A dorsal nasal advancement flap for off-midline defects.
BACKGROUND
The repair of nasal tip defects often poses a challenge as many of the commonly used techniques for repair of the distal nose can result in obvious scars, mismatched skin, or distortions of the nasal contour that can compromise the aesthetic outcome.


OBJECTIVE
Our aim was to create a novel nasal tip flap and examine outcomes of its use.


METHODS
The dorsal nasal advancement flap was studied in 30 patients.


RESULTS
All patients had good to outstanding results and no complications.


CONCLUSIONS
This new flap, a modified Burow's advancement flap adapted to the nasal tip, provides an alternative to full-thickness skin grafts and transposition, rotation, and pedicle flaps for repair of the distal nose that is easy to execute and has optimal aesthetic results.
Department of Dermatology, University of Pennsylvania School of Medicine, 3600 Spruce Street, Philadelphia, PA 19104-4283, USA.
Rebecca W
RW
Lambert
Leonard M
LM
Dzubow
D006801:Humans; D015580:Mohs Surgery; D009669:Nose Neoplasms / Q000601:surgery; D012225:Rhinoplasty / Q000379:methods*; D013524:Surgical Flaps