title: Eyebrow reconstruction with the subcutaneous island pedicle flap.
abstract: 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.
  
  
  CONCLUSIONS
  The subcutaneous island pedicle flap provides a competitive repair alternative when reconstructing substantial defects of the eyebrow region.
authors.affiliation: Aesthetic Dermatologic Surgery, St. Louis, Missouri, USA.
authors.forename: Erin S
authors.initials: ES
authors.lastname: Gardner
authors.forename: Leonard H
authors.initials: LH
authors.lastname: Goldberg
mesh_terms: D005138:Eyebrows; D005260:Female; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures; D012878:Skin Neoplasms / Q000150:complications / Q000601:surgery; D013524:Surgical Flaps; D016896:Treatment Outcome