Abstract
Abstract Reconstruction of nasal skin is one of the earliest recorded procedures of what is now referred to as the discipline of reconstructive plastic surgery. In the ancient Hindu Sanskrit text, ‘Sushruta Samhita’ (600–700 bc) the forehead rhinoplasty is described and later the Italian surgeon Tagliacozzi (1597) performed nasal reconstruction with skin pedicled from the upper arm. These early procedures treated the defects left by the ancient punishment of nasal amputation. Sir Harold Gillies and colleagues reinvigorated the art of plastic surgery after the First World War and provided the sound principles of reconstruction that are followed to this day. In more modern times, the refinement of this surgical technique has advanced considerably due to the work and publications of Dr Gary Burget and Dr Frederick Menick. They have greatly flattened the learning curve and finesse of the paramedian forehead flap and associated procedures.
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