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Forehead donor site full-thickness skin graft
Vassilios Dimitropoulos1, Christopher K Bichakjian, Timothy M Johnson
1Department of Dermatology, University of Michigan Medical School, Ann Arbor, Michigan, USA.
Summary
Forehead full-thickness skin grafts (FTSGs) offer excellent cosmetic and functional outcomes for nasal defect reconstruction after Mohs surgery. Donor scars are well-concealed within forehead wrinkles, making it a viable option for select cases.
Area of Science:
- Plastic Surgery
- Dermatology
- Reconstructive Surgery
Background:
- Full-thickness skin grafts (FTSGs) are crucial for nasal defect reconstruction.
- Traditional donor sites have limitations regarding tissue match and scar visibility.
- Optimal donor site selection balances tissue characteristics and scar camouflage.
Purpose of the Study:
- To evaluate the efficacy of forehead skin as a donor site for FTSGs in nasal reconstruction.
- To assess cosmetic and functional outcomes of this reconstructive technique.
- To determine the scar concealment potential of forehead donor sites.
Main Methods:
- Retrospective analysis of a Mohs surgery database.
- Identification of patients who underwent nasal defect repair with forehead FTSGs.
- Evaluation of patient and surgeon-reported cosmetic and functional outcomes.
Main Results:
- Forehead FTSGs were successfully used in three patients for nasal defect repair.
- All patients reported excellent functional and cosmetic outcomes.
- Donor site scars were effectively concealed within existing forehead rhytids.
Conclusions:
- Forehead FTSGs provide an excellent tissue match for specific nasal defects.
- This technique offers a donor site with easily camouflaged scars.
- Forehead FTSGs are a valuable, though selectively applicable, option in nasal reconstruction.