Abstract

older population, where basal cell carcinoma of the nasal skin is one of the most common indications for excision and reconstruction. In these cases, there is oftentimes a distortion of the nasal projection in one or more dimensions visible after reconstruction with a laterally based nasal subunit or a more distally based facial aesthetic unit. Furthermore, since the columella/upper lip angle becomes narrower with older age, thus moving the tip of the nose more caudally, the problems with breathing through the nose become more significant (see Figs. 1, 2, 3, 4, 5). I suggest a vertical advancement flap with excision of Burrow’s triangles bilaterally at its base as a useful option Eur J Plast Surg (2008) 31:207–208 DOI 10.1007/s00238-008-0259-6

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