Bilobed Flap Reconstruction in Infraorbital Skin Defects

Abstract

The superiorly based bilobed flap should be always kept in mind when planning a local flap in the infraorbital region.

Reconstruction of skin defects in the medial cheek using lateral cheek rotation flap combined with Z-plasties

“…Skin grafting often causes a 'patch-like' appearance that leads to a disfigured look, and skin graft contraction at later stages can result in deformities such as lower eyelid ectropion and oral commissure dislocation. Local flaps include the rhomboid flap, 16 bilobed flap, 17 VeY advancement flap, 15,16,18 and hatchetskin flap. 19 These skin flaps yield desirable restoration but are normally used in the reconstruction of small or mediumsized skin defects.…”

A Novel Flap for the Reconstruction of Midcheek Defects

“…In bilobed flaps, the presence of the second flap that shares the tension of the first flap decreases the tension; however, the length of the scar remains unaesthetically. 13 The transposition flaps using Z-plasty technique have traditionally been used to close the midcheek defects, also offering redirecting tension and relieving scar contracture by lengthening the central limb. 11 V-Y, J-plasty, advancement, and reading man flaps, which are more useful in nasolabial sulcus, medial canthal, malar region, and lower eyelid defects, can also be used in the midcheek defects; however, it is inevitable to carry a hair-bearing tissue such as the other flaps.…”

“Reading Man Flap” Design for Reconstruction of Circular Infraorbital and Malar Skin Defects

“…To overcome these problems, modifications have been described for bilobed flaps 25–27 . Although Yenidunya and associates 1 have reported that scars are nearly invisible in older patients, a major disadvantage of using bilobed flaps is the length of the scar. Other disadvantages that they reported are that the second flap in the preauricular region may contain hair‐bearing skin, especially in large flaps, and that young patients are not good candidates for bilobed flaps because of less skin distensibility and longer scar length 1 .…”