Workhorse Flaps: Bilobed

In this presentation, Ashley Ellison discusses the bilobed flap, a surgical technique primarily applied in reconstructive procedures, particularly on the nose but also suitable for other facial areas. The talk outlines the indications for bilobed and trilobed flaps, emphasizing their versatility, reliability, and aesthetic benefits, including matching skin color and texture. Ellison explains the technical aspects of designing and executing these flaps, including the importance of maintaining proper angles to avoid complications such as alar retraction. The ideal scenarios for using bilobed flaps are highlighted, noting that while they are best suited for smaller nasal defects, they can also work for larger defects under certain conditions. Common pitfalls such as improper flap sizing and pin cushioning are addressed, with suggestions for prevention and correction methods, such as using tacking sutures and precise measurements. The talk concludes by encouraging proper technique and consideration of skin characteristics to ensure successful outcomes with bilobed flaps, acknowledging the existing literature that supports their efficacy in various reconstructive contexts.