J Korean Soc Plast Reconstr Surg Search

CLOSE


Journal of the Korean Society of Plastic and Reconstructive Surgeons 2001;28(5):470-474.
Published online September 1, 2001.
Half V-Y-S Plasty for the Reconstruction of Circular Defects Around the Nasolabial Fold Area.
Ji Seon Cheon, Jeong Yeol Yang, Keun Hong Park, Woo Cheol Chung, Yang Soo Kang
Department of Plastic and Reconstructive Surgery, College of Medicine, Chosun University, Kwangju, Korea.
Abstract
When soft tissue circular or elliptical pathologic lesions are located around the nasolabial fold, the most appropriate method is to make the excision parallel with the scar or along a natural wrinkle-crease. For this purpose, simple elliptical excision following primary closure is recommended. But when its long axis of elliptical defects is located vertically to the nasolabial fold, these will bring a bad aesthetic result after elliptical excision following primary closure due to long vertical straight scar to nasolabial fold. If soft tissue defect is larger, we should depend on the wide dissection for the closure of elliptical excised area. As a result, it is inevitable to make postoperative deformity due to tension around the eyelids, oral commissures, canthal fold, and alar nose. V-Y-S plasty was introduced by Algamaso in 1974 for closure of a round defect. It adopted some aspects of the double rotation flaps(or S-plasty) and some of the V-Y advancements. The authors applied from March 1998 to December 2000 to use single rotation flaps(or half-S plasty) and V-Y advancement for closure of a round defect, around nasolabial folds in 12 patients, named it half V-Y-S plasty, by modifying of Argamaso's V-Y-S plasty. We could obtain sufficient coverage of round defects and placement postoperative scar on the nasolabial fold and alar crease area using single V-Y-S plasty. Even in case of hypertrophic scars, we could obtain the same result and symmetric postoperative supralabium contour. The average soft tissue defect diameter was 1.9 cm (biggest one: 3.2 cm), and advanced gain of V-S advancement was 1.34 cm. As a result, we could obtain the final result more aesthetic and functional than that of straight line closure or other type of local flap. We described the experience of half V-Y-S plasty with a review of literature.
Keywords: Natural wrinkle-crease; Half V-Y-S plasty
TOOLS
Share :
Facebook Twitter Linked In Google+ Line it
METRICS Graph View
  • 1,379 View
  • 0 Download

Local Flap Algorithm for the Reconstruction of Anterior Chest Wall Defects.2009 July;36(4)

Distally Based Anterolateral thigh Pedicled Flap in the Reconstruction of Defect Around Knee.2010 November;37(6)

Adipofacial Turn-Over Flap for Reconstruction of the Foot and Ankle.2007 July;34(4)

The Reverse Posterior Interosseous Island Flap for the Reconstruction of Soft Tissue Defects in the Wrist Injured by Electrical Arc.2007 September;34(5)

Great Toe Pulp Graft for the Reconstruction of the Postburn Flexion Contracture in the Fingers.2007 September;34(5)



ABOUT
ARTICLE & SPECIALITY
Article category

Browse all articles >

Speciality

Browse all articles >

BROWSE ARTICLES
AUTHOR INFORMATION
Editorial Office
101-2003, Lotte Castle President, 109, Mapodaero, Mapo-gu, Seoul 04146, Korea
E-mail: apsedit@gmail.com                

Copyright © 2024 by Korean Society of Plastic and Reconstructive Surgeons.

Developed in M2PI

Close layer
prev next