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Published on: December 5, 2025
Nasal reconstruction with a forehead flap
1Division of Plastic Surgery, St. Joseph's Hospital, Tucson, AZ, USA. drmenick@drmenick.com
Clinics in Plastic Surgery
|June 10, 2009
Summary
Forehead flaps are the premier choice for nasal reconstruction due to excellent skin match, creating the best nose. This technique effectively camouflages defects with multi-stage surgical procedures.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Dermatology
Background:
- Nasal defects present significant reconstructive challenges.
- Matching skin color and texture is crucial for aesthetic outcomes.
- Forehead skin offers a near-perfect match for facial and nasal skin tones.
Purpose of the Study:
- To advocate for the forehead flap as the optimal method for nasal defect reconstruction.
- To detail a specific surgical technique for utilizing forehead flaps.
- To demonstrate the aesthetic advantages of forehead flaps in nasal reconstruction.
Main Methods:
- Description of a two-stage forehead flap procedure.
- Description of a three-stage forehead flap procedure.
- Techniques for effective camouflage of the forehead donor site.
Main Results:
- Forehead flaps provide superior aesthetic results for nasal reconstruction.
- The color and texture match of forehead skin is ideal for the nose.
- The described techniques allow for effective defect camouflage.
Conclusions:
- The forehead flap is the first and best choice for nasal reconstruction.
- The author's multi-stage technique ensures excellent aesthetic and functional outcomes.
- Forehead flap reconstruction offers a reliable solution for complex nasal defects.