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One-Stage Reconstruction of an Alar Defect Using a Bilobed Nasolabial–Nasal Tip Flap Based on the Aesthetic Subunits in Orientals: Case Report

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Abstract

The ala of the nose is difficult to repair for a variety of reasons, including the special texture of the skin, its shape, and the free margin. A method is reported for the one-stage reconstruction of a lateral nasal defect, including a full-thickness defect of the ala, using a bilobed flap composed of nasolabial and nasal tip skin. The flap was designed according to the aesthetic subunits principle, as modified for Orientals by Yotsuyanagi and colleagues in 2000. Satisfactory alar reconstruction was achieved, and good aesthetic and functional results were obtained. This flap is useful for restoring an alar defect.

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Acknowledgments

The author is grateful to Shinobu Ayabe, M.D., Department of Plastic and Reconstructive Surgery, Joutou-Chuou Hospital, Osaka, Japan, for his valuable advice concerning this method.

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Authors and Affiliations

  1. Department of Plastic and Reconstructive Surgery, Tenri Hospital, Nara, Japan

    Masao Fujiwara M.D.

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  1. Masao Fujiwara M.D.
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Correspondence to Masao Fujiwara M.D..

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Fujiwara, M. One-Stage Reconstruction of an Alar Defect Using a Bilobed Nasolabial–Nasal Tip Flap Based on the Aesthetic Subunits in Orientals: Case Report. Aesth. Plast. Surg. 28, 13–16 (2004). https://doi.org/10.1007/s00266-004-3122-6

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  • DOI: https://doi.org/10.1007/s00266-004-3122-6

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