Bilateral superiorly based malar transposition flaps for nasal tip reconstruction: A case report

The Peng flap was originally described in 1987 as a viable option for re-creation of the convexity of the dorsum and nasal tip in a one step. Defects extending into the sidewall can result in multi-stage procedures. Beustes-Stefanelli in 2015 published a midline-based nasolabial transposition flap utilizing a single-stage repair for large defects of the nasal tip. There is minimal literature on large nasal tip defects repaired in a single stage and few modifications to the Peng flap. In this case, the sidewall involvement on top of the extent of nasal tissue removed limits the various different methods.