Flap-in-flap method for enhancing the advancement of a V-Y flap

R. Aoki*, D. G. Pennington, H. Hyakusoku

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

19 Citations (Scopus)


The V-Y principal is used in a number of flap reconstruction techniques. V-Y flaps suffer from design problems of the advancing edge, which is usually concave, trying to match another concave edge on the opposite side of the defect. The flap-in-flap technique uses a second V-Y flap at the advancing edge of the main flap to overcome this mismatch, and also improves the amount of advancement possible. The technique has been used in three patients, demonstrating reliability and a further advantage, which is the ability of the second flap to rotate at an angle to the main flap to aid in reconstructing a complex defect such as the alar base of the nose. Further experience with this technique should widen its applications.

Original languageEnglish
Pages (from-to)653-657
Number of pages5
JournalJournal of Plastic, Reconstructive and Aesthetic Surgery
Issue number6
Publication statusPublished - Jun 2006


  • Advancement
  • Defect
  • Local flap
  • Reconstruction
  • Skin cancer
  • V-Y flap


Dive into the research topics of 'Flap-in-flap method for enhancing the advancement of a V-Y flap'. Together they form a unique fingerprint.

Cite this