Surgical removal of a noninvoluting congenital hemangioma using a modified sub-brow flap

Management of infantile hemangiomas has recently undergone significant changes because of the introduction of systemic treatment with propranolol.1 However, this approach has failed in other types of vascular tumors, such as congenital hemangiomas, in which surgery remains the first-choice treatment.2 In this case report, the surgical removal and reconstruction of a glabellar congenital hemangioma is described. Among the surgical techniques available for large glabellar surgical defects, the sub-brow flap represents a suitable option rarely described in the literature.3 A subtle modification of this technique is performed in this case report.