Mario Puviani1, Marco Curci1. 1. Department of Dermatology and Dermatologic Surgery, Ospedale di Sassuolo, Sassuolo (Modena), Italy.
Abstract
BACKGROUND: Given the critical position of central glabella among the frontal, nasal, and supraorbital aesthetic subunits of the face, the reconstruction of large defects in this area represents a surgical challenge. METHODS: We describe a surgical technique based on a modified, curved, A-T flap to repair a large glabellar defect. RESULTS: Our modification is useful for large glabellar defects because it enables the distribution of the tension all over the reconstruction sides, avoiding a stressed central area and the subsequent risk of necrosis; functionally, it respects the eyebrows position and since the advancement is parallel to their major axes, it avoids the reduction of the distance between them. CONCLUSIONS: The "Batman flap" enables reconstructing a glabellar defect, with a good aesthetical result and the respect of the relevant aesthetical subunits.
BACKGROUND: Given the critical position of central glabella among the frontal, nasal, and supraorbital aesthetic subunits of the face, the reconstruction of large defects in this area represents a surgical challenge. METHODS: We describe a surgical technique based on a modified, curved, A-T flap to repair a large glabellar defect. RESULTS: Our modification is useful for large glabellar defects because it enables the distribution of the tension all over the reconstruction sides, avoiding a stressed central area and the subsequent risk of necrosis; functionally, it respects the eyebrows position and since the advancement is parallel to their major axes, it avoids the reduction of the distance between them. CONCLUSIONS: The "Batman flap" enables reconstructing a glabellar defect, with a good aesthetical result and the respect of the relevant aesthetical subunits.