76 results match your criteria Forehead and Temple Reconstruction


Bridge Flaps: A Hybrid Family of Bipedicled Flaps for the Forehead, Temple, and Scalp: Experience With 103 Cases.

Authors:
Paul J M Salmon

Dermatol Surg 2020 07;46(7):890-896

Dermatology Surgery Unit, Skin Cancer Institute, Auckland, New Zealand.

Background: Medium-sized defects of the scalp, temple, and forehead can be challenging to reconstruct in an aesthetic fashion. The author proposes the use of a hybrid flap that is at times bipedicled, perforator, and/or axially supplied.

Objective: To describe the author's experience with the bridge flap and its various subtypes. Read More

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Primary Cutaneous Extraskeletal Osteosarcoma of the Temple Treated by Mohs Micrographic Surgery.

Dermatol Surg 2020 10;46(10):1340-1342

Mohs Surgery Program, Falk Clinic, Pittsburgh, Pennsylvania.

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October 2020

Use of a Buried Intradermal (Subcutaneous) Running Suture for Superficial Repair to Optimize Cosmetic Outcome

J Drugs Dermatol 2019 May;18(5):481-482

Superficial repair after excisions helps to optimize cosmetic outcomes. Possibly due to how wound closures are traditionally taught in dermatology, simple interrupted or continuous sutures are overwhelmingly favored by dermatologic surgeons in superficial repair, especially on cosmetically sensitive areas such as face and ears. However, this repair method risks wound overgrowth around the points where the suture traverses through the epidermis, and long-term postsurgical healing frequently leaves behind scars with ‘railroad track’ suture marks rather than a fine line. Read More

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A Unique Repair of Defects Involving the Lateral Forehead and Temple.

Dermatol Surg 2019 12;45(12):1669-1672

All authors are affiliated with the Mohs micrographic surgery, Houston, Texas.

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December 2019

Repair of an Oblong Horizontally Oriented Defect of the Right Lateral Suprabrow and Temple.

Dermatol Surg 2020 04;46(4):555-557

Department of Dermatology, University of Minnesota, Minneapolis, Minnesota.

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Changes in the Layers of the Temple During Pinch Manipulation: Implications for Thread Lifting.

Dermatol Surg 2019 08;45(8):1063-1068

Department of Anatomy, Gachon University College of Medicine, Incheon, Republic of Korea.

Background: During minimally invasive aesthetic procedures, the skin is often pinched to facilitate filler injection or thread insertion into the desired layer. However, little is known about changes in the facial layers during pinch manipulation.

Objective: To determine which layer of the temple is lifted during pinching and whether the artery and the nerve are affected by pinching. Read More

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Triple Advancement Flap for the Lateral Upper Forehead and Temple.

J Cutan Med Surg 2018 Sep/Oct;22(5):533-534. Epub 2018 May 21.

1 University of Southern California, Keck School of Medicine, Department of Dermatology, Los Angeles, CA, USA.

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September 2019

Facial Basal Cell Carcinoma in Patients Younger Than 40.

J Drugs Dermatol 2018 May;17(5):525-530

Introduction: The incidence of basal cell carcinoma in the population younger than 40 years is rising, and a majority of basal cell carcinomas occur on the head and neck. Our objective was to determine whether basal cell carcinomas in the population younger than 40 years occur more frequently at the forehead and its subunits (forehead proper, temple, suprabrow, and glabella).

Methods: We performed a retrospective case review of 4,337 basal cell carcinomas in 3,223 patients treated with Mohs micrographic surgery. Read More

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Aesthetics and Rejuvenation of the Temple.

Authors:
Jordan Rihani

Facial Plast Surg 2018 Apr 9;34(2):159-163. Epub 2018 Apr 9.

Facial Plastic Surgery Institute, Southlake, Texas.

The temples are an often overlooked, but important element of facial rejuvenation. The anatomy of the temple should be understood prior to any intervention in this location. Multimodal treatment to re-establish youthful convexity, proper hairline position, and correct actinic damage is recommended for optimal results. Read More

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Surgical Anatomy of the Upper Face and Forehead.

Facial Plast Surg 2018 Apr 9;34(2):109-113. Epub 2018 Apr 9.

Otolaryngology Division, Facial Plastic and Reconstructive Surgery, The Permanente Medical Group, Oakland, California.

Aesthetic ideals regarding proportion and balance of the face have existed for centuries. The upper third of the face, including the brow, forehead, and temple, provides an important contribution to the overall facial aesthetic. This is especially true given how the brow frames the eyes, and the eyes serve as the key focal point in our interactions with others. Read More

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Objective Evaluation of Eyebrow Position After Autologous Fat Grafting to the Temple and Forehead.

