What is Glabellar flap?
The glabellar area is a source of redundant thick skin that is commonly used for the reconstruction of the upper nasal dorsum and medial canthal area. , The glabellar flap has been originally described as a V-Y advancement flap, based on random circulation.
How is flap surgery done on the nose?
This is a surgical technique used to repair a wound on the nose after the removal of a skin cancer. It is done in two or three stages over a period of weeks to months. This involves freeing a flap of skin from the forehead, with its own blood supply, and attaching it over the wound on the nose.
What is forehead flap rhinoplasty?
The forehead flap is one of the oldest recorded surgical techniques for nasal reconstruction. As the gold standard for nasal soft tissue reconstruction, the forehead flap provides a reconstructive surgeon with a robust pedicle and large amount of tissue to reconstruct almost any defect.
How long does it take for flap surgery to heal?
You will need to undertake some lifestyle modifications based around showering and bathing for 2-3 weeks after surgery and avoid strenuous activity for around 3-4 weeks after surgery to ensure the graft site is not stretched or injured.
What happens after forehead flap surgery?
You can expect to experience some numbness in the area of the flap for several weeks after the surgery. Occasionally, this numbness may persist indefinitely. Avoid exposing new surgical incisions to the sun as this may result in long-term darkening of the scar.
When is a forehead flap needed?
A forehead flap is usually required if the nasal defect is larger than 1.5 cm. If the defect is small and superficial it can be resurfaced with a skin graft or a small flap. Nasal defects mostly result from excision of malignant skin tumours as basal cell carcinoma or squamous cell carcinoma.
Is the glabella part of the nose?
The glabella is defined as the area between the eyebrows. The glabella lies directly above the nose and joins the superciliary ridges.
What is the significance of glabella?
The glabella, in humans, is the area of skin between the eyebrows and above the nose. The term also refers to the underlying bone that is slightly depressed, and joins the two brow ridges. It is a cephalometric landmark that is just superior to the nasion….
Glabella | |
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FMA | 52851 |
Anatomical terms of bone |
How long does flap surgery take?
The tiny blood vessels in the flap, which will feed the tissue of your new breast, are matched to blood vessels in your chest and carefully reattached under a microscope. DIEP flap reconstruction surgery takes about 6 to 8 hours.
How long does it take for a skin flap to heal?
The donor area of partial thickness skin grafts usually takes about 2 weeks to heal. For full thickness skin grafts, the donor area only takes about 5 to 10 days to heal, because it’s usually quite small and closed with stitches.
How do you fix glabellar lines?
How to get rid of frown lines naturally
- Eat a healthy diet that includes lots of water.
- Get enough sleep to allow your skin to recharge.
- Use sunscreen on your face every day.
- Moisturize your face at least three times each day.
- Exfoliate your face a couple of times a week.
Does flap surgery painful?
Most patients experience some discomfort after a flap procedure. Depending on your needs, we may prescribe pain medication or recommend over-the-counter medicine. It is important to relax after surgery, as strenuous activity may cause the treated area to bleed.
How long does flap surgery take to heal?
It takes around six to eight weeks to recover adequately enough to resume normal activities. During this period, you should not drive, lift heavy objects or do any strenuous exercise. Doing so could damage recovering tissues or open up wounds, which could result in the need for additional surgery or treatment.
Is flap surgery painful?
How do I get rid of deep frown lines between my eyebrows?
Topical Retinoids One of the most effective treatments for fine lines and deep wrinkles is a topical retinoid called tretinoin. Tretinoin is generally sold as a cream, gel or solution, and it works by speeding up the skin cell turnover process. In other words, it helps your skin make new cells more quickly.
What is the role of Local flaps in nasal reconstruction?
Two versatile local flaps for nasal reconstruction are the glabellar flap and an extension of the glabellar flap, the dorsal nasal flap. The authors describe the use of these two local flaps for reconstruction of nasal defects and modifications of these procedures for certain indications, as well as their use in medial canthal reconstruction.
What is a glabellar flap modification?
Modifications of the glabellar flap have been described to address more distal defects involving reconstruction of the nasal tip, columella, alar lobule, and upper lip, generally relying on an axial blood supply rather than a random pattern.
How does the vasculature of the glabellar flap help graft survival?
A key point in some variants of glabellar flap technique is that the tissue is transported with its vasculature, which contributes to graft survival on the one side, and mattress sutures with a bolster on another [ Fig. 7 ]. Large defect closed with glabellar flap only: (a) significant defect of the upper eyelid – day 1.
What are the disadvantages of the glabellar flap?
The disadvantages of the glabellar flap and its modifications include the thick skin of the glabella, which is frequently discrepant with the thickness of the skin of the defect; however, the glabellar flap generally tolerates thinning of the skin at the time of harvest such that this hurdle can be overcome.