Reconstruction of a Large Defect of the Glabella
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.
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Blake B, Maher I. Reconstruction of a large defect of the glabella and forehead. Dermatol Surg. 2015;41:280-2. doi: 10.1097/DSS.0000000000000205.
Goulão J, Alves J, António AM. Reconstrução de um defeito cirúrgico complexo do canto interno. Rev Soc Port Dermatol Venereol; 2018;76:201-4. doi.org/10.29021/spdv.76.2.915.
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