Reconstruction of a Large, Central Forehead Defect After Mohs Micrographic Surgery Using the Innovative Horizontal Double-Banner Transposition "Buffalo-Flap" Technique.

Abstract

Forehead reconstruction after surgical management of cutaneous malignancy is dependent on the depth and location of the wound. In addition, preserving the symmetry and position of the eyebrow and eyelids is key to achieving a favorable cosmetic outcome, specifically avoiding an unintentional elevation of the brow which can result in an unfavorable "surprised" appearance. Appropriate patient selection is also critical, with skin laxity and patient preference playing a role. The recently proposed "Buffalo flap" is a promising treatment option for the reconstruction of large, central forehead defects in elderly patients in whom bone is exposed.