Bilobed Flap for Full-Thickness Nasal Defect: A Common Flap for an Uncommon Indication

© 2014 American Society for Dermatologic Surgery. This chapter discusses the case of a 60-year-old woman who was referred for the treatment of a tumor of the alar rim and tip of the nose. Histopathological examination showed a sclerodermiform basal cell carcinoma. Four stages of Mohs surgery were needed to excise the entire tumor, which involved part of the nasal cartilage and nasalmucosa, resulting in a full-thickness defect. The bilobed transposition flap is a single-stage flap often used for restoring skin defects of the nasal supra-tip. This standard procedure was used in this case for an unusual indication, the reconstruction of a full-thickness nasa alar rim defect. Postoperative antibiotics were given, and sutures were removed 7 days postoperatively. The 6-month postoperative follow-up showed a satisfactory functional and aesthetic outcome.