Abstract Number: 9

Bilobed fl aps – Getting the best result

S.C. Huilgol

Meeting: 2012 Dermcoll

Session Information

Date: -

Session Title: Insights in Skin Cancer Management

Session Time: -

Bilobed fl aps are double transposition cutaneous or musculocutaneous fl aps with a complex design. The Zitelli modifi cation reduces rotational pucker and permits the transfer of wound closure tension through a 90 degree arc. The most common site for bilobed fl aps is the lower nose but they may also be useful on the cheek, lower eyelid and ear. The meticulous design of the fl ap is paramount in achieving the best result but tips in execution include using the correct plane of elevation and undermining, optimal trimming of the lobes to size, the use of subcuticular and deep pexing sutures and post-operative nasal packing. Post operative problems may include distortion of surrounding structures, depressed scars, pincushioning and scar telangiectasia. Good outcomes are further enhanced through massage, steroid injections, scar revision, laser resurfacing and treatment of telangiectasia.