PMC4946816_01
(A) Preoperative appearance of the patient's periorbital region. Absence of left eyebrow and mismatching skin color over forehead due to the full thickness skin graft. (B) Appearance of the left eyebrow with a satisfactory hair growth 2 years after surgery
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PMC4946816_01_1679-4508-eins-13-1-106-gf01.jpg
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The patient also had absence of left eyebrow and an extensive scar tissue on the site (Figure 1A). During the 24-month follow-up period, no complication was seen and a satisfactory aesthetic result was achieved (Figure 1B).
(A) Absence of left eyebrow. (B) Schematic representation of eyebrow reconstruction with hair-bearing temporoparietal fascia flap. The temporoparietal fascia flap was planned in such way that the skin island was left on the flap of the posterior branch of the superficial temporal artery. (C) Rotation of the hair-bearing temporoparietal fascia flap to the eyebrow defect, before making the subcutaneous tunnel
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PMC4946816_01_1679-4508-eins-13-1-106-gf02.jpg
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We planned a composite TPF flap with a longitudinal island of scalp (Figure 2) as follows.