Prevention of Undesirable Outcomes

  • Nicholas GoldaEmail author
  • Brandon Brown
  • Alison Basak
  • Kathryn Potter
  • Nita Kohli


When performing reconstructions in cutaneous surgery, there are several potential pitfalls that can lead to suboptimal outcomes. The most common of these issues include wound edge necrosis, trapdoor deformities, flap or graft necrosis, nasal valving, and free margin distortion. In this chapter, the causes of these issues are explored, and evidence-based techniques for minimizing or preventing inferior outcomes related to these factors as well as techniques that can be used to address these outcomes should they arise are discussed.


Wound edge necrosis Ectropium Eclabium Pincushioning Trapdoor deformity Graft necrosis Nasal valving 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Nicholas Golda
    • 1
    Email author
  • Brandon Brown
    • 2
  • Alison Basak
    • 3
  • Kathryn Potter
    • 2
  • Nita Kohli
    • 4
  1. 1.University of Missouri, Department of DermatologyColumbiaUSA
  2. 2.University of FloridaGainesvilleUSA
  3. 3.Forefront DermatologySt. LouisUSA
  4. 4.Division of DermatologyWashington University in St. LouisSt. LouisUSA

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