Facial Reconstruction Case Study 80

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Facial Reconstruction Case Study 80

This gentleman has had a recurrent basal cell carcinoma removed from his forehead with MOHS surgery. All patients need to be taken through the pros and cons of each reconstructive technique and be empowered to decide which reconstructive option is for them. In this region the downsides of local flaps are potential damage to the facial nerve and also the raising of the brow. Often a skin graft is a good option as it can get the wounds healed quickly and for large defects allows the skin to contract, thus reducing the size of the defect. A graft does lead to a contour defect and the result of a skin graft at 3 months is shown. Once the graft has matured one could consider further surgery to improve the appearance. Most patients do not opt for scar revision and a skin graft is a very valuable reconstructive option especially in the young patient where there is limited movement of the local tissues which is required if patients choose a local flap.