Bilobed flap reconstruction of the temporal forehead

Area of Science:

• Plastic Surgery
• Dermatologic Surgery
• Reconstructive Surgery

Background:

• The temporal forehead presents unique challenges for reconstruction due to its flat, variable-thickness skin and defined aesthetic boundaries (eyebrow, hairline, lateral canthus).
• Skin tumors in this region often exhibit extensive subclinical spread, resulting in large defects post-excision.

Observation:

• Defects in the temporal forehead require reconstruction that restores aesthetic boundaries and contralateral symmetry.
• The temporal forehead bilobed flap is a reconstructive technique designed for this area.

Findings:

• This single-stage procedure utilizes adjacent tissue for optimal color match.
• It frequently allows for primary closure of donor sites along relaxed skin tension lines, minimizing distortion.
• The technique aims to recreate the forehead's aesthetic contours and symmetry.

Implications:

• The temporal forehead bilobed flap provides an effective method for reconstructing challenging defects in this region.
• This approach can lead to improved aesthetic outcomes and symmetry after tumor removal.
• The technique's ability to facilitate primary closure simplifies the reconstructive process.