Advancement flap for the reconstruction of nasal ala and lateral nasal tip defects
Department of Medicine, Division of Dermatology
Medical Subject Headings
Esthetics; Humans; Nose; *Reconstructive Surgical Procedures; *Surgical Flaps; Treatment Outcome
Dermatology | Skin and Connective Tissue Diseases
Repair of nasal ala and lateral nasal tip defects provide unique reconstructive challenges. This article describes a one-staged advancement flap for repair of such defects. The flap may be medially-based, laterally-based, or bilaterally-based. Sharp undermining is recommended, and a standing cone must be removed superior to the defect, perpendicular to the alar rim. Temporary alar rim flattening is accepted, and normalizes with time. This reconstruction has provided excellent functional and cosmetic results for defects measuring tip.