A Facelift for a Two-Year-Old: Alternative Use of Facelift Approach, to Achieve Serial Excision of a Medium Sized Congenital Naevus, in a Two-Year-Old Patient

Marco Malahias,George Spyrou,Diaa Othman

doi:10.4236/ss.2011.29099

Abstract

Historically, face-lifting consisted of elevating the skin, placing it under tension to reduce the wrinkles, resecting the skin needed to accomplish this, and then securing the resected edges. However, over time, facelift surgery evolved beyond the Dorland’s definition of “rhytidectomy” (excision of skin for the elimination of wrinkles [1]) and various different techniques and indications have been described.We report of the pre-auricular facelift approach, as described by Skoog [2] for alternative use: The excision of a giant cell tumour, utilizing this facelift technique to achieve serial excision from a two year old, male patient’s face. This has resulted in a satisfactory aesthetic outcome and scar alignment in favourable area as well as excision of a significant part of the lesion, and awaiting further serial excision for completion.

Highlights

A two-year-old male patient was born with a giant naevus involving most of the left side of his face (Figure 1)
We report of the preauricular facelift approach, as described by Skoog [2] for alternative use: The excision of a giant cell tumour, utilizing this facelift technique to achieve serial excision from a two year old, male patient’s face
The main concern with this patient was the potential risk of malignant transformation and the overall cosmetic appearance of this young child, which may have led to him being bullied by his peers, once he reached school age

Summary

Purpose

A two-year-old male patient was born with a giant naevus involving most of the left side of his face (Figure 1). The lesion had increased both in size and pigmentation as he grew older, which prompted the parents to seek medical advice, resulting in their referral to our unit. The lesion’s diameter measured (6 cm × 7.5 cm). The main concern with this patient was the potential risk of malignant transformation and the overall cosmetic appearance of this young child, which may have led to him being bullied by his peers, once he reached school age

Method

Result

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Conclusions