A Case of Forehead Skin Defect Healed by Secondary Intention

The forehead flap is one of the oldest flaps used to reconstruct the upper face and remains a useful option. The defect due to this flap is often healed by secondary intention; however, this is rarely performed in Asians due to the increased frequency of conspicuous scars. Our patient was a 38-year-old Caucasian male who underwent forehead flap reconstruction for a rare forehead dermatofibrosarcoma protuberans. After surgery, there was a positive margin; therefore, an additional resection was performed on the periosteum. At the patient's request, an artificial dermis was attached to the defect, and healing by secondary intention occurred. We report an unexpected case of a Caucasian forehead full-thickness defect healed by secondary intention, resulting in an inconspicuous scar.