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A patient with a Basal Cell Carcinoma of the Temple which has been removed with surgery.   Most cancers in this area are due to sun exposure.

A rhomboid flap is constructed.  The maximum pull on the tissue is shown by the green arrow. Because of tissue pull, the dimensions of the rhomboid are shorter in one direction than the other.

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The plan at the time of surgery

A rhomboid flap was outlined.  The tension of closure was superior to inferior.

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The flap at 1 wk post-op.  The patient had slight increase in the sagging of his upper lid possibly due to the tension of the flap.

Flap 1 month post op.