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Facial Defect Reconstruction Using the True Scarless Pre-Expanded Forehead Flap
Shan Zhu1, Yuanbo Liu, Mengqing Zang
1Department of Plastic and Reconstructive Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
The Journal of Craniofacial Surgery
|March 10, 2018
Summary
This study presents a novel reconstructive method for facial defects using a pre-expanded forehead flap. This technique effectively reconstructs defects while minimizing donor site complications for improved aesthetic outcomes.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Aesthetic Medicine
Background:
- Facial soft-tissue defects pose significant reconstructive challenges.
- Minimizing donor site morbidity is crucial in reconstructive procedures.
Purpose of the Study:
- To describe a reconstructive method for facial soft-tissue defects using a pre-expanded forehead flap.
- To evaluate the efficacy and safety of this technique in minimizing donor site morbidities.
Main Methods:
- A three-stage surgical approach involving tissue expander placement, flap elevation, and pedicle division.
- Forehead flap elevation based on superficial temporal artery branches.
- Scar camouflage within the neoreconstructed hairline.
Main Results:
- 16 patients underwent reconstruction for defects caused by scars, nevi, or hemangiomas.
- High flap survival rate (15/16) with no perfusion-related complications.
- Excellent patient satisfaction with aesthetic results and reduced donor site morbidity.
Conclusions:
- Pre-expanded forehead flap offers a viable solution for facial defect reconstruction.
- The described technique provides sufficient tissue while minimizing donor site complications.
- The hairline scar placement enhances aesthetic outcomes.
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