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Updated: Aug 8, 2026
Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Repair of nasal tip and alar defects using cheek-based 2-stage flaps: an alternative to the median forehead flap
Harvey Smith1, Timothy Elliot, Carl Vinciullo
1Dermatology, Surgery, and Laser Center, Perth Surgicenter, South Perth, Australia.
Objective:
To describe our use of cheek-based 2-stage transposition flaps for repairing Mohs surgery defects of the lower third of the nose.
Design:
Retrospective case series.
Setting:
Private dermatologic day surgery facility. Patients Twenty-eight patients with defects of the lower third of the nose after Mohs surgery. Intervention Ten alar and 18 nasal tip defects repaired using cheek-based 2-stage transposition flaps.
Main Outcome Measures:
Acceptability of procedure to patient, complications, and appearance from photographic records.
Results:
The procedures were well tolerated and achieved good cosmetic results without major complications.
Conclusions:
These flaps allow repair of extensive defects of the nasal tip and ala with the patient under local anesthesia. This approach provides an alternative to the median forehead flap for nasal tip repairs.
