What is forehead reconstruction?
The forehead encompasses one-third of the face and can be subjected to trauma.
The forehead can be divided into several subunits:
- Midline: Extends from the space between the brows up to the hairline
- Median: Adjacent to the midline, which extends from above the brows to the hairline
- Lateral: Next to median is the lateral subunit
- Temporal: The side portion
- Brow: The eyebrow area
Forehead reconstruction is mainly done for the following conditions:
- Defects because of trauma or tumor removal
- Replacement of skin and the bony structure
However, medically unfit patients should not undergo this treatment. Any infection or inflammation must be treated first before the reconstruction process. Past radiation of the skin can lead to poor healing after surgery.
How is forehead reconstruction done?
Before the surgery
- The patient should abstain from cigarette smoking and nicotine products.
- During the consultation, the surgeon evaluates the defect and its location.
- The surgeon details the procedure, its risks and the benefits.
- The surgeon may ask the patient to undergo a CT scan.
- The surgeon might take photographs of the defects.
During the surgery
The different techniques used to cover the wounds include:
- Local flaps, created using adjacent tissue, are used for small defects.
- Skin grafting is used for large defects.
- Free transfer of tissue is used for gigantic defects.
- The wound may be left open for healing with frequent dressings.
Any bone defects are repaired before wound closure.
Complications that can arise after the surgery are:
Health Solutions From Our Sponsors
Top How Much Does Forehead Reconstruction Cost Related Articles
7 Reasons You Are Tired After SurgeryPostsurgical fatigue is normal and is due to a variety of factors. Depression, stress, and anxiety may produce fatigue. Sleep deficits, certain medications, anemia, blood loss, fasting, and loss of electrolytes and minerals associated with surgery can also produce fatigue. Exercise, physical exertion, aging, and the overall health status of patients are additional factors that play a role in making people feel tired after surgery.
Angiofibroma (Forehead)Angiofibroma is a descriptive term for a group of lesions with different clinical presentations but with the same histopathology. These lesions include fibrous papule, facial angiofibroma, pearly penile papule, adenoma sebaceum, periungual fibroma, and Koenen’s tumor. Generally, an angiofibroma presents as 1 to 5 mm skin-colored to erythematous dome-shape papule on the face. When it presents as multiple facial lesions, it can be associated with tuberous sclerosis or multiple endocrine neoplasia type 1 (MEN 1). Angiofibroma. Fibrous plaques on the forehead in an adult patient with tuberous sclerosis.
How Long Does a Forehead Flap Take to Heal?Forehead flap surgery is used to repair nasal defects. Nasal reconstruction has seen significant advancements in the modern era, though forehead flap surgery itself is not new. The forehead flap procedure can take months to heal, depending on procedure types and the underlying condition of the patient.
What Is CO2 Laser Skin Resurfacing?CO2 laser skin resurfacing is a procedure involving the use of carbon dioxide (CO2) and a skin surface-removing laser (ablative laser) to remove scars, warts and deep wrinkles. CO2 skin laser resurfacing can also be used to treat age spots, sun-damaged skin and superficial to deep hyperpigmentation.
What Is Fasciocutaneous Flap Surgery?Fasciocutaneous flaps are tissue flaps, which consist of skin and underlying tissues including fascia (a collagen-rich lining tissue). Fasciocutaneous flaps are used to provide coverage to bones and tendons in surgery when skin graft coverage is insufficient. Fasciocutaneous flaps are quick and reliable in healthy patients.
What Is Transpositional Flap Surgery?Transpositional flaps in plastic surgery are skin and subcutaneous tissue with an intact blood supply moved to cover an adjacent tissue defect or injury. They are used in reconstructive surgery (usually performed by plastic surgeons). The kind tissue injury or defect the surgeon aims to correct determines which transpositional flap technique they use.