How Would You Reconstruct It?

In this presentation, a series of cases focused on reconstructive options for various facial defects are discussed. The first case involves a patient with significant squamous cell carcinoma (SCC) affecting the temple, along with a second lesion. The discussion includes multiple reconstructive strategies like granulation, primary closure, grafting, and the use of flaps (e.g., rotation flaps and Burrows grafts) based on tissue laxity and defect complexity. Each panelist provides insights on their preferred techniques and considerations for achieving optimal cosmetic results while preserving function. Subsequently, the reconstruction of an upper lip defect is addressed, emphasizing the importance of examining skin laxity and muscle integrity, with options for primary closure or various flap techniques suggested. The final case revolves around a full-thickness defect of the nasal alar and cheek, with discussions on transposition flaps, cheek advancement, and the integration of cartilage for nasal lining to achieve a stable reconstruction. Each approach highlights the flexibility and adaptability required in surgical procedures to address unique challenges, illustrating a rich vein of collaborative expertise in reconstructive surgery.