Reconstructive dermatosurgery through the application of various types of flaps is in practice the most optimal option for covering defects in the scalp area after surgical removal of various forms of skin cancer.
I present another of my patients who underwent dermatosurgery under local anesthesia due to a problematic lesion located in the scalp area.
Continue reading Dermatosurgery Clinic Onkoderma / Dermatologic Surgery Clinic Onkoderma / reconstructive dermatosurgery/ flaps: Modifying double (bilateral) opposing rotation advancement flap as possibility for scalp reconstruction after removal of a problematic lesion →

I present a patient whom I treated using a new innovative technique: V to T plastic surgery/dermatosurgical technique for covering a defect resulting from the removal of a problematic lesion. Described for the first time in dermatosurgery by my me and my team.
Continue reading Dermatosurgery Onkoderma/ Dermatologic surgery Onkoderma: V to T flap/ dermatosurgery to cover a defect on the lower lip. →

The Plesiosaurus -type plastic reconstructive surgery was introduced into dermatosurgery as an innovative approach, first described in medical literature by my team.
In practice, it is a modified version of the Yin-Yang flap, applied to the scalp area, in which additional Burow triangles are used to distribute the tension in the area of the adaptation lines correctly. The final result is aesthetic and resembles an aquatic dinosaur, also known as a PLESIOSAURUS
Continue reading Dermatosurgery Onkoderma / dermatologic surgery Oncoderma / dermosurgical flap type PLESIOSAURUS →

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.
Continue reading Dermatologic surgery Onkoderma/Dermatosurgery Onkoderma: Successful application of the so called Limberg flap to close skin defects in the facial area after skin cancer removal →

Nevus cell proliferation (growth) extending out of or around an existing mole (nevus) can be a sign of a concerning change and should be evaluated promptly by a dermatologist.
This change may indicate the development of a dysplastic (atypical) nevus or, in rare cases, melanoma, a serious form of skin cancer.
Atypical or Dysplastic Nevus:
These moles are generally benign (non-cancerous) but look different from common moles (often having irregular borders that fade into the surrounding skin) and carry a higher risk of becoming cancerous than regular moles.
Continue reading Dermatologic surgery Onkoderma/ Dermatosurgery Onkoderma / Dermatologic surgery for Moles with signs of dysplasia or change! →

The double hatchet flap is a versatile reconstructive surgical technique primarily used to close moderate-to-large scalp defects following the removal of tumors like basal cell carcinoma or squamous cell carcinoma.
Key Characteristics of the Double Hatchet Flap Mechanism: It combines rotation and advancement movements, where two triangular flaps on opposite sides of the defect are moved toward each other.
Continue reading Reconstructive Dermatologic Surgery / reconstructive dermatosurgery for scalp located tumours using the double hatchet flap →

Dermatosurgery, also known as dermatologic or operative dermatology, is a specialized field that focuses on the diagnosis and surgical treatment of conditions involving the skin, hair, nails, and adjacent tissues. As of 2025, it has evolved into a critical sub-specialty that combines medical necessity with aesthetic reconstruction.
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The use of modified advancement flaps is a common and effective surgical technique for reconstructing the scalp after the removal of a tumor, particularly skin cancers like basal cell carcinoma and squamous cell carcinoma. These flaps are designed to cover defects with adjacent, hair-bearing tissue, offering good cosmetic and functional results.
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The Mustardé rotation flap is a plastic surgery technique, primarily for lower eyelid reconstruction after removing large tumors (like skin cancer), using a large cheek skin-muscle flap rotated into the defect, aiming to provide vascularized tissue and minimize tension to prevent sagging (ectropion) by creating a specific (triangular) defect and careful suturing. It’s a reliable method for significant eyelid loss, often involving undermining cheek skin, rotating it medially, and sometimes using a compensatory triangle or skin graft to close the gap and maintain eyelid function.
Continue reading Dermatologic surgery/ dermatosurgery for patient with high risky skin cancer lesion near the eye: The Mustarde rotation flap →

Rotation-advancement flaps are key techniques for closing scalp defects after tumor removal, especially large ones, using nearby hair-bearing skin to restore aesthetics and function by rotating tissue around the defect, often based on scalp arteries (temporal, occipital) for blood supply, minimizing tension and providing similar tissue for a good cosmetic result, sometimes combined with skin grafting for donor sites.
How They Work
Design: Dermatosurgeons map a flap adjacent to the tumor defect, often larger than the defect itself, incorporating a major scalp artery (like the superficial temporal artery or occipital artery) for vascularity.
Continue reading Dermatologic Surgery/ Dermatosurgery for advanced scalp skin tumours: advancement rotation flap for giant BCC of the scalp area →