David R. De Rungs-Brown, Departamento de Cirugía Plástica y Reconstructiva, Ciudad de México, México
Manuel González-Guevara, Medicina General. Centro Médico ABC, Ciudad de México, México
Ruben Kershenovich-Tavel, Departamento de Dermatología, Clínica Lomas Altas, Ciudad de México, México
Armando Mansilla-Alba, Departamento de Cirugía General, Hospital Español, Ciudad de México, México
The giant congenital nevus is a disease that can presence melanoma, which can be fatal for the patient’s prognosis. This pathology has both an aesthetic and an emotional component due to the physical characteristics of the nevus. We present a surgical technique for a major facial reconstruction of a giant congenital nevus in a patient with data suggestive of the onset of malignancy. In this technical report, the reconstructive technique is exposed. It is concluded that by performing an adequate pre-surgical plan, reconstructions of major facial defects with loco-regional flaps and the use of a skin expander can be performed.
Keywords: Reconstruction. Nevus. Expansion.