Authors:
Cheng-Hung Chiu

Aesthetic Plast Surg 2017 Dec 26;41(6):1342-1350. Epub 2017 Apr 26.

Plastic and Aesthetic Department, Genesis Clinic, No.93-1, Xinglong Rd. Sec. 2, Taipei, Taiwan.

Background: Fat grafting can be used to correct age-related volume loss in the face. However, the degree of rejuvenation is difficult to be evaluated.

Objectives: The author sought to objectively verify the change in patients' eyebrow position after fat grafting to the upper face. Read More

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December 2017

Fat Injection: A Systematic Review of Injection Volumes by Facial Subunit.

Aesthetic Plast Surg 2018 Oct 8;42(5):1261-1270. Epub 2017 Aug 8.

Case Western Reserve University School of Medicine, 29017 Cedar Road, Cleveland, OH, 44125, USA.

Background: Fat grafting to the aging face has become an integral component of esthetic surgery. However, the amount of fat to inject to each area of the face is not standardized and has been based mainly on the surgeon's experience. The purpose of this study was to perform a systematic review of injected fat volume to different facial zones. Read More

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October 2018

New embedding and staining systems PrestoCHILL and Presto stainer for application in the advancement of Mohs micrographic surgery.

Br J Biomed Sci 2017 Oct 8;74(4):203-208. Epub 2017 Aug 8.

c Dermatological Surgery and Laser Unit (DSLU) , St. John's Institute of Dermatology, Guy's Cancer Centre, Guy's Hospital , London , UK.

Background: Mohs micrographic surgery (MMS) involves evaluation of frozen tissue sections to determine complete circumferential and deep tissue margin clearance of skin tumours. PrestoCHILL and Presto stainer devices are two new innovative tools which bring benefits of automation, speed and efficiency to the preparation of frozen section analysis in MMS. The devices were assessed at Viapath's Tissue Science Mohs laboratory at Guy's Cancer Centre. Read More

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October 2017

Reconstruction of Large Postburn Facial-Scalp Scars by Expanded Pedicled Deltopectoral Flap and Random Scalp Flap: Technique Improvements to Enlarge the Reconstructive Territory.

J Craniofac Surg 2017 Sep;28(6):1526-1530

Department of Plastic and Reconstructive Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China.

The scars of face and scalp caused by burning often show as 1 large facial-scalp scar. The deltopectoral flap was recognized as one of the first choices for the facial scar reconstruction. However, this flap cannot cross the level of zygomatic arch traditionally when it was transferred with pedicle. Read More

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September 2017

Non-melanoma skin cancer: United Kingdom National Multidisciplinary Guidelines.

J Laryngol Otol 2016 May;130(S2):S125-S132

Department of Otolaryngology-Head and Neck Surgery,Manchester Royal Infirmary,Oxford Road,Manchester,UK.

This is the official guideline endorsed by the specialty associations involved in the care of head and neck cancer patients in the UK. This paper provides consensus recommendations on the management of cutaneous basal cell carcinoma and squamous cell carcinoma in the head and neck region on the basis of current evidence. Recommendations • Royal College of Pathologists minimum datasets for NMSC should be adhered to in order to improve patient care and help work-force planning in pathology departments. Read More

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Rejuvenation of the Upper Face and Periocular Region: Combining Neuromodulator, Facial Filler, Laser, Light, and Energy-Based Therapies for Optimal Results.

Dermatol Surg 2016 May;42 Suppl 2:S77-82

*Department of Ophthalmology, Duke University Medical Center, Durham, North Carolina; †Department of Dermatology & Skin Science, University of British Columbia, Vancouver, British Columbia, Canada; Departments of ‡Ophthalmology, and §Dermatology, Duke University Medical Center, Durham, North Carolina.

Background: The upper face and periocular region is a complex and dynamic part of the face. Successful rejuvenation requires a combination of minimally invasive modalities to fill dents and hollows, resurface rhytides, improve pigmentation, and smooth the mimetic muscles of the face without masking facial expression.

Methods: Using review of the literature and clinical experience, the authors discuss our strategy for combining botulinum toxin, facial filler, ablative laser, intense pulsed light, microfocused ultrasound, and microneedle fractional radiofrequency to treat aesthetic problems of the upper face including brow ptosis, temple volume loss, A-frame deformity of the superior sulcus, and superficial and deep rhytides. Read More

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Marking sutures to orientate specimens of basal cell carcinoma: do they really make a difference?

Br J Oral Maxillofac Surg 2016 Jul 25;54(6):682-5. Epub 2016 Apr 25.

Department of Maxillofacial Surgery, St Richards Hospital, Chichester.

