PriMera Scientific Surgical Research and Practice (ISSN: 2836-0028)

Review Article

Volume 6 Issue 2

The Tailored Forehead Flap in Aesthetic Reconstruction of Nasal and Periorbital Defects

Temsula Alinger MS, Bona Lotha MS and Mohammad Zeinalddin*

July 30, 2025

Abstract

The tailored forehead flap is an innovative technique described by our group. In this technique, we avoid the use of skin graft for the donor defect on the forehead. As a result of technique modification, the aesthetic outcome is good with little postoperative deformity. The learning curve is short and this technique could be useful for moderate size defects of the nasal dorsum and periorbital areas after excision of local BCC lesions. Flaps are generally required when 2 or more subunits are affected [1].

Keywords: aesthetic forehead flap; innovation; technical nuances

References

1. Santolo., et al. “Nasal reconstruction with forehead flaps 12 years’ experience”. Plast Reconstr Surg Glob Open 13.2 (2025): e6506.
2. Asha Khushalani, Sangeeta Thakurani and Paheli Garg. “Outcome Analysis of Two‑Stage Paramedian Forehead Flap for Nasal Defects Reconstruction in Local Population: Experience of 3 Years at Our Center”. Indian Journal of Otolaryngology and Head & Neck Surgery 76 (2024): 559-566.
3. Renan D., et al. “Paramedian forehead flap in the treatment of nasal, non-melanoma skin cancer: a cross-sectional study”. Rev Col Bras Cir 49 (2022): e20223034.
4. Shiv Rajan., et al. “Paramedian forehead flap reconstruction for skin tumors involving central subunit of face: An analysis of 37 cases”. Journal of Oral Biology and Craniofacial Research 10 (2020): 764-767.
5. Collin L Chen., et al. “Postoperative Complications of Paramedian Forehead Flap Reconstruction”. JAMA Facial Plast Surg 21.4 (2019): 298-304.