Background The reconstruction of scalp alopecia is necessary
for improvement of cosmetically displeasing scars.
V-Y-C or V-Y-S plasties are simple procedures that conserve
tissues in the repair of round skin defects.We aimed to review
our experience with the V-Y-C and V-Y-S plasties for correction
of acquired alopecia and attempted to construct a simple
management algorithm.
Methods Twenty patients with acquired alopecia of the
scalp were corrected by using V-Y-C or V-Y-S plasties.
There were 16 males and 4 females. Their age ranged from
4 to 30 years, with an average age of 19 years. V-Y-S plasty
was performed in nine patients, while 11 cases were reconstructed
by V-Y-C plasty.
Results V-Y-C or V-Y-S plasties provided coverage of good
quality in most cases. There was only one case of superficial
distal sloughing, which responded nicely to postoperative
dressing and healed spontaneously without any surgical
intervention. There were no major complications.
Conclusion The V-Y-C or V-Y-S plasties are easy and
simple one-stage operations for correction of acquired
alopecia. Satisfactory aesthetic outcomes and minimal
morbidity make these plasties excellent options for repairing
alopecia