PMC6000768_01
(a) Front-view at the time of presentation to the authors. Note the right nostril deformity and the residual contracture of the right oral commission. (b) Side-view at the time of presentation. Note that the free flap extended from the right peri-oral area across the beard to the neck; with no respect to the aesthetic units. There was also residual contracture of the neck. (c) Immediate post-operative appearance. The expanded superficial temporal artery pedicle flap was first used to reconstruct the beard area. (d) The donor site in the scalp is closed primarily. Note that the flap extended across the midline. (e) The healed flap. Note that the proximal part of the flap is tubed to be transposed later for moustache reconstruction. (f) Reconstruction of the right hemi-moustache using the proximal part of the flap. (g) Front-view at 5 months. (h) Side-view at 5 months.
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The appearance of the face at the time of presentation to us is shown in Fig. 1a and b. The proximal half of the flap was tubed (to be used later for moustache reconstruction) and the donor site was closed primarily (Fig. 1c-e). The pedicle was divided (at the temporal part) after three weeks and the proximal (tubed) part of the flap was rotated and used to reconstruct the right hemi-moustache (Fig. 1f). The final appearance at 5 months is shown in Fig. 1g and h.