The eyebrow region is of utmost importance for facial movement, symmetry, and the overall cosmetic appearance of the face.\nTrauma or tumor resection often leave scars that may dislocate the eyebrow producing an alteration both in static symmetry of\nthe face and in the dynamic expressivity.The authors present a technique for eyebrowââ?¬â?¢s defects repair using the remaining eyebrow\nadvancement by means of a ââ?¬Å?freestyle-likeââ?¬Â V-Y flap. In the past two years a total of eight consecutive patients underwent excision\nof skin lesions in the superciliary region and immediate reconstruction with this technique. On histology, six patients were affected\nfrom basal cell carcinomas, one from squamous cell carcinoma, and one from congenital intradermal melanocytic nevus. The\npedicle of the flap included perforators from the supratrochlear, supraorbital, or superficial temporalis artery. Advancement of the\nentire aesthetic subunit that includes the eyebrow using a V-Y perforator flap was performed successfully in all cases achieving\nfull, tension-free closure of defects up to 3.0 cm. ââ?¬Å?Freestyle-likeââ?¬Â V-Y flaps should be considered as a first-line choice for partial\ndefects of the eyebrow.The greater mobility compared to random subcutaneous flaps allows to reconstruct large defects providing\nan excellent cosmetic result.
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