Traditionally, marking sutures have been used to orientate specimens of non-melanomatous skin cancers, and they provide an identifiable point as a reference for monitoring and further treatment. For histopathological purposes, the orientated specimen is marked with different inks, which enables measurement to the nearest lateral and deep margins, and if invaded, guides further excision. We retrospectively analysed 688 specimens of basal cell carcinoma (BCC) from the head and neck from two separate years: 2010 and 2012. Read More

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Perceptions of Aesthetic Outcome of Linear vs Multiple Z-Plasty Scars in a National Survey.

JAMA Facial Plast Surg 2016 Jul;18(4):263-7

Department of Dermatology, University of Southern California, Los Angeles.

Importance: The process of Z-plasty scar revision breaks up a linear scar into multiple parts with the purpose of camouflage and improvement of the cosmetic appearance of surgical scars. Although this postulation guides the practices of many reconstructive surgeons, few studies support improved aesthetic outcomes.

Objective: To compare the perceived cosmetic appearance of linear scars vs zigzag scars by the general public. Read More

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Use of a Titanium Microplate to Anchor Subunit Reconstruction at the Nasal-Cheek Junction.

J Craniofac Surg 2016 Jan;27(1):e99-101

Baylor Scott & White, Division of Plastic Surgery, Department of Surgery, Temple, TX.

Reconstruction of combined nose, cheek, and/or inferior eyelid defects is facilitated by stable anchorage at the nasal-cheek junction. The previously reported techniques of drill holes and Mitek anchors are not without disadvantages. The authors present a simple means of anchoring soft tissue flaps at the nasal-cheek junction: a titanium miniplate secured with a screw at each end. Read More

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January 2016

Reconstruction With Modified Face Lift and Orbicularis Oculi V-Y Advancement Flap for Sebaceous Carcinoma on Temple Area.

J Craniofac Surg 2015 Sep;26(6):e490-2

Department of Plastic & Reconstructive Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Republic of Korea.

Extraocular sebaceous carcinoma that occurs on sebaceous gland is a rare malignant cancer with unknown causes and nonspecific clinical characters, but with distinct pathology and immunohistochemical finding. In Kangnam Sacred Heart Hospital, there was a case that the result of preoperative punch biopsy was squamous cell carcinoma and malignant proliferating trichilemmal tumor, but that of postoperative permanent biopsy was sebaceous carcinoma. The type of tumor, differentiation, location, and aesthetic results are considered to get both recurrence-safe and aesthetically pleasing result. Read More

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September 2015

Surgical treatment and reconstruction of nonmelanoma facial skin cancers.

Plast Reconstr Surg 2015 May;135(5):895e-908e

Madison, Wis.; Boston, Mass.; Tucson, Ariz.; and Halifax, Nova Scotia, Canada From University of Wisconsin Hospital and Clinics; Boston Children's Hospital; St. Joseph Hospital; and Dalhousie University.

Learning Objectives: After reading this article, the participant should be able to: (1) Identify the appropriate resection margins for common types of nonmelanoma skin cancer. (2) Discuss indications for secondary intention healing, skin grafting, and local flaps for reconstruction of facial skin cancer defects. (3) Describe at least one local flap for reconstruction of scalp, forehead, temple/cheek, periocular, nose, and lips. Read More

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A reappraisal of surgical techniques and efficacy in forehead rejuvenation.

Plast Reconstr Surg 2014 Sep;134(3):426-435

Cleveland, Ohio From the Department of Plastic and Reconstructive Surgery, University Hospitals Case Medical Center, Case Western Reserve University.

Summary: Forehead rejuvenation has an essential role in overall facial rejuvenation. Despite the evolution of rejuvenation techniques, principles of forehead rejuvenation remain the same. Circumspect facial analysis provides a crucial foundation in selecting the appropriate surgical technique and in optimizing the final aesthetic outcome. Read More

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September 2014

The contralateral subgaleal sliding flap for the single-stage reconstruction of large defects of the temple and lateral forehead.

Authors:
W Hussain

Br J Dermatol 2014 Apr;170(4):952-5

Department of Mohs Micrographic Surgery, Dermatology Surgical & Laser Unit (C4), Leeds Centre for Dermatology, Chapel Allerton Hospital, Leeds, U.K.

Background: Due to the relative lack of a mobile tissue reservoir, the flap repair of large defects of the temple and lateral forehead is challenging.

Objective: To present our experience of the contralateral subgaleal sliding (CLASS) flap for the single-stage aesthetic repair of such defects.

Methods: Data were collated on all patients at one regional Mohs centre in whom the CLASS flap had been performed since 2011. Read More

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[Forehead and temple aesthetic reconstruction].

Ann Chir Plast Esthet 2013 Oct 13;58(5):389-427. Epub 2013 Sep 13.

