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Eyebrow reconstruction using a composite skin graft from sideburns
Ken Matsuda1, Minoru Shibata1, Shigeyuki Kanazawa1
1Division of Plastic and Reconstructive Surgery, Niigata University Graduate School of Medicine, Niigata, Japan; and Department of Plastic and Reconstructive Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Plastic and Reconstructive Surgery. Global Open
|February 13, 2015
Summary
Reconstructing eyebrow defects after skin cancer surgery is now easier. Composite skin grafts from the sideburn area provide a natural, aesthetically pleasing eyebrow reconstruction with minimal scarring.
Area of Science:
- Plastic Surgery
- Dermatology
- Oncology
Background:
- Malignant skin tumors in the upper orbital region often necessitate wide resection.
- This can lead to significant soft-tissue defects involving the eyebrow, impacting aesthetics and function.
Purpose of the Study:
- To evaluate the efficacy of using composite skin grafts from the sideburn area for single-stage reconstruction of eyebrow defects.
- To assess the aesthetic outcomes and donor-site morbidity of this reconstructive technique.
Main Methods:
- Composite skin grafts were harvested from the sideburn region.
- These grafts were used for one-stage reconstruction of skin and eyebrow defects in patients with upper orbital malignant tumors.
- Aesthetic outcomes and donor-site healing were evaluated.
Main Results:
- The composite grafts resulted in aesthetically satisfying reconstructions, with hair and shape closely resembling the original eyebrow.
- Donor-site closure was straightforward, resulting in inconspicuous scars.
- The survival of the full-thickness skin graft component facilitated revascularization of hair follicles, ensuring natural eyebrow appearance.
Conclusions:
- Composite skin grafts from the sideburn area offer a safe and effective method for natural eyebrow reconstruction.
- This technique provides excellent aesthetic results and manageable donor-site morbidity, making it a valuable option for post-oncologic reconstruction.
