The aesthetic unit dorsal nasal flap: Rationale for avoiding a glabellar incision

The dorsal nasal flap was first introduced by Rieger in 1967. Since that ti me, it has proven reliable in the coverage of dorsal nasal soft-tissue defe cts; however, the glabellar component of the flap can leave a conspicuous s car and/or a contracture band. The authors present their experience with 48 patients who had an aesthetic unit dorsal nasal flap and their technique o f incisional interface resurfacing, which obviates the need for the glabell ar component. Objective independent assessment of the outcomes revealed ove rall excellent results, with no flap loss, hematoma, or dehiscence. Two cas es of contour deformity were noted in male patients with preexisting rhinop hyma in the area of the reconstruction, These design modifications enhance the aesthetic result and simplify the use of this flap in dorsal nasal reco nstruction.