Design Bilobed Flap

The nasal tip area can be reconstructed using bilobed flaps that are based inferiorly (Fig. 5.13a), laterally (Fig. 5.13c), or superiorly (Fig. 5.13e). The scars should be placed approximately in the RSTLs. If the flaps are sufficiently large and mobile, a defect in the upper columella can be repaired concurrently with the tip defect.

Bilobed Flap Face
Fig. 5.13 a-f Various designs of the bilobed flap.

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