About Video

This video demonstrates the Zitelli’s bilobed flap. To begin with, two arcs are drawn; the first equals twice the radius of the planned defect, with the arc passing through the midpoint of the defect. The radius of the second arc equals three times that of the defect, with the arc passing through the outer edge of the defect. Both arcs, however, originate from the same point. Then the bilobe is drawn, with the first lobe having the same width as the defect and extending its borders to the edge of the second arc. The second lobe is conical, with its diameter less than the first, but with its height twice that of the latter. The axes of the defect and the two lobes of the flap are 45 degrees apart. The bilobe is then transposed into the defect site, following which the second lobe donor site is closed first. The bilobe is then secured into the defect site. Lastly, after excising any deformities created and all redundant tissues, the residual incisions are closed.