DOUBLE V-Y FLAP IN EYEBROW AFTER WIDE EXCISION IN MELANOMA

Abstract

Melanoma is a malignant tumor with a high metastatic capacity, hence the importance of early diagnosis. Suspected melanoma lesions must be excised at 2 stages. First, a biopsy is performed to obtain histological conrmation by a punch or a narrow margin excisional biopsy, such as an elliptical incision or double M-plasty technique. Then, a re-excision with wider surgical margins, depending on the Breslow thickness, is done. We present a 33 year old woman with an atypical pigmented lesion at her right eyebrow. A narrow margin excision was performed through double M- plasty, obtaining a diagnosis of supercial extensive melanoma in vertical growth phase, Breslow 0.5 mm. After a wide excision with 1 cm margin, a reconstruction with a double V-Y advancement ap was performed with satisfactory aesthetic results and without tumor recurrence 5 years after diagnosis.