The use of modified advancement flaps is a common and effective surgical technique for reconstructing the scalp after the removal of a tumor, particularly skin cancers like basal cell carcinoma and squamous cell carcinoma. These flaps are designed to cover defects with adjacent, hair-bearing tissue, offering good cosmetic and functional results.

Overview of Scalp Tumor Reconstruction with Modified Advancement Flaps
Scalp reconstruction is challenging due to the tissue’s limited elasticity and the convex anatomy of the skull. Advancement flaps, especially with modifications, provide several advantages:
Aesthetic Outcome: They use local, hair-bearing skin that matches the color and texture of the surrounding area, which helps hide scars.
Single-Stage Procedure: Many modified local flaps can be performed in a single surgery, avoiding the need for multiple operations.
Reliability: The scalp has a rich blood supply, making local flaps a reliable option with a low risk of failure when designed properly.
Patient Comfort: Procedures can often be performed under local anesthesia, which is beneficial for older patients or those with other health condition.
In that case (patient shown) I have performed the procedure under local anesthesia combined with second removal of a problematic lesion of the forehead via expandable plastic surgery /additionally/.