Abstract
▪Always consider the defect when planning a flap.▪Assess availability and laxity of local tissue.▪Rob Peter to pay Paul but only if Peter can afford it.▪Match the flap to the defect, not the defect to the flap.▪Keep your reconstruction as simple as possible.▪Good cosmesis is vital, but function trumps cosmesis.▪Do not burn bridges.▪If unsure of how to proceed, for whatever reason, use a temporizing approach.
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