Techniques for reconstruction of perialar and perialar-nasal ala combined defects.

BACKGROUND

The nasal ala and perialar areas involve junctions with the nose, cheeks, and lips. Following Mohs surgery, defects in this area often extend across one or more creases or folds, thus requiring repair of more than one reconstructive subunit.

OBJECTIVE

Our goal is to present various reconstructive techniques required to obtain aesthetic results.

METHODS

Defects and reconstructions will be illustrated to demonstrate techniques and results. Emphasis will be on selection of techniques and documentation of results.

RESULTS

Examples include various flap procedures (advancement, rotation, pedicle, interpolation, transposition), full-thickness and composite grafting, second intention healing, and combinations thereof.

CONCLUSIONS

Thoughtful application of the various techniques will help to maximally camouflage scars and avoid maneuvers which would result in bridging and/or blunting of creases and folds.