Flap technique for cutaneus lesion in the face area: A case series

Surgical defects that are difficult to close using simple closing techniques, require a more complex variety of surgical procedures, either with flaps or skin grafts. Skin flaps are performed when the primary closure of the wound does not allow the skin to be covered, especially if the defect is too large, stretched too much, or primary closure will cause poor aesthetic results. We reported two cases: the first case is a 23-year-old male who presented with a reddish lump above his left lip with diagnosis of foreign body granuloma folliculitis and a 36-year-old female who presented with a reddish lump on her left temple with diagnosis of capillary hemangioma. We performed advancement flap reconstruction technique for the first case, whereas situational modification resembling Z-plasty was used for the second case. On day-10 of follow-up after surgery, the excision areas of both patients showed complete recovery with minimal scarring. Preoperative planning and surgical technique on skin defects closure, especially on facial skin defects involving a large area, is crucial to produce optimal results.