Keystone design perforator island flap in facial defect reconstruction

Figure 12 A 63-year-old woman was diagnosed with basal cell carcinoma on the right forehead after a punch biopsy. A: The lesion was located on the right lateral subunit of the forehead unit; B: She underwent wide excision of the lesion with a 4-mm safety margin, the final defect was measured to be 1.5 cm × 1.5 cm; C: We covered the defect with a Type IIA keystone design perforator island flap (flap size: 2 cm × 4.5 cm). Final suture lines were located on the periphery of forehead unit, and parallel to forehead relaxed skin tension lines and hairlines; D: Postoperative clinical photograph after 6 mo.