Category Archives: Plastic Surgery

Plastic Surgery, Print Release

PUBLISHED: Reconstruction of a Large Nasal Cutaneous Defect Using Nasolabial and Rhomboid Flaps

Reconstruction of a Large Nasal Cutaneous Defect Using Nasolabial and Rhomboid Flaps
Ajaipal S. Kang, MD, FACS
UPMC Hamot

Resection of cutaneous malignancies may result in substantial skin defects. Often, skin grafting is a first-line option for reconstruction of such defects but may be limited by poor cosmetic outcomes and incomplete graft acceptance. Accordingly, skin flaps, tissue rearrangement techniques, and more complex procedures may be needed. This case report presents the successful use of a combination of nasolabial flap and rhomboid flap for reconstruction of a 3-cm × 2-cm left nasal sidewall and ala skin defect that remained following a basal cell cancer Mohs resection. The flaps were quickly and easily fashioned, did not require any special instruments, and resulted in a good cosmetic outcome. There were no wound complications and the flaps healed completely with excellent contour, texture, thickness, color match, and complete patient satisfaction. This case is an example of the technical aspects of successful planning, elevation, and inset of a nasolabial flap and rhomboid flap.

General Surgery, Pediatrics, Plastic Surgery, Print Release

PUBLISHED: Bilateral Dorsal Foot Scar Contracture Release with Split-Thickness Skin Grafts from the Anterior Thigh

Bilateral Dorsal Foot Scar Contracture Release with Split-Thickness Skin Grafts from the Anterior Thigh

Jonah Poster
Shriners Hospitals for Children – Boston

Jonathan Friedstat, MD
Shriners Hospitals for Children – Boston
Massachusetts General Hospital

Burn scar contracture of the dorsal foot causes metatarsophalangeal joint hyperextension and interphalangeal joint hyperextension. In children, these issues only intensify over time as a child grows. Here, Dr. Friedstat at Shriners Hospitals for Children in Boston presents the case of a young boy who suffered a 32% total body surface area flame burn to his lower back, bilateral buttocks, legs, and feet. This patient had previously undergone a bilateral contracture release of the dorsum of the foot. Because the contractures recurred, another bilateral dorsal foot scar contracture release was performed using a split-thickness 1:1 meshed skin graft harvested from the anterior left thigh.

Plastic Surgery, Preprint Release

Preprint Release: Bilobed Nasolabial and Rhomboid Flaps for Repair of a Left Nasal Ala Defect Following Basal Cell Cancer Excision

Bilobed Nasolabial and Rhomboid Flaps for Repair of a Left Nasal Ala Defect Following Basal Cell Cancer Excision
UPMC Hamot

Ajaipal S. Kang, MD
Cosmetic, Plastic & Reconstructive Surgery Specialist
UPMC Hamot

In this case, Dr. Ajaipal Kang at UPMC Hamot performs a bilobed nasolabial flap and a rhomboid flap to close a left nasal ala defect that remained following an excision of a basal cell cancer.

General Surgery, Global Surgery, Plastic Surgery, Preprint Release

PREPRINT RELEASE: Left Mastectomy Wound Closure with Left Latissimus Dorsi Musculocutaneous Local Flap

Left Mastectomy Wound Closure with Left Latissimus Dorsi Musculocutaneous Local Flap
Hospital Leonardo Martinez, Honduras

Geoffrey G. Hallock, MD
Plastic Surgery Consultant
Sacred Heart Campus, St. Luke’s Hospital
Allentown, Pennsylvania

Yoko Young Sang, MD
Resident Physician
General Surgery
Louisiana State University Shreveport

In this case, Dr. Hallock closes the wound that was left behind following a mastectomy using a latissimus dorsi musculocutaneous local flap. This was performed during a surgical mission in Honduras with the World Surgical Foundation.

General Surgery, Global Surgery, Plastic Surgery, Preprint Release

PREPRINT RELEASE: Squamous Cell Carcinoma Excision from Right Forearm with Split-Thickness Skin Graft from the Thigh

Squamous Cell Carcinoma Excision from Right Forearm with Split-Thickness Skin Graft from the Thigh
Hospital Leonardo Martinez, Honduras

Geoffrey G. Hallock, MD
Plastic Surgery Consultant
Sacred Heart Campus, St. Luke’s Hospital
Allentown, Pennsylvania

In this case, Dr. Hallock performs a right forearm squamous cell carcinoma excision followed by a split-thickness skin graft from the thigh. It was filmed in Honduras on a surgical mission with the World Surgical Foundation.

