A peculiar case of facial congenital nevus

Abstract

Reconstruction of congenital nevi is difficult and challenging, but becomes even more so when they occur on the face due to functional and aesthetic reasons. Traditionally, these lesions have been treated with tissue expansion, sequential resection, and local flap closure with or without skin grafts. Here, we present a case reconstructing a large facial defect involving the entire cheek facial subunit following excision of a giant congenital nevus with a free anterolateral thigh flap.