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, Diaa Othman, George Spyrou

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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.

Keywords

Facelift, Congenital Naevus, Facial Reconstruction

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	D. Wan, “Dorland’s Illustrated Medical Dictionary,” 27th Edition, WB Saunders Co., Philadelphia, 1988, p. 1464.
[2]	T. Skoog and J. Ellenberg, “Skoog Technique of Facelift,” Aesthetic Plastic Surgery, 1989, p. 721, 723.
[3]	O. J. Clemmensen and S. Kroon, “The Histology of ‘Congenital Features’ in Early Acquired Melanocytic Nevi,” Journal of the American Academy of Dermatology, Vol. 19, No. 4, 1988, pp. 742-746. doi:10.1016/S0190-9622(88)70231-5
[4]	H. Ansarin, R. Soltani-Arabshahi, D. Mehregan, N. Shayanfar and P. Soltanzadeh, “Giant Congenital Melanocytic Nevus with Neurofibroma-Like Changes and Spina Bifida Occulta,” International Journal of Dermatology, Vol. 45, No. 11, 2006, pp. 1347-1350. doi:10.1111/j.1365-4632.2006.02776.x
[5]	M. A. Cruz, E. S. Cho, R. A. Schwartz and C. K. Janniger, “Congenital Neurocutaneousmelanosis,” Cutis, Vol. 60, No. 4, 1997, pp. 178-181.
[6]	R. Silfen, P. J. Skoll and D. A. Hudson, “Congenital Giant Hairy Nevi and Neurofibromatosis: The Significance of Their Common Origin,” Plastic and Reconstructive Surgery, Vol. 110, No. 5, 2002, pp. 1364-1365. doi:10.1097/00006534-200210000-00031
[7]	A. R. Rhodes, et al., “Nonepidermal Origin of Malignant Melanoma Associated with a Giant Congenital Nevocellular Nevus,” Plastic and Reconstructive Surgery, Vol. 67, No. 6, 1981, pp. 782-790. doi:10.1097/00006534-198106000-00012
[8]	B. J. Bett, “Large or Multiple Congenital Melanocytic Nevi: Occurrence of Cutaneous Melanoma in 1008 Persons,” Journal of the American Academy of Dermatology, Vol. 52, No. 5, 2005, pp. 793-797. doi:10.1016/j.jaad.2005.02.024
[9]	G. J. Mark, et al., “Congenital Melanocytic Nevi of the Small and Garment Type. Clinical, Histologic, and Ultrastructural Studies,” Human Pathology, Vol. 4, No. 3, 1973, pp. 395-418. doi:10.1016/S0046-8177(73)80101-7