General Surgery, Global Surgery, Plastic Surgery, Preprint Release

PREPRINT RELEASE: Basal Cell Carcinoma Excision from Lower Lip with Keystone Flap Reconstruction

BASAL CELL CARCINOMA EXCISION FROM LOWER LIP WITH KEYSTONE FLAP RECONSTRUCTION
Hospital Leonardo Martinez, Honduras

Geoffrey G. Hallock, MD
Plastic Surgery Consultant
Sacred Heart Campus, St. Luke’s Hospital
Allentown, Pennsylvania

In this case, Dr. Hallock performs a basal cell carcinoma excision followed by a Keystone flap reconstruction. It was filmed in Honduras on a surgical mission with the World Surgical Foundation.

General Surgery, Pediatrics, Plastic Surgery, Preprint Release

PREPRINT RELEASE: Contracture Release and Full-Thickness Skin Graft to Volar Index Finger with K-Wire Insertion


Contracture Release and Full-Thickness Skin Graft to Volar Index Finger with K-Wire Insertion
Shriners Hospitals for Children – Boston

Jonathan Friedstat, MD
Plastic and Reconstructive Surgery
Shriners Hospitals for Children – Boston
Massachusetts General Hospital

Jonah Poster
Medical Student
Icahn School of Medicine at Mount Sinai

This case centers around a young male patient with a 1-year-old burn scar on his volar index finger that keeps the finger flexed and prevents it from being straightened. Here, Dr. Friedstat releases the contracture and places a full-thickness skin graft from the right groin crease. A K-wire was also used to prevent flexion of the finger during the healing process.

General Surgery, Pediatrics, Plastic Surgery, Preprint Release

PREPRINT RELEASE: Bilateral Dorsal Foot Scar Contracture Release with Split-Thickness Skin Grafts from the Anterior Thigh


Bilateral Dorsal Foot Scar Contracture Release with Split-Thickness Skin Grafts from the Anterior Thigh
Shriners Hospitals for Children – Boston

Jonathan Friedstat, MD
Plastic and Reconstructive Surgery
Shriners Hospitals for Children – Boston
Massachusetts General Hospital

Jonah Poster
Medical Student
Icahn School of Medicine at Mount Sinai

In this case, a 5-year-old male with burn scars undergoes a bilateral dorsal foot scar contracture release with split-thickness skin grafts from the anterior thigh.

Announcement, Pediatrics, Plastic Surgery, Preprint Release

PREPRINT RELEASE: Pulsed Dye and Fractional CO2 Laser Therapy for Treatment of Burn Scars


Pulsed Dye and Fractional CO2 Laser Therapy for Treatment of Burn Scars
Shriners Hospitals for Children – Boston

Branko Bojovic, MD
Chief of Plastic, Reconstructive, and Laser Surgery
Shriners Hospitals for Children – Boston

Robert J. Dabek, MD
Research Fellow, Division of Plastic and Reconstructive Surgery
Massachusetts General Hospital
Harvard Medical School

Harrison McUmber
Medical Student
Tufts University School of Medicine

In this case, Dr. Bojovic uses both pulsed dye laser therapy and fractional CO2 laser therapy to treat burn scars on a female pediatric patient.

Announcement, General Surgery, Plastic Surgery, Preprint Release

PREPRINT RELEASE: Split-Thickness Skin Graft for Scar Release, Permanent Pigment Transfer, and Fractional CO2 Laser Therapy


Split-Thickness Skin Graft for Scar Release, Permanent Pigment Transfer, and Fractional CO2 Laser Therapy
Shriners Hospitals for Children – Boston

Daniel N. Driscoll, MD, FACS
Division of Plastic, Reconstructive, and Laser Surgery
Shriners Hospitals for Children – Boston

Lisa Gfrerer, MD, PhD
Harvard Plastic Surgery Combined Residency Program

Robert J. Dabek, MD
Research Fellow
Massachusetts General Hospital

This case focuses on the treatment of an 8-year-old male with scars from burn wounds he sustained at the age of 2 that have resulted in areas of scar contracture, stiffness, and hypopigmentation. Watch Dr. Daniel Driscoll perform a scar release, a split-thickness skin graft, a permanent pigment transfer, and fractional CO2 laser resurfacing.