fig6

Figure 6. Planning and execution of single-stage forehead flap. (A) Original defect after debridement, and planning for V-Y advancement closure of cheek and internal lining flap; (B) Internal lining and V-Y flaps completed, with ear cartilage graft in place; (C) Forehead flap raised. Note de-epithelialized area; (D) Forehead flap tunneled within the glabella; (E) Forehead flap in place. V-Y: V-Y advancement flap, a local tissue flap design where a V-shaped incision is advanced and closed in a Y-shaped configuration for defect reconstruction.