Lesson 1Grafts: full-thickness versus split-thickness skin grafts—indications, donor sites, take factorsThis part compares full-thickness and split-thickness skin grafts, explaining when to use them, choosing donor places, how to harvest, preparing graft bed, fixing it, and things that affect graft taking and long-term color and texture match.
Indications for full-thickness skin graftsIndications for split-thickness skin graftsChoosing facial and extrafacial donor sitesGraft bed preparation and hemostasisGraft fixation, bolsters, and dressingsFactors affecting graft take and contractionLesson 2Anatomy of facial soft tissues: skin, subcutaneous fat, SMAS, facial muscles, and sensory/motor nervesThis part looks at layered facial soft tissue structure, stressing skin, fat under skin, SMAS, face muscles, and feeling and moving nerves, to guide safe cutting planes, raising flaps, and keeping face expressions and feelings.
Skin thickness, elasticity, and adnexal structuresSubcutaneous fat compartments and retaining ligamentsSMAS anatomy, continuity, and surgical planesMimetic muscle orientation and functional unitsSensory nerve branches and danger zonesMotor nerve branches and safe dissection corridorsLesson 3Wound assessment and timing: contamination, devitalized tissue, and infection riskThis part covers checking wounds step by step, including how it happened, dirt, tissue life, and infection danger, and explains when to close, need for steps in procedures, and helps like washing, antibiotics, and negative pressure treatment.
History, mechanism, and energy of facial injuryEvaluating contamination and foreign materialAssessing tissue viability and perfusionClassifying wounds and infection risk levelsPrimary, delayed primary, and secondary closureRole of irrigation, debridement, and antibioticsLesson 4Vascular supply and angiosomes of the face relevant to flap design and graft survivalThis part looks at face artery structure, angiosomes, and choke vessels for flap design, flap delay, and graft living, stressing safe pedicle choice, flap length-to-width ratios, and ways to make blood flow better and reduce dead tissue.
Facial artery course and key branchesAngular, infraorbital, and transverse facial arteriesAngiosomes, perforasomes, and choke vesselsDesigning flaps along dominant vascular territoriesFlap delay and strategies to improve perfusionOptimizing graft beds and monitoring viabilityLesson 5Local flap types and indications: advancement, rotation, transposition, bilobed, island flapsThis part studies main local flap types for face rebuilding, including advancement, rotation, transposition, bilobed, and island flaps, focusing on when to use, design rules, movement directions, and avoiding problems.
Principles of random pattern local flapsAdvancement flap design and applicationsRotation flaps and arc of rotation limitsTransposition flaps and pivotal point planningBilobed flaps for nasal and small defectsIsland and V-Y flaps for limited laxity areasLesson 6Principles of debridement and preservation of facial landmarks for aesthetic reconstructionThis part explains rules for careful debridement while keeping key face landmarks, stressing careful tissue handling, step excision, and planning cuts to keep symmetry, shape, and natural beauty lines.
Assessing devitalized versus salvageable tissueSharp debridement techniques on the faceProtecting eyelid, lip, and alar landmarksManaging avulsed tissue and composite graftsPlanning incisions along aesthetic bordersStaged revision and scar refinement strategiesLesson 7Scar placement and minimizing aesthetic units: relaxed skin tension lines, aesthetic subunit reconstructionThis part explains beauty units and relaxed skin tension lines, guiding cut placement, hiding scars, and unit-based rebuilding to reduce shape problems and make long-term scar quality better in face soft tissue fix.
Facial aesthetic units and subunits mappingRelaxed skin tension lines and incision planningNatural creases and border camouflage strategiesSubunit excision and replacement principlesManaging scars across junctions and transitionsSuture selection and closure tension controlLesson 8Management of periocular soft tissue injuries: lower eyelid anatomy, canthal support, risk of ectropionThis part details soft tissue structure around eyes, lower eyelid layers, canthal tendon support, and things leading to ectropion, guiding flap design, tension directions, and canthal fixing to keep eyelid place and eye protection.
Lower eyelid anterior and posterior lamellaeMedial and lateral canthal tendon anatomyEctropion risk factors and preventionFlap design and tension vectors in eyelidsCanthopexy and canthoplasty techniquesPostoperative ocular protection and careLesson 9Tissue loss classification and decision framework: primary closure, delayed closure, graft, local flap, regional flapThis part shows classifying face tissue loss by depth, size, and parts involved, and outlines step decision frame for choosing primary closure, delayed closure, grafts, or local and regional flaps based on defect and patient things.
Defect size, depth, and structure involvementAssessing skin laxity and tissue availabilityIndications for primary versus delayed closureWhen to choose grafts over local flapsLocal versus regional flap selection criteriaPatient comorbidities and aesthetic prioritiesLesson 10Cartilage and structural support in periorbital and nasal reconstruction: graft choices and fixation principlesThis part deals with cartilage and structure support in around-eye and nose rebuilding, looking at graft materials, shaping and fixing ways, and plans to bring back shape, air way open, and eyelid steady while reducing seeing.
Sources of septal, auricular, and costal cartilageCartilage graft shapes for nasal frameworkLower eyelid spacer graft indicationsFixation methods: sutures, pockets, and tunnelsMaintaining airway and valve functionCamouflaging graft edges and contour refinements
