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Approaches to Cheek Reconstruction following Mohs Surgery
Lauren McAllister1, James F Thornton1
1Department of Plastic and Reconstructive Surgery, University of Texas Southwestern Medical Center, Dallas, Texas.
Seminars in Plastic Surgery
|December 19, 2024
Summary
Reconstructing cheek defects after Mohs surgery involves considering defect size, location, and patient factors. Direct closure is preferred, with cervicofacial advancement flaps or biologic agents as alternatives for optimal aesthetic outcomes.
Area of Science:
- Dermatologic Surgery
- Plastic and Reconstructive Surgery
Background:
- Cheek reconstruction presents diverse options due to the area's native features.
- Mohs surgery often necessitates reconstruction of facial defects.
Purpose of the Study:
- To outline reconstruction strategies for cheek defects following Mohs surgery.
- To emphasize factors influencing the choice of reconstruction method.
Main Methods:
- Review of reconstruction techniques applicable to cheek defects.
- Consideration of deficit characteristics (size, location) and patient-specific factors.
- Evaluation of flap options, biologic agents, and direct closure.
Main Results:
- Direct closure is the primary method for cheek reconstruction.
- Cervicofacial advancement flaps and biologic agents are effective alternatives.
- Preservation of surrounding anatomy, particularly the lower eyelid, is critical.
Conclusions:
- Optimal cheek reconstruction balances functional and aesthetic outcomes.
- Postoperative scar management is key, with noninvasive measures often sufficient.
- Most defects achieve favorable results with appropriate care and time.
