PMC6458667_01
Lentigo maligna of the cheek.
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She noticed a slowly growing brown discoloration evolving for more than 5 years (Figure 1).
Cutaneous defect following MMS (45 mm x 35 mm).
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After performing a debulking of the lesion that was sent for permanent sections, the first level of MMS achieved pathological clearance, leading to a cutaneous defect of 45 mm x 35 mm (Figure 2).
Large bilobed flap based on the lateral cheek.
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The reconstruction was done thereafter under local anesthesia with a large bilobed flap based on the lateral cheek (Figure 3).
The 6-month follow-up visit.
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The patient was very satisfied with the esthetic result of the flap at the 6-month follow-up visit (Figure 4).