A dorsal nasal advancement flap for off-midline defects.

Abstract

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. Our aim was to create a novel nasal tip flap and examine outcomes of its use. The dorsal nasal advancement flap was studied in 30 patients. All patients had good to outstanding results and no complications. 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.