CC BY-NC-ND 4.0 · Indian J Plast Surg 2024; 57(01): 067-070
DOI: 10.1055/s-0043-1777075
Case Report

Flap Advancement Technique for Scalp Hair Preservation in Massive Cutis Verticis Gyrata

Bilal Javed
1   Bahawal Victoria Hospital, Bahawalpur, Pakistan
Amina Rao
2   Quaid-e-Azam Medical College, Bahawalpur, Pakistan
Waleed Abdullah
3   Department of Plastic Surgery, Bahawal Victoria Hospital, Bahawalpur, Pakistan
Akasha Amber
3   Department of Plastic Surgery, Bahawal Victoria Hospital, Bahawalpur, Pakistan
Mughese Amin
3   Department of Plastic Surgery, Bahawal Victoria Hospital, Bahawalpur, Pakistan
› Author Affiliations


Cutis verticis gyrata (CVG) is a rare skin condition characterized by ridges and furrows resembling the brain. CVG falls under three categories: primary essential, primary nonessential, and secondary. This case report focuses on primary essential CVG, where approximately a fourth of the scalp and a significant portion of the forehead and eyelid were involved.

Flap advancement after skin expansion was performed to rectify the disorder. This technique adequately covers the residual defect postexcision and preserves hair growth in affected regions. It is a successful skin expansion technique to cover the exposed scalp, preserve hair growth, and achieve excellent cosmetic results. Our approach demonstrates a promising solution for severe cosmetic disfigurement in primary essential CVG, positively impacting both the physical appearance and psychosocial well-being of the patient.

Informed Consent

Informed consent was obtained from the patient described in this report.


We could not preserve the preoperative pictures before phase 1 (forehead and eyelid reconstruction/resurfacing), regrettably.

Publication History

Article published online:
05 January 2024

© 2024. Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (

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