How Would You Reconstruct It?

In this presentation, the speaker discusses various surgical techniques for reconstructing cheek and lip defects, focusing on mechanistic approaches and flap techniques. The talk includes the management of a significant pre-auricular cheek defect, emphasizing the advancement of cheek tissue, closure strategies using V to Y and bilobe flaps, and the surgical benefits of incorporating drains despite minimizing fluid accumulation. The presenter highlights the importance of technique details, such as undermining skin for better mobility and avoiding drain entrapment during suturing. Additionally, the audience engages in a discussion on handling smaller lip defects, proposing various flap options such as the Miele rotation flap and crescentic primary closures while cautioning about potential asymmetries post-surgery. A focus is placed on the tunneled island pedicle flap for maintaining aesthetic contours around the lip's vermilion border and ensuring adequate blood supply by careful planning of flaps and cartilage grafts. Ultimately, the speaker shares personal preferences for suturing techniques and flap management, offering insights into how to achieve optimal cosmetic results while minimizing complications.