Island Pedicle Flaps for Repair of a Nose, Cheek, and Lip Defect

This chapter discusses the case of a 72-year-old woman with a basal cell carcinoma of the left lateral nasal ala, which was excised after Mohs micrographic surgery, but resulted in full-thickness defect. This defect involved three cosmetic subunits: the lateral nasal ala including the alar rim, the upper lateral cutaneous lip, and the medial cheek at the nasolabial fold. A closure using a combination of two random-axis adjoining island pedicle flaps was designed. An island pedicle flap was incised inferiorly along the lateral lip. Closure of the lateral alar defect was accomplished with a slightly modified island pedicle flap from the medial aspect of the nasal ala and dorsum. The postoperative course was uncomplicated and sutures were removed 1 week later with a very satisfactory cosmetic outcome seen at 2 months.