DERMATOLOGIC SURGERY ROUNDS: THE LIMBERG FLAP AND V-TO-T CLOSURE FOR CUTANEOUS/ MUCOCUTANEOUS DEFECTS FOLLOWING SKIN CANCER EXCISION IN HIGH-RISK FACIAL REGIONS.

Dermatologic and reconstructive surgery involves a range of techniques aimed at maximizing tissue preservation while minimizing postoperative functional impairment. Although classical reconstructive methods remain safe and effective, ongoing innovations enable refinement of established approaches and may contribute to improved tissue preservation as well as enhanced functional and aesthetic outcomes. We present two independent cases involving small-to-medium sized primary defects following surgical excision of a zygomatic cutaneous lesion and a lower lip mucosal/cutaneous lesion. Given the anatomical differences between these regions, individualized reconstructive strategies were employed: in the first case, a classical Limberg flap was used to restore the cheek contour without distortion, achieving favorable functional and aesthetic outcomes; in the second case, a V-to-T closure was performed, resulting in a refined postoperative outcome compared with alternative and classical flap designs considered preoperatively.