Closure of large central forehed defect by coronal incision and bilateral forehead and posterior scalp advancement

Forehead defects sometimes pose difficult reconstructive problems. Utilization of local tissue is especially desirable to preserve this facial unit. The authors present a technique of central forehead defect closure consisting of a coronal incision, elevation of the scalp and forehead at the subgaleal level, direct closure of the forehead, and advancement of the posterior scalp by galeal scoring. Advantages include limitation of the forehead scar and preservation of the existing blood supply to the forehead.