The "Batman flap": a novel technique to repair a large central glabellar defect

Int J Dermatol. 2018 Apr;57(4):477-479. doi: 10.1111/ijd.13844. Epub 2017 Dec 2.

Abstract

Background: Given the critical position of central glabella among the frontal, nasal, and supraorbital aesthetic subunits of the face, the reconstruction of large defects in this area represents a surgical challenge.

Methods: We describe a surgical technique based on a modified, curved, A-T flap to repair a large glabellar defect.

Results: Our modification is useful for large glabellar defects because it enables the distribution of the tension all over the reconstruction sides, avoiding a stressed central area and the subsequent risk of necrosis; functionally, it respects the eyebrows position and since the advancement is parallel to their major axes, it avoids the reduction of the distance between them.

Conclusions: The "Batman flap" enables reconstructing a glabellar defect, with a good aesthetical result and the respect of the relevant aesthetical subunits.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Carcinoma, Basal Cell / surgery*
  • Facial Neoplasms / surgery*
  • Female
  • Forehead / surgery*
  • Humans
  • Hutchinson's Melanotic Freckle / surgery*
  • Male
  • Surgical Flaps*
  • Surgical Wound / surgery
  • Wound Closure Techniques*