The platysma is divided 4 cm below the mandible. Defects of the dorsum and the columella require more support, so septum or rib is preferred. Plastic Micrographic Surgery Specifics The Surgery Under local anesthesia, the Mohs surgeon removes skin tumors one layer at a time, and the entire edge — or margin — of that removed layer of tissue is immediately examined under a microscope. Ear and nose reconstruction in children. The margins are therefore much narrower than they were in the past. Preoperative defect is outlined in A, B. In these cases, there is now a trend towards performing sentinel node biopsy and tumor removal surgery at the same time.
This flap may be unreliable in smokers.
Plastic Micrographic Surgery
The nose is divided into nine subunits, which include the dorsum, the tip, the columella and the paired lateral sidewalls, the alar lobules, and the soft triangles. If reconstructive surgery is required, the patient will receive a surgery time for the following day. Scalp The layers of the scalp include skin, subcutaneous tissue, galea aponeurotica, loose areolar tissue, and pericranium. Anesthesiology Brachial Plexus Clinic. Postoperative outcome is depicted in C and D.