Simultaneous Reconstruction of the Alar and its Neighboring Area using Bielliptical Flap

ABSTRACT

It is difficult to repair defects of the alar nasi because of its complex configuration and the structural support which enables to ensure an adequate patency of nasal airway. Furthermore, if the defect is extended to neighboring areas such as the nostril, vestibular floor, and upper lip, proper selection and execution of repair technique is of utmost importance. We considered the alar and perialar area to be two different aesthetic units and so reconstruction of the defect with two regional flaps would yield better result. We designed vertical bielliptical flap as two regional flaps (nasolabial and nasojugal flap). A vertical bielliptical flap commonly based on the perforators from the facial artery on alar groove was developed. With this flap, the defect of the alar and its neighboring area was simultaneously reconstructed. Fuctional and aesthetic result was good.