The Physiology and Biomechanics of Skin Flaps

Abstract

Facial skin defects created by Mohs micrographic surgery are commonly reconstructed using local cutaneous flaps from surrounding skin. To provide optimal survival and aesthetic outcomes, the cutaneous surgeon must command a thorough understanding of the complex vascular anatomy and physiology of the skin as well as the imperative physiologic and biomechanical considerations when elevating and transferring tissue via local skin flaps.

Keywords: Cutaneous flap physiology; Cutaneous vascular anatomy; Local skin flaps; Mohs reconstruction; Skin flap biomechanics; Skin physiology; Vascular delay.