Recontouring of the lateral forehead using the temporalis muscle

Contour deformities of the lateral forehead are not uncommon after direct injuries or extirpative procedures, or as a sequela to iatrogenic maneuvers for juxtaposed craniomaxillofacial endeavors. Transposition of noncutaneous local vascularized autogenous tissues for augmentation of these defects has minimal inherent risks and little donor site morbidity. Although the temporoparietal fascia has previously been described as a first choice in this regard, if unavailable due to concomitant injury or absence of the superficial temporal vessels, the temporalis muscle itself provides an excellent second option that deserves consideration.