After failed attempts toward a cure with antibiotic ointment, occlusive dressing, psychotropic medication, and behavior modification, the patient was successfully treated with a vacuum device (V.A.C. GranuFoam; KCI, San Antonio, Texas) (Figure 2) made to deliver negative pressure wound therapy (NPWT).1 The ulcers on the forehead and scalp were the first to be treated. The device was worn on the ulcer on the forehead 24 hours a day for an entire week, with dressing changes on Tuesday, Thursday, and Saturday. The next week, the same was done for the ulcer on the scalp. Not only had the ulcers re-epithelialized during that time but the ulcer on the right alar had began to heal as well. After ophthalmologic consultation, the final wound on the right medial canthus was treated and healed in less than 1 week, and has remained healed for 5 months despite persistent sensory deficits (Figure 3).