Advancement flap

Advancement flap is a surgical technique used in plastic surgery and dermatology to repair defects in the skin. The technique involves the movement of a section of skin, along with its underlying fat and blood vessels, from one area of the body to another. This is done to fill in a defect or gap in the skin caused by injury, surgery, or disease.

History

The advancement flap technique has been used in various forms for centuries. The earliest recorded use of a similar technique dates back to ancient India, where surgeons used skin flaps to reconstruct noses that had been amputated as a form of punishment. The modern advancement flap technique was developed in the 20th century and has since been refined and improved upon by plastic surgeons around the world.

Technique

The advancement flap technique involves the creation of a flap of skin that is then moved to cover a defect. The flap is designed so that it is larger at the base than at the tip, allowing it to be moved without causing tension on the surrounding skin. The flap is then sutured into place, and the wound is closed.

The technique is used in a variety of surgical procedures, including breast reconstruction, facial reconstruction, and the treatment of pressure ulcers. It is also used in cosmetic surgery to improve the appearance of scars and other skin defects.

Advantages and Disadvantages

The main advantage of the advancement flap technique is that it allows for the repair of large skin defects without the need for a skin graft. This can result in a more natural appearance and less scarring than other techniques. However, the technique does have some disadvantages. It requires a high level of surgical skill and can result in complications such as infection, necrosis of the flap, and poor cosmetic results if not performed correctly.

See Also

• Skin graft
• Plastic surgery
• Dermatology