Subcutaneous Tissue Pedicle Hinge Cheek Flaps



The nasal facial sulcus represents an important anatomic boundary between the aesthetic region of the nasal sidewall and the medial cheek. Inferiorly, the nasal facial sulcus is continuous with the alar facial sulcus, which represents the boundary between the ala, cheek, and upper lip. Skin defects that extend from the ala or sidewall across these boundaries are best resurfaced with separate skin flaps. The cheek and lip are repaired in most cases with cutaneous advancement flaps harvested within their respective aesthetic facial region. The nose is resurfaced with a separate flap or graft so that scars will ultimately be positioned in the nasal facial and/or alar facial sulcus.


Advancement Flap Skin Defect Cartilage Graft Forehead Flap Nasal Skin 


  1. 1.
    Johnson TM, Baker SR, Brown MD, et al. Utility of the subcutaneous hinge flap in nasal reconstruction. Dermatol Surg. 1994;30:459.Google Scholar
  2. 2.
    Baker SR. Reconstruction of the nose. In: Baker SR, ed. Local Flaps in Facial Reconstruction. Philadelphia Pa. Elsevier; 2007, Chapter 18, Fig. 37.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.University of Michigan School of MedicineAnn ArborUSA

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