Dr. Menick also endorsed the three-stage forehead flap over the two-stage because the added intermediate operation provides the ability to sculpt and contour the nose. Other relative merits include its provision of a thin, supple cover; a maximal blood supply; and an ideal framework. Adding an intermediate operation lengthens reconstruction from a 1-month procedure to a 2-month procedure, he acknowledged, but patients generally tolerate it, especially given the aesthetic outcome.
Disclosures: Dr. Bentz and Dr. Menick had no relevant conflicts of interest.
This patient's defect from Mohs surgery was repaired with a modified folding line technique developed by Dr. Frederick J. Menick as part of his three-stage forehead flap approach.
