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Semin Plast Surg 2013; 27(02): 090-095
DOI: 10.1055/s-0033-1351227
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Full-Thickness Skin Grafting in Nasal Reconstruction

William M. Weathers
1   Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
,
Mohin Bhadkamkar
1   Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
,
Erik M. Wolfswinkel
1   Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
,
James F. Thornton
2   Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas
› Author Affiliations
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Publication History

Publication Date:
14 August 2013 (online)

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Abstract

Skin grafting in nasal reconstruction, long used by dermatologists, can provide superior results and can well be the “go to” procedure for nasal reconstruction. The upper two-thirds of the nose is composed of both flattened, featureless and often thin skin that is well recreated with defect-only full-thickness grafting. Skin grafting for the lower third of the nose has been practiced for years by dermatologists; over the last 4 to 5 years, it has been embraced by plastic surgeons. The patient and donor site selection is critical. Meticulous attention to graft selection, utilization of a no-touch technique during graft harvest and placement of surgical bolsters with through-and-through tacking sutures are essential to ensure 100% graft take and a successful aesthetic result.

Keywords

full-thickness skin graft - Mohs reconstruction - nasal defect
 

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