Article: Combining multiple surgical techniques for maximum scar camouflage.(FACIAL PLASTIC SURGERY CLINIC)(Brief Article)

Larger cutaneous defects of the face and cheek can be a particular challenge to reconstructive surgeons. By combining multiple surgical techniques in a planned multistage reconstruction, maximum scar camouflage can be achieved.

A 65-year-old man presented with a 22-mm defect of the left cheek following Mohs surgery (figure 1, A). Given the patient's age, the relaxed skin tension lines (RSTLs) of the face were easy to delineate (figure 1, B). The design of the initial reconstruction (figure 2) was based on two principles. First, a 30[degrees] elliptical excision and closure was designed along the axis of the RSTLs. Second, a geometric broken-line closure (GBLC) ...

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