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Choose the simplest, most fitting scalp reconstruction method for each patient's unique needs.

The document concludes that local flaps are effective for reconstructive surgery in the head and neck, offering good skin match and function.

Direct excision techniques can rejuvenate the neck but may not enhance the jawline and could cause neck-face disharmony if done incorrectly.

The new Mercedes flap variant effectively closed medium-sized scalp defects in a single operation with good cosmetic results and no complications.

Technique effectively reconstructs large scalp defects with minimal hair loss and visible scarring.