"Reconstructive strategies for dermatofibrosarcomas of the face: The role of regenerative dermal templates"

Background Dermatofibrosarcomas protuberans (DFSP) is a challenging cutaneous tumour from an oncologic and reconstructive surgical point of view. Involvement of functionally and aesthetically sensitive areas, such as facial units, in young patients accounts for more demanding cases. An updated evaluation of most beneficial excisional/reconstructive strategies in these cases is still lacking. Methods We investigated the potential of regenerative dermal templates in staged post-oncologic reconstructive management of a young female affected by a DFSP of the forehead involving the frontal bone. Results Final result was optimal in terms of cosmetic and functional recovery, obtaining a pliability, softness and colour similar to surrounding healthy skin. Conclusions In facial DFSPs staged reconstruction with regenerative dermal templates provides a conservative yet safe and effective management, achieving optimal aesthetic outcomes. We suggest its adoption as first-line treatment in facial DFSPs that cannot be repaired by direct suture and in equivalent benign yet challenging cases.