Reconstruction of a Large Defect of the Glabella

Alexandre Miroux Catarino, Maria Goreti Catorze, José Manuel Labareda, Isabel Faro Viana


The reconstruction of large defects of the glabella, especially when involving the forehead, is a surgical challenge. Surgical reconstruction of this location should take into account aesthetic subunits, avoid approximation of eyebrows and maintain symmetry of the face. The authors present a case with reconstruction of a surgical defect involving the glabella and the forehead after Mohs surgery. An A-T advancement flap to close the superior portion of the defect was combined with a rhomboidal transposition flap for closing the lower zone in order to maintain the distance between the eyebrows. Reconstruction by aesthetic subunits and the association of flaps allowed a good aesthetic and functional result.


Forehead/surgery; Neoplasms, Basal Cell; Reconstructive Surgical Procedures; Skin Neoplasms/surgery; Surgical Flaps.

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