Lesson 1Grafts: full-thickness versus split-thickness skin grafts—indications, donor sites, take factorsThis part compares full and split skin grafts, explaining when to use them, where to take skin from, how to harvest, prepare the area, fix it, and what affects if it sticks and matches colour and feel over time.
When to use full-thickness skin graftsWhen to use split-thickness skin graftsPicking face and body donor spotsPreparing graft bed and stopping bleedingFixing grafts, using bolsters, and dressingsThings affecting graft sticking and shrinkingLesson 2Anatomy of facial soft tissues: skin, subcutaneous fat, SMAS, facial muscles, and sensory/motor nervesThis part looks at layers of facial soft tissues, focusing on skin, fat under skin, SMAS, face muscles, and feeling and moving nerves, to help cut safely, lift flaps, and keep face expressions and feelings.
Skin thickness, stretch, and small structuresFat pockets under skin and holding ligamentsSMAS structure, connections, and cutting layersFace muscle directions and working groupsFeeling nerve branches and danger areasMoving nerve branches and safe cutting pathsLesson 3Wound assessment and timing: contamination, devitalized tissue, and infection riskThis part covers checking wounds step by step, like how it happened, dirt, tissue life, infection chance, and when to close, if need stages, and extras like washing, medicines, and suction therapy.
Story, how, and force of face injuryChecking dirt and foreign thingsLooking at tissue life and blood flowGrouping wounds and infection levelsClosing now, later, or healing aloneRole of washing, cleaning, and antibiotic drugsLesson 4Vascular supply and angiosomes of the face relevant to flap design and graft survivalThis part reviews face blood vessel paths, areas fed by them, and connecting vessels for flap making, delaying flaps, graft living, focusing on safe stem choice, flap size ratios, and ways to better blood and less death.
Face artery path and main branchesCorner, under eye, and side face arteriesBlood areas, hole areas, and connecting vesselsMaking flaps along main blood pathsDelaying flaps and bettering blood flowBettering graft beds and checking lifeLesson 5Local flap types and indications: advancement, rotation, transposition, bilobed, island flapsThis part studies main local flaps for face rebuilding, like moving forward, turning, shifting, two-lobe, and island flaps, looking at when to use, design rules, move directions, and avoiding problems.
Rules of random local flapsAdvancement flap design and usesRotation flaps and turn circle limitsShifting flaps and turn point planningTwo-lobe flaps for nose and small holesIsland and V-Y flaps for tight skin areasLesson 6Principles of debridement and preservation of facial landmarks for aesthetic reconstructionThis part explains careful cleaning rules while keeping key face marks, stressing gentle tissue care, step removals, and planning cuts to keep balance, shape, and natural look lines.
Checking dead versus savable tissueSharp cleaning methods on faceProtecting eye lid, lip, and nose wing marksHandling torn tissue and mixed graftsPlanning cuts along look bordersStep fixes and scar bettering plansLesson 7Scar placement and minimizing aesthetic units: relaxed skin tension lines, aesthetic subunit reconstructionThis part explains look units and easy skin pull lines, guiding cut places, hiding scars, and unit-based rebuilding to lessen shape problems and better long scars in face soft tissue fixes.
Face look units and small parts mappingEasy skin pull lines and cut planningNatural folds and border hiding waysUnit removal and replace rulesHandling scars over joins and changesStitch choice and close pull controlLesson 8Management of periocular soft tissue injuries: lower eyelid anatomy, canthal support, risk of ectropionThis part details around-eye soft tissue body parts, lower lid layers, corner tendon support, and things leading to lid turn out, guiding flap design, pull directions, and corner fixing to keep lid place and eye safety.
Lower lid front and back layersInner and outer corner tendon body partsTurn out risk things and stoppingFlap design and pull directions in lidsCorner fixing and shape techniquesAfter surgery eye safety and careLesson 9Tissue loss classification and decision framework: primary closure, delayed closure, graft, local flap, regional flapThis part shows grouping face tissue loss by deep, size, parts involved, and step decision guide for choosing close now, later, grafts, or local and area flaps based on hole and patient things.
Hole size, deep, and part involvementChecking skin stretch and tissue readyWhen for close now versus laterWhen choose grafts over local flapsLocal versus area flap pick rulesPatient other illnesses and look wantsLesson 10Cartilage and structural support in periorbital and nasal reconstruction: graft choices and fixation principlesThis part talks cartilage and support in around-eye and nose rebuilding, looking at graft stuff, shaping and fixing ways, and plans to bring back shape, air way open, lid steady while less seen.
Sources of nose wall, ear, and rib cartilageCartilage graft shapes for nose frameLower lid spacer graft whenFixing ways: stitches, pockets, tunnelsKeeping air way and valve workHiding graft edges and shape fixes
