"Practical suggestions on facial plastic surgery--how i do it"; subcutaneous pedicle flap reconstruction of lower nasal defects.

Large defects of the thick, immobile lower nasal skin are most optimally reconstructed by use of the single stage, reliable and cosmetically acceptable subcutaneous pedicle flap. Skin incisions are minimized and are easily placed in natural skin lines. The donor defect is closed directly. Grafts, other local flaps or regional flaps present the disadvantages of less ideal color or contour match, reduced flap mobility, restricted available skin, additional or more obvious donor site scarring or distortion, or unnecessary complexity.