BACKGROUND. Surgical defects of the eyebrow region routinely present a cosmetic challenge to the reconstructive surgeon. OBJECTIVE. To present the use of a commonly employed reconstructive technique for an uncommon location. METHODS. Defects and repairs are demonstrated to illustrate techniques and document outcomes. The biomechanical influences on flap choice are explored. RESULTS. The subcutaneous island pedicle flap yielded excellent functional and cosmetic results when medium or larger defects were confronted in the eyebrow region. A centrally based pedicle enhanced cosmetic outcome, while rendering an uncompromised vascular supply. CONCLUSION. The subcutaneous island pedicle flap provides a competitive repair alternative when reconstructing substantial defects of the eyebrow region.
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