title: Aesthetic subunit reconstruction facilitated with v-y island advancement flaps on the face: a case report.
abstract: The reconstruction of complex facial soft-tissue defects is a challenge that is often encountered by the plastic surgeon. Careful planning and knowledge of the aesthetic subunits that border the defect are paramount to achieve optimal results. We present a case of a 56-year-old woman who underwent excision of a large disfiguring chronic xanthelasma that extended from canthus to canthus across the nasal bridge. An aesthetic outcome was achieved by use of bilateral V-Y nasolabial flaps combined with a V-Y glabella advancement, which allowed for a tension-free like-for-like subunit reconstruction.
authors.affiliation: E-Da Hospital, Kaohsiung, Taiwan; and Department of Plastic Surgery, E-Da Hospital, Kaohsiung, Taiwan.
authors.forename: Jaime Eduardo Pachón
authors.initials: JE
authors.lastname: Suárez
authors.affiliation: E-Da Hospital, Kaohsiung, Taiwan; and Department of Plastic Surgery, E-Da Hospital, Kaohsiung, Taiwan.
authors.forename: Parviz Lionel
authors.initials: PL
authors.lastname: Sadigh
authors.affiliation: E-Da Hospital, Kaohsiung, Taiwan; and Department of Plastic Surgery, E-Da Hospital, Kaohsiung, Taiwan.
authors.forename: Seng-Feng
authors.initials: SF
authors.lastname: Jeng