Facial reconstruction after resection for cutaneous malignancies

The reconstruction of facial defects after the resection of cutaneous malignant lesions is challenging. Knowledge of several key principles, such as that of facial subunits and of the reconstructive ladder, is paramount to achieving functionally and aesthetically pleasing surgical outcomes. Various reconstructive modalities, from local flap closure to free tissue transfer, are available to the practicing surgeon depending on the defect requiring reconstruction. In this article we describe several of the most commonly used local and regional flaps in facial reconstruction as well as some of the special challenges faced when reconstructing areas such as the eyelid, the lips, the nose, and the ear.