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Planning skin reconstruction
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=== Consider aims of reconstruction === #* Aesthetic #** Contour #*** Difficult to disguise later #*** Matching contour is therefore more important than colour #*** Expect distorted anatomical features to improve slightly with time, once the underlying muscle relaxes, especially with young people #*** Often a larger flap that uses an entire cosmetic unit or subunit of the face will give a better result than a smaller flap that crosses units #** Colour #*** Local flaps are a good match #*** Grafts have an unpredictable final colour when the blood supply adjusts #** Texture #** Symmetry #** Match features - hair #* Functional #** Sometimes harder to achieve than aesthetics #** Depends on normal contour, but also sensation and movement #** Scars inhibit function - position it in the place that least inhibits free motion
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