VY Advancement Flap of Rieger 1957

Larger nasal tip defects can be covered with a Rieger advancement flap based on the side of the nose (Fig. 5.14a). The glabellar portion of the flap has a trapezoidal design. The flap is mobilized along the opposite nasal flank, and a V-Y advancement is performed (Fig. 5.14b). A small Z-plasty may be necessary with larger defects (Fig. 4.14c, d). The U-ad-vancement is another option (Fig. 5.14e, f).

Pectoralis Advancement Flap

Fig. 5.14 Various designs of advancement flaps used to reconstruct the dorsal nasal skin. a-d Long Rieger flap (see

Fig. 5.14 Various designs of advancement flaps used to reconstruct the dorsal nasal skin. a-d Long Rieger flap (see

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