Dr. Ransom and Dr. Jacono Publish a New Repair Technique for the Forehead

In the current issue of Archives of Facial Plastic Surgery (a JAMA publication), Dr. Evan Ransom and Dr. Andrew Jacono present a new repair technique for forehead, temple, and anterior scalp soft tissue defects. The technique is designed to reconstruct small, medium, and large defects resulting from Mohs skin cancer surgery or traumatic facial injuries. Using a modification of the plastic surgery concepts of rotation and advancement flaps, this repair is particularly useful in areas where hair bearing and non-hair bearing skin meet – such as the anterior hairline, the temples or sideburn areas, and the eyebrows. By meticulous measurements and carefully planned rearrangement, the flaps are joined in such a way that the hairline contour and eyebrow position remain unchanged. In addition, by avoiding skin grafts, the color and texture of the forehead is maintained. Most importantly, the expressive movement of the upper face is preserved – allowing patients to raise their eyebrows, frown, and squint normally. For a closer look at the article, follow the link here. (Warning: some pictures presented in the article are graphic.)