From the Department of Otolaryngology–Head & Neck Surgery, Division of Facial Plastic Surgery, Saint Louis University, St Louis, Mo. Dr Zimbler is now with the Department of Otolaryngology–Head & Neck Surgery, Division of Facial Plastic Surgery, Beth Israel Medical Center, New York, NY.
RECONSTRUCTING SURGICAL DEFECTS of the nasal tip and lower third of the nose presents a unique challenge for the facial plastic surgeon. Treatment options include: secondary intention healing, full- and split-thickness skin grafts, and local and distant flaps. Owing to the unique texture and color of nasal skin, it is always preferable that like tissue be replaced by like tissue. Scars are best placed at the junction of aesthetic units while reconstruction should adhere to nasal subunit principles.
Marc S. Zimbler, J. Regan Thomas. The Dorsal Nasal Flap RevisitedAesthetic Refinements in Nasal Reconstruction. Arch Facial Plast Surg. 2000;2(4):285–286. doi: