fig13

Figure 13. Temporal scalp defect closed with a skin graft from another surgeon, resulting in an unacceptable cosmetic outcome. A tissue expander was placed posteriorly in the parieto-occipital scalp. Starting on post-operative day ten, 20 mL injections of saline were initiated, with six additional 20 mL injections at 5-day intervals. After one month, the tissue expander was removed, the skin graft was excised, and the defect was closed with excellent cosmesis.