Medical Dermatology Studies: Malar Butterfly Flap

Malar Butterfly Flap: Bilateral Melolabial Advancement for Large Dorsal Nasal Defects TONY N. NAKHLA, DO,Ã MARK K. HOROWITZ, DO,Ã AND ROBERT M. SCHWARTZ, MD, FACSy The authors have indicated no significant interest with commercial supporters. The repair... More

Malar Butterfly Flap: Bilateral Melolabial Advancement for Large Dorsal Nasal Defects TONY N. NAKHLA, DO,Ã MARK K. HOROWITZ, DO,Ã AND ROBERT M. SCHWARTZ, MD, FACSy The authors have indicated no significant interest with commercial supporters. The repair of large dorsal nasal defects are often characterized as surgical conundrums, requiring skin grafting or extensive flap repair and often needing a second stage reconstruction. We present a 67-year-old woman who underwent Mohs micrographic surgery for a morpheaform basal cell carcinoma on the nasal dorsum, producing a large midfacial defect (Figure 1). We employed the malar butterfly flap, a bilateral melolabial advancement flap, to repair the defect. Sand and colleagues recently described a similar review of this flap and termed it bilateral cheek to nose advancement flap, in which 12 patients with dorsal nasal defects were successfully repaired. 1 This case differs in that more emphasis was placed on remaining primarily within n Less