A local flap is a technique in plastic and reconstructive surgery where tissue transferred from its original location (donor site) to an adjacent defect (recipient site) while maintaining its blood supply.
Advancement Flap
The flap is raised and advanced unidirectionally into the defect by stretching the skin, without rotation or lateral movement.
Rotation Flap
The flap is designed as a semicircle, which is rotated about a pivot point into the defect.
Transposition Flap
The flap is designed as a square or rectangle, which is rotated laterally about a pivot point into an immediately adjacent defect.
Z-plasty
This flap is a designed as two triangular flaps, which are raised and reversed.
Bilobed Flap
This flap is designed as two transposition flaps drawn along the radius of a circle.
