Fig. 7.

Initial skin flap cut. A, The first cut in the skin flap is along the ideal oblique vector of the antitragus. The skin flap is incised along the line of the antitragus to the lowermost point of the antitragus (red arrow). B, The first place at which the skin flap is incised and inset after redraping is along the antitragus. The scissors are directed along the ideal vector of the antitragus, and the skin flap is cut. C, A suture is then placed securing the skin flap at this level to the tissue deep to the lobule. The remainder of the skin flap to be resected is then estimated, marked, and excised based on this first critical point.