Complicated surgical techniques. I. Flaps and grafts.

Most defects in dermatologic surgery can be repaired by primary closure. If this is not feasible, then local flaps should be employed. Where flaps are unfeasible or would result in an additional cosmetic deformity, then a full-thickness skin graft should be employed. If the defect is too large for a full-thickness skin graft, then a split-thickness skin graft is the appropriate choice. Individual surgical situations or the medical status of the patient may alter these general principles.