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Forehead reconstruction using modified double-opposing rotation-advancement flaps for severe skin necrosis after filler injection
Archives of Craniofacial Surgery ; : 64-67, 2018.
Article in English | WPRIM | ID: wpr-713279
ABSTRACT
Varying degrees of complications can occur after hyaluronic acid filler injections. Tissue necrosis due to interruption of the vascular supply is an early complication that can be severe. If the site of tissue necrosis due to the filler injection is the forehead, successfully reconstructing the region without distorting the key landmarks is challenging. We describe the case of a 50-year-old man who experienced widespread forehead skin necrosis after hyaluronic acid filler injection in the glabellar area. We successfully covered the forehead area with a 3×4-cm² midline necrotic tissue using the modified double-opposing rotation-advancement flap method. Although modified double-opposing rotation-advancement flap closure has the disadvantage of leaving a longer scar compared to conventional double-opposing rotation-advancement flap closure, the additional incision line made along the superior border of the eyebrow aids in camouflaging the scar and decreases eyebrow distortion. Therefore, it is believed that the modified double-opposing rotation-advancement flap technique is an excellent tool for providing adequate soft tissue coverage and minimal free margin distortion when reconstructing widespread skin necrosis in the central mid-lower forehead that can occur after filler injection in the glabellar area.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Skin / Surgical Flaps / Cicatrix / Eyebrows / Dermal Fillers / Forehead / Hyaluronic Acid / Methods / Necrosis Limits: Humans Language: English Journal: Archives of Craniofacial Surgery Year: 2018 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Skin / Surgical Flaps / Cicatrix / Eyebrows / Dermal Fillers / Forehead / Hyaluronic Acid / Methods / Necrosis Limits: Humans Language: English Journal: Archives of Craniofacial Surgery Year: 2018 Type: Article