This beautiful young woman, Rita, presented at the end of the last trip. Rita wants to be an attorney and is quite determined for a 17 year-old with a giant congenital hairy nevus-a lesion with a significant malignant potential. We planned on a multistage surgery beginning this trip.
The first stage consisted of a cheek-neck-chest rotation flap as outlined. Next trip, we will repair the infraorbital area. Hopefully, there will be no malignant transformation.