Reconstruction of forehead defects is usually not as extensive as the patients displayed below. Usually, the skin can be stretched and rotated in such a was as to close the wound fairly easily. Below are two examples of more extensive defects. Both of these patients underwent resection of skin cancer by a Mohs micrographic surgeon and were then referred for urgent closure of the resulting wound.
This gentleman had resection of a very deep and wide basal cell carcinoma skin cancer of the side of the forehead. As you can see, the defect goes all the way down to the bone of the skull. With advancement and rotation of multiple flaps, we were able toget a good color and thickness match when filling the wound.
This woman had an extensive squamous cell carcinoma skin cancer of the forehead and temple area. She had the lesion removed by a Mohs surgeon and was then referred for closure of the wound. Again, multiple surrounding flaps were needed to close the wound.