Melolabial Flaps for Nasal Reconstruction

Assessment of Patients Who Underwent Nasal Reconstruction After Non-Melanoma Skin Cancer Excision

“…11 The skin of the nasolabial region is suitable for nasal reconstruction because it provides reasonable skin color match, thickness, and texture. 16 Because of the robust vascularity of the medial cheek skin, nasolabial flaps can be shaped in several different designs. When used to repair alar defects, nasolabial flaps are designed as an island or a superiorly based flap, the latter being more applicable to larger defects.…”

“…When used to repair alar defects, nasolabial flaps are designed as an island or a superiorly based flap, the latter being more applicable to larger defects. 16,17 For combined defects of the distal two thirds of the nose and complete nasal defects, paramedian or total forehead flap was preferred for external skin coverage. The design of paramedian forehead flaps depended on the patient's defect as well as the forehead anatomy; they were generally based on the contralateral side to avoid hair-bearing scalp.…”

The subcutaneous melolabial island flap for nasal alar reconstruction: A clinical review with nuances in technique

“…Carucci,7 in his description of interpolated melolabial flaps, used even longer facial incisions creating substantial flap bulk at the first‐stage transfer. Yellin and Nugent8 modified their incisional design and graphically depicted a shorter inferior closure line on the cheek, but they maintained the tapered triangular skin component of the upper flap to the level of the alar‐facial sulcus.…”

Crescentic Alar Myocutaneous Island Pedicle Flap for Reconstructing Columellar Defects

“…In addition, unlike skin grafts, a circumferential scar can be avoided, as well as a trap door deformity from scar contracture. Disadvantages of this type of approach include blunting of the nasofacial sulcus and asymmetry of the melolabial sulcus …”