Flaps and Grafts in Dermatologic Surgery

Dr. Thomas E. Rohrer, MD is a leading dermatologic surgeon specializing in cosmetic and surgical dermatology. He was ranked among the Top Twenty Dermatologists in the United States by Newsweek-the highest-ranked dermatologist in Massachusetts and the highest-ranked board-certified Mohs surgeon in the country.Dr. Rohrer is a past President of both the American Society for Dermatologic Surgery and the American Society for Laser Medicine and Surgery. A magna cum laude graduate of Georgetown University and the Georgetown University School of Medicine, he received the Michael J. Caruso Award. He completed an internal medicine internship at Yale University Hospital, a dermatology residency through Boston University-Tufts, and a Mohs and Dermatologic Surgery fellowship at the University of Pennsylvania. Prior to SkinCare Physicians, he served for eight years as Chief of Dermatologic Surgery at Boston University Medical Center and the Boston Veterans Administration Hospital, and as Director of the Boston University Center for Cosmetic and Laser Surgery.An active academic and educator, Dr. Rohrer has delivered 500+ lectures worldwide and published widely. He is the editor of six cosmetic and laser surgery textbooks, including a best-selling volume on surgical reconstruction. His honors include the 2013 Richard E. Fitzpatrick Clinical Research and Innovations Award (ASLMS) and an Excellence in Education Award (ASDS).Andrew J. Kaufman, Private Practice, Thousand Oaks and Santa Barbara, California, USA; Clinical Professor of Dermatology, Keck School of Medicine of USC, Los Angeles, CA, USA

"What makes the editors' approach so very unique is the inclusion of extensive high resolution narrated video to illustrate in detail the techniques described in the body of the text. This is a three-dimensional process, nearly duplicating the experience of standing shoulder to shoulder with a personal master instructor. The student is able to read the principles and applications and then see in real time the execution of the techniques. There is no better way to learn." --Leonard M Dzubow MD excerpt from foreword

• Chapter 1: Anatomy Introduction . Surface Landmarks and Surface Anatomy . The Aging Face . The Musculoaponeurotic System . Motor Nerves . Sensory Nerves of the Head and Neck . Vascular System . Special Structures: Lip, Eyelids, Nose, EarChapter 2: Basic Principles in Flap Reconstruction Basic Terminology . Flaps Defined by Blood Supply . Flap Physiology . Flap Biomechanics . Flaps Defined by Movement . Practical Points . Final ThoughtsChapter 3: Primary Closure Primary Closure Design and Considerations . Modifications or Variations . Applications and DisadvantagesChapter 4: Advancement Flaps Flap Design and Considerations . Flap Mobilization and Key Sutures . Flap Modifications and Applications . DisadvantagesChapter 5: Rotation flaps Rotation Flap Design: Basic Principles . Bilateral Rotation Flaps . Special Rotation Flaps . Plane of Flap Elevation and Surgical Undermining . ConclusionChapter 6: Island Pedicle FlapsClosure . ComplicationsChapter 7: Transposition Flaps Flap Design and Considerations . Rhombic Flaps . Other Transposition Flaps . Complications . ConclusionChapter 8: Staged Interpolation Flaps Paramedian Forehead Flap (PFF), Stage I . Paramedian Forehead Flap, Stage II . Cheek-to-Nose Interpolation Flap (CNIF) . Cheek-to-Nose Interpolation Flap, Stage II . Abbé (Lip-Switch) Flap . Abbé Flap, Stage II . ConclusionChapter 9: Skin Grafts Full-Thickness Skin Grafts . Split-Thickness Skin Grafts . Conclusion . Graft ComplicationChapter 10: Scalp ReconstructionScalp Surgical Anatomy . Evaluation of the Scalp Defect . Basic Reconstruction Concepts . Second Intention Healing . Primary Closure . Split-Thickness Skin Grafts . Full-Thickness Skin Grafts . Random Pattern Cutaneous Flaps . ConclusionChapter 11: Forehead and Temple Reconstructive Principles . Complications . ConclusionsChapter 12: Periocular Reconstruction Introduction . Periocular Anatomy . Preparation . Complications . General Principles of Periocular Reconstruction . Methods of Closure . Algorithmic Approach to Reconstruction by PeriocularSubunitsChapter 13: Cheek Reconstruction Maximum Skin Tension Lines . Surface Anatomy . Skin Texture . Subcutaneous Anatomy . Which Reconstructive Procedure . Flaps by Cheek Region . Complications . ConclusionChapter 14: Ear Reconstruction Introduction . Ear Aesthetics . Embryology . Topography . General Principles . Skin Grafts . Adjacent Tissue Transfer . Cartilage . Regional Reconstruction . Prosthetics and When to ReferChapter 15: Reconstruction of the Nose Introduction . Reconstructive Options . Complications . ConclusionChapter 16: Perioral Reconstruction Introduction . General Principals of Lip Reconstruction . ReconstructionChapter 17: The Neck Preoperative Considerations . Relevant Anatomy . Reconstructive Options . Regional Pearls . Summary