Service de chirurgie plastique, reconstructrice et esthétique, CHU d'Angers, 4, rue Larrey, 49933 Angers cedex 9, France. Electronic address:

The purpose of this article is to address the techniques of reconstruction of the forehead and the temple trying to add an "aesthetic" dimension, as the fourth dimension introduced by Burget for the reconstructive surgery of the nose. Achieve "aesthetic" reconstruction is to have constant attention to details. This is how to choose the right indication depending on the age and the etiology of the defect. Read More

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October 2013

Facial dermis grafts after removal of basal cell carcinomas.

J Craniofac Surg 2012 Nov;23(6):1895-7

Department of Plastic Surgery, Korea University Guro Hospital, Seoul, Korea.

Selecting a proper reconstruction method is the key to success in skin cancer management, especially for lesions involving the face. Using a skin graft is usually straightforward when covering a skin defect; however, major concerns in skin grafting include a poor color match in the recipient-site and donor-site morbidity. To overcome these limitations, the authors have developed a dermis graft, which utilizes a de-epithelialized split-thickness skin graft method. Read More

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November 2012

[A case of skin cancer diagnosed 21 days after renal transplantation].

Hinyokika Kiyo 2012 Sep;58(9):503-6

The Department of Urology, Osaka Koseinenkin Hospital, Japan.

The patient was a 67-year-old man who was started on peritoneal dialysis for treatment of diabetic nephropathy in March 2010. He received an ABO-compatible living-donor kidney transplant from his wife in October 2010. The immunosuppressive regimen consisted of tacrolimus, mycophenolate mofetil, steroid and basiliximab. Read More

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September 2012

A novel advancement flap for reconstruction of massive forehead and temple soft-tissue defects.

Laryngoscope 2012 Aug 2;122(8):1679-84. Epub 2012 Jul 2.

Department of Otolaryngology-Head and Neck Surgery, Virginia Commonwealth University, Richmond, Virginia, USA.

Objectives/hypothesis: To describe the authors' experience with an extended deep-plane cervicofacial (EDPCF) advancement flap, a modification of the deep-plane cervicofacial flap, for reconstruction of large forehead and temple soft-tissue defects.

Study Design: Case series at a tertiary referral medical center.

Methods: The charts of 11 consecutive patients who underwent EDPCF flap surgery for reconstruction of forehead and temple skin cancer defects were reviewed for demographics, smoking status, defect size, length of surgery and hospitalization, American Society of Anesthesiologists Physical Status Classification (ASA) grade, and postoperative complications. Read More

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Split-thickness skin graft harvested from the scalp for the coverage of extensive temple or forehead defects in elderly patients.

Arch Facial Plast Surg 2012 Mar-Apr;14(2):137-9

Department of Plastic Surgery, Henri Mondor Hospital, 51 Ave. du Maréchal De Lattre De Tassigny, Créteil, France.

Objective: To review our experience of facial reconstruction with split-thickness skin grafts (STSGs) harvested from the scalp.

Methods: We included all patients undergoing STSG harvested from the scalp for the reconstruction of extensive forehead or temple defects after cancer resection. We recorded the size of resection before surgery and after healing, and we calculated the resulting contraction rate. Read More

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Structural fat grafting: facial volumetric restoration in complex reconstructive surgery.

J Craniofac Surg 2011 Sep;22(5):1695-701

Unit of Cranio Maxillo Facial Surgery, Center for Craniofacial Deformities & Orbital Surgery, St Anna Hospital and University, Corso Giovecca, 203, 44100 Ferrara, Italy.

Background: The authors overview the application of structural fat grafting (SFG) in the management of volumetric deficit in the maxillofacial area. Structural fat grafting was introduced as a way to improve facial aesthetics and in recent years has evolved into applications in craniomaxillofacial reconstructive surgery.

Methods: A retrospective cohort study population was composed of patients grafted with autologous fat referred to our department from February 2005 to July 2009. Read More

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September 2011

Should all skin grafts be low fat? Composite skin and fat grafts in facial reconstruction.

Br J Oral Maxillofac Surg 2012 Mar 26;50(2):137-40. Epub 2011 Jan 26.

York District Hospital, Wiggington Road, York, North Yorkshire YO31 8HE, United Kingdom.

Reconstruction of the nose and scalp after resection of cutaneous malignancy can be challenging, and can involve multiple stage surgery and cause secondary scarring in adjacent facial areas. The author describes his experience of a series of 100 composite full thickness skin and fat grafts in the head and neck region using the neck as the donor site. The technique was used to reconstruct the nose (n=48) and scalp including temple and forehead (n=46), and at 6 other sites, mainly the cheek or lower eyelid. Read More

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