[LLL plasty: simple procedure for coverage of cutaneous defects].

Skin defects may be due to several causes: trauma, surgical excision of malignant or benign, even malformative pathologies. The aim of this work is to report the interest of the LLL flap (L for Lozenge) (Dufourmental flap) in the coverage of the skin defects that sometimes may reach high dimensions or being located in areas of lower skin extensibility. We report a study involving 26 patients who all benefited from this technique having skin defects due to different causes and serving in different locations. LLL plasty allowed a first closure in all patients. The cosmetic result was good and no recovery was necessary. LL plasty was first described in 1962 to cover limited skin defects. However, it requires some precision in its execution. This is a simple and reproducible procedure with considerable interest for its potential in the coverage of cutaneous defects in the face and that can reach up than 8cm. The scar would be reduced if we took care to match the areas of sutures with the shaded areas of the face (groove…). While allowing a better distribution of tension, this technique has demonstrated its superiority compared to direct suture, which the indication is limited by the size of the defect and its location (peri-orificial…) and other techniques that are similar as the Limberg flap.