Figure 1.

Case 6. A 79-year old woman underwent surgical excision for a recurrent left tuber maxillae squamous cell carcinoma. The patient had previously undergone a homolateral neck dissection and radiation therapy resulting in a depleted vessel neck. For this reason, a pedicle superficial temporal artery flap (9 × 9 cm) was raised and used to reconstruct the oral defect. The flap donor site was repaired with a skin graft and to reduce donor site scar morbidity, a forehead lift was implemented. (a) Pre-operative facial appearance of the patient. (b) Post-operative facial appearance of the patient. In order to reduce donor site morbidity and to achieve a symmetrical post-operative appearance of the forehead, a forehead lifting was performed.