Linear vs Curvilinear Flaps in Dermatologic Surgery: Advantages, Disadvantages, and Practical Changes

Flaps in dermatologic surgery can be designed with either linear or curvilinear geometry; however, to the best of our knowledge, no previous studies have specifically addressed the differences between these two approaches. Curvilinear flaps tend to preserve more healthy tissue, require less undermining, produce shorter scars, and better align with skin-folding lines. In contrast, linear flaps are generally easier to reproduce, may be subjected to lower tension, and are less prone to trapdoor deformity. The choice between a linear or curvilinear flap depends on the size and location of the wound. Linear flaps may be more suitable for smaller wounds because of their simplicity and lower risk of trapdoor deformity, whereas curvilinear flaps are preferable for larger wounds to minimize tissue sacrifice. Further studies are needed to substantiate these observations and guide surgical decision-making.