Forehead Flap for Nasal Reconstruction

Abstract

The forehead flap is an essential part of any plastic surgeon’s reconstructive armamentarium because of its reliability and resemblance to native nasal soft tissues. It is considered the workhorse flap for any large or multi-subunit defect. While flap transfer can be completed in two stages, more refined outcomes can be achieved when performed in three stages, including the replacement of nasal lining. Secondary revisions and aesthetic corrections are useful adjunctive procedures that can be performed after the initial swelling has subsided to improve the final outcome.