Modification of the Subunit Principle

Burget, Gary C.

doi:10.1001/archfaci.1.1.16

Cited by 21 publications

(10 citation statements)

References 13 publications

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Section: Introductionmentioning

confidence: 99%

“…Involvement of both cutaneous and vermillion components requires replacement of “like with like” (cutaneous tissue replaces cutaneous tissue; vermillion tissue replaces vermillion tissue) to achieve a natural appearance. Essential reconstructive principles include the recreation of the Cupid bow, symmetric alignment of critical structures 2 including the philtrum, philtral columns, and the vermilion border, recreation and proper alignment of the red line and white roll, and the masking of scars within subunits using depressions, lighted ridges, and naturally shadowed furrows. 1,2…”

Section: Introductionmentioning

confidence: 99%

“…Essential reconstructive principles include the recreation of the Cupid bow, symmetric alignment of critical structures 2 including the philtrum, philtral columns, and the vermilion border, recreation and proper alignment of the red line and white roll, and the masking of scars within subunits using depressions, lighted ridges, and naturally shadowed furrows. 1,2 Current recommendations for the reconstruction of upper lip defects depend on the presence and degree of philtral and vermillion involvement. 3,4 The "Frogger Flap": A Novel Quadruple Rhomboid Flap for Complex Central Upper Lip Reconstruction…”

Section: Introductionmentioning

confidence: 99%

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The “Frogger Flap”: A Novel Quadruple Rhomboid Flap for Complex Central Upper Lip Reconstruction

Robinson¹,

Elhage²,

Marturano³

et al. 2022

Plastic and Reconstructive Surgery - Global Open

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Summary: Upper lip reconstruction represents a unique challenge for the reconstructive plastic surgeon. Given its prominent aesthetic role in addition to its functional role in facial expression, speech, and oral intake, preservation of this region’s natural form and function is paramount. In this report, we present a novel technique for the reconstruction of a complex central upper lip defect, restoring the natural aesthetic of this essential structure. We describe the case of a 51-year-old woman who presented with recurrence of a previously resected basal cell carcinoma center on the upper lip at the level of the white roll and philtral depression. Following surgical resection via Mohs micrographic surgery, a 1.8 × 1.6 cm partial-thickness defect centered around the Cupid bow involving both cutaneous and vermillion tissues remained. Reconstruction was achieved through a novel quadruple rhomboid flap primarily based on the preservation of the aesthetic subunits of the upper lip. A functional and aesthetic reconstruction was achieved through local tissue rearrangement, restoring the appearance of the white roll and red line. Native perfusion and innervation were preserved during the reconstruction of the Cupid bow, recreating this region’s natural appearance. The design of the flap resembles a jumping frog, which is the etiology of the “Frogger flap” moniker. The Frogger flap recreates the natural aesthetic of the central upper lip through the geometric transposition of tissue commensurate with native anatomy. Through the application of aesthetic subunit principles, it reliably reconstructs central upper lip defects while preserving function and providing an aesthetically pleasing outcome.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The “Frogger Flap”: A Novel Quadruple Rhomboid Flap for Complex Central Upper Lip Reconstruction

Robinson¹,

Elhage²,

Marturano³

et al. 2022

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

show abstract

“…Small defects in this region can be reconstructed in a variety of ways including second‐intention healing, 1 primary side‐to‐side closure, local 2–6 or pedicled flaps, 7–10 skin grafts, 11,12 or a combination of these techniques 11 . Reconstructive considerations include avoiding lifting or contraction of the free margin through proper flap execution and cartilage support, 13–15 providing contour restoration, 16 matching nasal zone II and III skin, 16 ensuring patency of the nasal valve and proper breathing, 17 maintaining nasal symmetry, and when possible, avoiding distortion of the nasal labial folds 18 that can result in facial asymmetry.…”

mentioning

confidence: 99%

“…And unlike the cheek‐to‐nose interpolation flap, the symmetry of the nasolabial folds is not compromised. Finally, because the bilobed flap is a local flap, the color and texture of the nasal skin are maintained, with acknowledged overlap of skin with zones I and II thickness 16 . This can be particularly important in patients with rosacea or prominent sebaceous quality of the nasal skin.…”

mentioning

confidence: 99%