Skin Cancer Treatment: Forehead & Scalp

Skin cancers of the scalp and the forehead are difficult to treat for several reasons. First, these cancers are usually larger when initially diagnosed. Second, the surrounding skin is not easily mobile, making reconstruction in this region more challenging. Furthermore, special consideration must be made when reconstructing areas of the forehead in order not to change the position of the eyebrows.

Basal Cell Carcinoma of the Forehead

After Mohs Excision

After reconstruction by Dr. Zandifar

After reconstruction by Dr. Zandifar

Patient is a 72 year old male with history of basal cell carcinoma of the forehead resected at Mohs surgeon’s office. He was reconstructed with careful attention being paid to position of the eyebrows and preservation of nerves that give sensation to forehead and movement to the eyebrows.

Squamous Cell Carcinoma of the Forehead

After Mohs Excision

After reconstruction by Dr. Zandifar

After reconstruction by Dr. Zandifar

Patient is a 22-year-old male with long history of sun exposure who developed a squamous cell carcinoma of the forehead. This was resected at Mohs surgeon’s office and the defect was a very large forehead defect down to the muscle. This was reconstructed in a way to hide the scar within the wrinkles of the forehead. The position of the eyebrows was preserved.

Basal Cell Carcinoma of the Forehead

After Mohs Excision

After reconstruction by Dr. Zandifar

After reconstruction by Dr. Zandifar

Patient is a 52 year old female with a large basal cell carcinoma of the forehead resected with Mohs surgical excision. She was refered to Dr. Zandifar for surgical closure. A bilateral advancement flap was used to close this defect of the forehead. This flap allows for closure with the scars hidden in the natural wrinkles of the forehead. Furthermore the natural position of the eyebrow was undisturbed.

Basal Cell Carcinoma of the Forehead

After Mohs Excision

After reconstruction by Dr. Zandifar

After reconstruction by Dr. Zandifar

Patient is a 62 year old male who was diagnosed with basal cell carcinoma of the forehead. After undergoing Mohs surgical excision he was reconstructed by Dr. Zandifar. The scars were hidden within the natural wrinkle lines of the forehead. The eyebrow position was maintained.

Squamous Cell Carcinoma of the Forehead

After Mohs Excision

After reconstruction by Dr. Zandifar

After reconstruction by Dr. Zandifar

Patient is a 47-year-old female with history of recurrent squamous cell carcinoma of the forehead. She had Mohs excision resulting in a large forehead defect just above the eyebrow. She had reconstruction via an O to T flap allowing for approximate of the wound without disruption of the eyebrow.

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