Designing Flaps for Closure of a Variety of Skin Defects

Abstract

In this article, I am presenting a variety of working models for closure of skin defects of different shapes along with their corresponding indications and mode of use. These working models can be enlarged or reduced in size using a regular copying machine in order to evaluate the best possibilities related to the position of the incision. The great advantage of this method is that the geometric results are always predictable. Furthermore, this method will improve the survival of the flaps and the cosmetic results. In summary, the surgeon can use a variety of skin incisions taking advantage of the minimal tension lines of the skin and also taking into consideration the anatomical characteristics of the region involved. In this article, I have used the minimal tension lines of the skin, because they are easy to demonstrate by simple measures, such as pinching of the skin in different directions. In addition, the surgeon can assess the mobility and the elasticity of the skin on an individual basis.