Patient satisfaction following benign forehead mass excision through a direct or remote approach

The forehead is the most prominent facial region due to its convexity. Therefore, asymmetry and scarring of the forehead cause patients more concern than cosmetic issues in other regions. Depressed facial scars can occur on any part of the face, but their presence on the forehead often results in psychological and aesthetic effects [1]. The forehead is a common site of benign tumors, such as osteoma and lipoma [2]. The most common site of cranial osteomas is the frontal sinus; however, osteomas that involve only the frontal bone periosteum are occasionally observed [3]. Lipomas also frequently occur in the forehead region; superficial subcutaneous lipomas are likely underreported, and they have been depicted on the faces of kings minted onto coins as far back as 32–37 BC [4]. The increased interest over recent years in these forehead tumors and excisional scars has led to the development of various surgical methods for their removal. The gold standard for removing tumors of the forehead is direct incision over the mass. However, the diWon Hyuck Do, Young Woong Choi