Hair transplantation is one of the therapeutic options for the treatment of cicatricial alopecia; however, the adherence between the scalp and the periosteum hinders its execution and compromises the final result. The use of adipose tissue grafting, as fat fragments harvested from the infra-gluteal crease, at least 30 days before the transplantation to optimize the results, is proposed.

A técnica de reconstrução de defeitos localizados na ponta nasal é desafiadora para a cirurgia dermatológica pelo fato de haver pouca pele adjacente disponível e limitada mobilidade. Este relato demonstra que é possível mobilizar a pele adjacente para recobrir o defeito usando retalho com pedículo miocutâneo unilateral que permite maior movimentação e não distorce a simetria do nariz.

Keywords: RETALHOS CIRÚRGICOS, NARIZ, ENXERTO DE PELE

Flaps are widely used in the surgical reconstruction of the nasal region. During the post-operative period, an unattractive depressed scar in relation to the nearby skin can be observed. Even after abrasion – which the literature recommends 30-60 days after the procedure – this complaint often persists. This study proposes tangential excisions with a razor blade (shaving) of the flap''''''''s entire area until it is level with the surrounding region, followed by dermabrasion to refine any remaining irregularities. The results are deemed excellent since the scars become less noticeable – a very satisfactory outcome due to the aesthetic and social importance of the treated area.

Keywords: SURGICAL FLAPS, NEOPLASMS, DERMABRASION

With an aim at reducing surgical complications, the authors describe an innovative technique - the hemostatic enclosure - performed with simple interrupted surgical stitches. The technique is indicated for lesions of any size, due to its simple implementation and because it results in the increased safety of surgical procedures.

Keywords: HEMOSTASIS; HEMOSTASIS, SURGICAL; AMBULATORY SURGICAL PROCEDURES; SUTURES.

The lips are a preferred site for carcinomas. Roughly 95% of tumors in the lips involve the lower lip, with 90% being squamous cell carcinomas. Surgery is the treatment of choice and has a good prognosis when diagnosis is performed early. Defects involving less than half of the lower lip can be closed using the edge-to-edge technique, whereas larger defects require greater technical complexity of methods and have increased risk of complications. The present article describes a straightforward technique for reconstructing these defects, using edge-to-edge suture, without necessity ofV or W shaped excisions, and with good aesthetic and functional outcomes.

Keywords: CARCINOMA, SQUAMOUS CELL; LIP NEOPLASMS; RECONSTRUCTIVE SURGICAL PROCEDURES

Skin cancers in the head and neck region account for 70-75% of malignant cutaneous tumors, of which 80% are basal cell carcinomas. Between 3-6% of malignant cutaneous tumors occur in the auricular pavilion. The authors of the present paper report an alternative technique for reconstructing the ear helix after excision of tumors, without the use of the classic compensation triangle. This method allows that the scar be located in the helical sulcus, resulting in a better aesthetic result, without unaesthetic retractions or scars located transversely to the helix.

Keywords: Dermatologic surgical procedures; Ear, External; Ear neoplasms