Reconstruction of Various Perinasal Defects Using Facial Artery Perforator-Based Nasolabial Island Flaps
A 35-year-old man had a SCC on the right alar base and nasal floor. Following cancer resection, a perforator of the superior labial artery was identified at the nasolabial fold using a handheld Doppler probe. Dissection of the pedicle was performed until tension-free rotation was achieved to cover the defect. A 120° rotation island flap that was 2 cm in width and 3 cm in length was elevated and pivoted on this perforator. A 3-dimensional reconstruction of the deep defect was achieved using the versatile perforator flap ().