Single-Stage Reconstruction of Nasal Columella Using Bilateral Nasolabial Flaps

The nasal columella is often described as a difficult subunit to reconstruct with a satisfactory aesthetic outcome. The nasolabial flap is considered the preferred method for columella reconstruction. We report the case of a patient with a neoplasm of the columella, proposed for surgical excision and columella reconstruction using bilateral nasolabial flaps in a single surgical stage. After excision of the tumor, the remaining skin of the columella was removed to reconstruct the entire subunit. Following bilateral elevation of the nasolabial flap, debulking was performed. The nasolabial flaps were rotated medially and sutured in a space created at the upper portion of the upper lip skin. The main advantage of the bilateral nasolabial flap technique lies in its ability to achieve complete columella reconstruction in a single surgical stage, thus minimizing the need for multiple interventions and reducing the overall recovery time for the patient. The functionality and aesthetics of the reconstruction were considered satisfactory. The technique of nasal columella reconstruction using bilateral nasolabial flaps in a single surgical stage proves to be an effective approach for correcting complex nasal columella defects.