Figure 2.

(A) Dermatofibrosarcoma protuberans on the frontal midline. Final defect. Design of a frontalis myocutaneous transposition flap. The individual forehead is carefully explored in each patient by laterally pinching the possible donor sites with fingers, and checking that their primary closure is possible. (B) Flap carved on the submuscular plane. (C) Transposition movement of the finger-like flap toward the defect. (D) Direct closure of the donor zone with clamps. Excision of a small Burow triangle associated with de-epithelialization of the turning point to prevent a bulge fold. With this maneuver, the bulge is reduced without damaging the pedicle. Immediate result. (E) Appearance after 24 h. (F) Appearance two months after surgery.