The Sacred Heart Bilobed Flap

The document described the Sacred Heart Bilobed Flap, a surgical technique for closing small scalp defects, typically following the excision of malignancies. This method leverages the scalp's vascularity to use local flaps for wound closure and hair restoration, thus avoiding skin grafts and the risk of graft failure and alopecia. The bilobed flap consists of a primary lobe, matched to the defect size, and a smaller secondary lobe for rotation into the defect. Scalp laxity is crucial for the technique and is assessed with a pinch test to ensure direct closure of the donor site. While the technique is versatile for small defects, potential issues like pincushioning or trapdoor effects are usually hidden by hair regrowth. The technique's success hinges on adequate scalp laxity, and if this is lacking, other methods may be necessary. The document also references a video demonstration and notes that the author, Geoffrey G. Hallock, M.D., has no financial interest in the content.