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A patient with a Basal Cell Carcinoma of the Temple which has been removed with surgery.   Most cancers in this area are due to sun exposure.

A rhomboid flap is constructed.  The maximum pull on the tissue is shown by the green arrow. Because of tissue pull, the dimensions of the rhomboid are shorter in one direction than the other.

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In this flap design, the tension of the closure would not elevate the eyebrow.    An anterior placement of the flap, would result in eyebrow elevation with the placement of the scar towards the medial forehead.. 

  The flap is rotated into position and sewn in place.  Note that two of the lines of closure approximate the lines of the forehead.

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Five Days Post Op.

  2.5 Weeks Post Op.

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3 Months Post Op.

  3 Months Post Op.