Abstract
Several options have been put forward in reconstructing the partially amputated nose. Here presented is an innovative alternative for combined single staged replacement of skin, cartilage and columella: the use of nasolabial and bilateral philtral flaps with keratin derived from the fingernail. Abnormal facial appearance has significant impact on daily and psychosocial functioning. Successful rhinoplasty, apart from the obvious aesthetic and functional benefits, restores psychosocial health.
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