TY - CHAP M1 - Book, Section TI - Introduction A1 - Goldman, Glenn D. A1 - Dzubow, Leonard M. A1 - Yelverton, Christopher B. Y1 - 2013 N1 - T2 - Facial Flap Surgery AB - The mobilization of soft tissues to reconstruct cutaneous operative wounds is more than just an exercise in geometry.1 Instead, reconstructive procedures involve the manipulation of biologic tissues with the primary purpose being an approximation of the preoperative state of “normalcy.” The mystical attainment of an invisible scar and a complete restoration of the presurgical condition is a worthwhile goal that can be closely approximated—even if perfection is unattainable. The degree to which a minimally perceived result is approached is dependent on a number of biologic factors beyond the surgeon’s control. These include the patient’s age and general health, the long-term use of certain medications, whether or not the patient smokes, and a number of uncontrollable cutaneous variables such as skin thickness, sebaceous quality, pigmentation, elasticity, actinic damage, prior surgical scarring, and individual variations in scar formation. SN - PB - McGraw Hill LLC CY - New York, NY Y2 - 2024/04/19 UR - dermatology.mhmedical.com/content.aspx?aid=1174770490 ER -