Razi Journal of Medical Sciences

 In the male burn victims,scar may cause grotesque facial disfigurement of upper lip and lower face. There are many ways as simple as a skin graft to the complicated flaps that are reported in the literature by different authors. Bipedicle scalp flaps used sporadically for reconstruction of upper lips in male patients. In this article we report the use of bitemporal artery hair-bearing flap for the reconstruction of moustache and bread as a substitute for facial deformed skin in eight cases. The aim is to insist on scalp flap as one of the best-matched flap for reconstruction the mid and lower part of male face.

  Choosing the proper size of the flap, we omitted use of tissue expander, closing the donor site primarily resulting earlier return of patients to normal life. Although the width of the flap is not that much to cover the whole lower face and the cheeks, it is enough to imitate a normal face and pleasant appearance.