PubMed · 12434590
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François-Guy Hourtoulle. 2002-10-01. [Smashed faces].. https://pubmed.ncbi.nlm.nih.gov/12434590/
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BACKGROUND: Reconstruction of the upper lip is among the most challenging problems faced by Mohs surgeons. Cupid's bow, with its marked variability among individuals, can be particularly difficult to recreate. Numerous complex reconstructive methods have been described in the literature. The authors present a novel technique for aesthetic reconstruction of Cupid's bow. METHODS: Retrospective case reviews of defects resulting from Mohs excision located at or near Cupid's bow are given. Repair was performed using our modified mucosal advancement flap technique. RESULTS: Acceptable or very good cosmesis was attained in all cases. CONCLUSION: The use of our simple modification of the mucosal advancement flap allows aesthetic reconstruction of Cupid's bow in select cases. Selection criteria for defects amenable to this technique are presented.
An aspect of early Mexican surgery in the sixteenth century is presented. The treatment of facial wounds by Alonso Lopez de Hinojosos and Agustin Farfán is reviewed. Farfán proposed total nose reconstruction, with a cutaneous arm flap, 18 years before its description in De Curtorum Chirurgia, by Tagliacozzi, in 1597 in Venice, Italy. The chapter on facial wounds by Lopez de Hinojosos and Farfán shows their concern for the final aesthetic results and should be considered the first Mexican publication in the field of plastic surgery.