Korean J Dermatol.  2010 Jan;48(1):47-50.

The Full-thickness Forehead Skin Graft for a Nasal Ala Defect

  • 1Department of Dermatology, Eulji Hospital, College of Medicine, Eulji University, Seoul, Korea. kpark@eulji.ac.kr


Skin cancers require excision and reconstruction for achieving optimal functional and cosmetic results. There are numerous reconstructive options, which include primary repair, secondary intention healing, a local flap and a skin graft. Generally, a full-thickness skin graft is not considered applicable for reconstructing a nasal defect because a local flap is thought to be a superior alternative to a skin graft due to the unique nature of the lower third of the skin, which is often thick and fixed to the adjacent structures. But a defect on a lower third of the nose that includes the nasal ala can be well reconstructed by a skin graft in some cases. The donor site options include the preauricular, postauricular and supraclavicular areas etc. But in some cases, the forehead skin is a good match with the nasal ala area. We herein report the case of a 69-year-old female with a nasal ala defect that was induced by excision of basal cell carcinoma. The patient was reconstructed with a full-thickness skin graft using the redundant skin of the forehead.


Forehead; Full-thickness skin graft; Nasal ala
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