I have the privilege of presenting the long-term results of the performance of Limberg skin flap dermatosurgery surgery for a skin tumor located in a high-risk area near the ear.
The case is part of the project: “Reconstructive dermatosurgery: innovations against limitations.”
The postoperative result for the patient described is perfect.
Quick procedure under local anesthesia with 1% lidocaine.

The Limberg flap, also known as a rhombic flap, is a universal dermatosurgical technique for closing skin defects, especially after skin cancer removal, using a rotated, rhombic flap from the surrounding skin to achieve good cosmetic results with low tension and reliable blood supply.
The procedure involves creating a parallelogram (rhombus) around the defect, moving it to cover the wound, and directly closing the donor site, making it ideal for the face and other parts of the body with predictable results.
Design:
A rhomboid (rhombus) shape with angles of 60° and 120° is drawn around the excised skin defect.
Creation of the flap:
A flap of skin and subcutaneous tissue is designed in close proximity to the rhomboid, extending from one of its vertices.
Transposition:
The flap is lifted (undercut) and rotated in the direction of the defect.
Closure: The resulting gap (donor site) is closed directly, which often results in a linear scar that blends with the skin lines.
Applications in dermatosurgery – facial reconstruction:
Excellent for small to medium defects on the face (e.g., nose, cheeks, chin, eyelids) after skin cancer removal.
Other parts of the body:
Applicable to the entire body, including the torso and limbs.
Advantages of the Limberg flap:
Provides tissue with similar color and thickness, with scars often well concealed.
Versatility:
Can be adapted to many locations and sizes of defects.
Reliability:
Good vascularization from the surrounding skin ensures the survival of the flap.
The adjacent area closes easily, minimizing potential complications.