V-Y advancement flap for facial defects.

V-Y advancement flaps based on subcutaneous pedicles are an ideal option for closure of small to medium sized facial defects. This technique has been used to treat 69 patients with various lesions of the face, (30 basal cell carcinoma, 9 squamous cell carcinoma, 18 nevus, 4 traumatic defect, 3 old scar and 5 others) during the past seven years. There was no necrosis of any single flap. All the designs could be planned so that the long axes of the flaps were parallel to the wrinkle line, contour line or line of dependency. All wounds healed uneventfully with fine or undelineated scar. There were no secondary operation for these cases. Clinical results of this series have shown advantages of this flap in reconstruction of facial defects. It is reliable in circulation and is easy to design and execute. It causes no distortion of critical features and offers excellent cosmetic satisfaction in color and texture matching. Therefore, the V-Y advancement flap is recommended for closure of properly selected facial defects.