Flap minimization via peripheral recruitment

Purpose: To describe tissue-conserving modifications to traditional flop de sign such as the use of beveled incisions and the pattern of the incisions. These techniques should maintain flap viability and enhance cosmesis. Methods: We describe the techniques of peripheral flap recruitment. Results: Flaps conformed to reduced geometry, beveled incisions and bases, and tapered ends maximize vascularity. Peripheral tissues are recruited to fill primary defects: smaller flaps thus can be used to fill larger defects . Additionally, this flap design enhances cosmetic results and maintains a high probability for flap survival. Conclusion: The described novel flap design has many potential advantages o ver traditional designs. Correctly applied, these flap techniques spare tis sue, decrease scarification, trauma and bleeding, and reduce the need for s econdary procedures. Potential drawbacks of this flap design include tempor ary anatomic distortion especially over rounded structures such as the nose . Complications are minimal.