Facial plast Surg 2013; 29(05): 429-443
DOI: 10.1055/s-0033-1353385
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Reconstructing the Extended Nasal Tip Defect

Steven Mobley
1  Division of Otolaryngology, Head and Neck Surgery, University of Utah School of Medicine, Salt Lake City, Utah
› Author Affiliations
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Publication History

Publication Date:
13 September 2013 (online)


Reconstruction of large facial defects requires surgical skill, an understanding of engineering principles, an artistic eye, and patience to design the most elegant solution for each patient. Extended nasal tip defects, which may involve additional facial subunits, require even more thoughtful analysis and planning. Reconstructive surgeons need to be aware of the pros and cons of various options for flaps, the use of a delay stage, and sequencing and scheduling of staged operations to achieve an optimal outcome.