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Facial Contour Reconstruction After Benign Tumor Ablation Using Reverse Facial-Submental Artery Deepithelialized Submental Island Flaps

This study assessed the reliability of using the reverse facial-submental artery deepithelialized submental island flap for reconstructing facial contour deformities. Reverse facial-submental artery deepithelialized submental island flaps were used for reconstructing facial contour deformities in 5 patients after benign tumor ablation. The patients, 4 women and 1 man, ranged in age from 29 to 36 years. Recurrent pleomorphic adenoma in the cheek and inferior temple was present in 3 patients, and recurrent basal cell adenoma was present in 1. Adequate reconstruction was achieved in all patients using reverse facial-submental artery deepithelialized submental island flaps, without flap failures or complications. Proper aesthetics and complete functionality were achieved, and no donor-site problems occurred. The patients were followed up for 20 to 24 months, and no recurrence was observed. Reverse facial-submental artery deepithelialized submental island flaps are safe, quick, and simple to elevate. The flap can be used reliably for facial contour reconstruction of middle and upper facial contour deformities after benign tumor ablation in the cheek and inferior temple.