Reconstruction of a congenital nasal deformity using skin tags as a chondrocutaneous composite graft

Nasal reconstruction has key functional aims of achieving an optimal esthetic result while maintaining a patent airway. For the distal third of the nose, these goals are achieved by replacement of lining, osseocartilaginous support, and soft tissue coverage. The use of skin tags for reconstruction of the ear have been well documented, yet to our knowledge, there are no reported cases of their use in reconstruction of the nose. Skin tags, also referred to as acrochordon, fibroepithelial polyps, and pedunculated fibromas are benign soft, fleshy, sessile, or pedunculated lesions ranging from 1 to 5 mm in diameter. We report a novel approach to distal nasal reconstruction that arose opportunistically as a result of coincident pathologies.