Frontalis-based island pedicle flaps for the single-stage repair of large defects of the forehead and frontal scalp.

BACKGROUND: Medium- to large-sized surgical defects of the forehead and frontal scalp provide a challenge for the reconstructive surgeon.

OBJECTIVES: To highlight the utility of a frontalis-based island pedicle flap (FIPF) for the single-stage, aesthetic reconstruction of such defects.

METHODS: The design and detailed surgical technique required for a FIPF are described.

RESULTS: The long-term results are illustrated.

CONCLUSIONS: FIPFs, despite significant tissue dissection, are readily performed under local anaesthesia and are well tolerated by patients. The FIPF adds to the dermatological surgeon's armamentarium in the reconstruction of large defects of the central forehead and frontal scalp.