Application of Facial Artery Perforator Flap in Nasal and Perinasal Reconstruction

This paper reports the results of an observational study in 23 patients to evaluate the application of the facial artery perforator flap in nasal and perinasal reconstruction after skin cancer surgery. In the long term, all flaps survived, and the patients achieved satisfactory esthetic reconstruction without functional alterations or major complications. Immediately postoperatively, 2 flaps presented early venous congestion, and 1 had minor superficial skin necrosis that healed without additional intervention. In 3 cases, it was combined with a second simultaneous local flap for synchronous or extensive skin tumors. The facial artery perforator flap is a reliable and versatile option that can be considered the preferred alternative for single-stage restorations of complex small to medium-sized nasal and perinasal defects that allow reconstruction of both external and internal nasal structures.