title: Repair of nasal tip and alar defects using cheek-based 2-stage flaps: an alternative to the median forehead flap.
abstract: OBJECTIVE
  To describe our use of cheek-based 2-stage transposition flaps for repairing Mohs surgery defects of the lower third of the nose.
  
  
  METHODS
  Retrospective case series.
  
  
  METHODS
  Private dermatologic day surgery facility. Patients Twenty-eight patients with defects of the lower third of the nose after Mohs surgery. Intervention Ten alar and 18 nasal tip defects repaired using cheek-based 2-stage transposition flaps.
  
  
  METHODS
  Acceptability of procedure to patient, complications, and appearance from photographic records.
  
  
  RESULTS
  The procedures were well tolerated and achieved good cosmetic results without major complications.
  
  
  CONCLUSIONS
  These flaps allow repair of extensive defects of the nasal tip and ala with the patient under local anesthesia. This approach provides an alternative to the median forehead flap for nasal tip repairs.
authors.affiliation: Dermatology, Surgery, and Laser Center, Perth Surgicenter, South Perth, Australia.
authors.forename: Harvey
authors.initials: H
authors.lastname: Smith
authors.forename: Timothy
authors.initials: T
authors.lastname: Elliot
authors.forename: Carl
authors.initials: C
authors.lastname: Vinciullo
mesh_terms: D000328:Adult; D000368:Aged; D002610:Cheek / Q000601:surgery*; D005260:Female; D005546:Forehead / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015580:Mohs Surgery / Q000009:adverse effects*; D009666:Nose / Q000002:abnormalities* / Q000601:surgery*; D009669:Nose Neoplasms / Q000601:surgery*; D010342:Patient Acceptance of Health Care; D017060:Patient Satisfaction; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D012868:Skin Abnormalities / Q000209:etiology* / Q000601:surgery*; D013524:Surgical Flaps