Bilateral Forehead Rotation Flap with Skin Substitute Application for Convexity Replacement

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Dermatology

Background:

• Large forehead defects present significant reconstructive challenges due to tissue inelasticity and the need for aesthetic symmetry.
• Existing methods like local flaps, primary closures, skin grafts, and free flaps have limitations in achieving optimal contour, texture, and symmetry.
• Limited options exist for achieving acceptable cosmetic results in extensive forehead reconstruction.

Purpose of the Study:

• To describe a reproducible single-stage local flap technique for large central forehead defects.
• To maintain eyebrow and hairline symmetry and preserve neurovascular integrity during reconstruction.
• To propose a method for recreating forehead convexity and expediting healing using serial skin substitute application.

Main Methods:

• A single-stage local flap technique was employed for large central forehead defect closure.
• Emphasis was placed on preserving eyebrow and hairline symmetry and neurovascular supply.
• Serial application of a skin substitute was utilized for the remaining defect area to restore contour.

Main Results:

• The described technique successfully closed large central forehead defects while maintaining symmetry and neurovascular integrity.
• The use of serial skin substitutes aided in recreating forehead convexity.
• The method offers a viable approach for reconstructing forehead defects where complete closure is not feasible.

Conclusions:

• This single-stage local flap combined with serial skin substitute application provides a reproducible and effective method for large forehead defect reconstruction.
• The technique addresses the limitations of traditional methods by restoring natural contour and symmetry.
• It offers a promising solution for achieving functional and aesthetic restoration of the forehead.