Nasal reconstruction with the paramedian forehead flap--details for success

This article is focused on technical details for successfully reconstructing the nasal skin cover in parts or totally. Nasal reconstruction is based on the successful reconstruction of the inner lining and the nasal framework in three-layer defects. The details to be considered include planning the flap, subunit reconstruction and outline of margins, dealing with hair-bearing forehead skin, sequence of stages, intermediate debulking, details of pedicle dissection, brow reconstruction, forehead closure, forehead expansion, and complication management.