectasias, suggesting a need for better patient counseling and early laser treatment for these specific cases.
Area of Science:
- Dermatology
- Plastic Surgery
- Mohs Micrographic Surgery
Background:
- Flap repair is a valuable technique in facial reconstruction.
- Postoperative cosmetic changes remain a concern after flap repair procedures.
Purpose of the Study:
- To describe postoperative vascular outcomes following flap repairs after Mohs micrographic surgery for facial tumors.
- To assess the relationship between patient characteristics and these outcomes.
Main Methods:
- A review of preoperative and postoperative photographs from 57 patients who underwent facial Mohs micrographic surgery.
- Assessment of vascular outcomes, pigment changes, and telangiectasias by 7 dermatologists and 1 physician assistant.
- Analysis of outcomes based on surgical site and patient characteristics.
Main Results:
- A statistically significant difference in the number of telangiectasias was observed based on body location (p = .002).
- Nasal reconstructions exhibited the highest number of telangiectasias compared to other facial sites.
Conclusions:
- Nasal flap repairs are associated with a higher incidence of postoperative vascular changes.
- Enhanced preoperative patient counseling and consideration of early laser treatment are recommended for nasal reconstructions post-Mohs surgery.
