Table 2. Indications and drawbacks for the forehead flap, ^{5 20} bilateral cheek advancement flap, ⁴ full-thickness skin graft, ¹ melolabial flap, ^{4 10} and nasolabial flap ⁵ for cutaneous repair .

Reconstructive method	Indications	Drawbacks
Forehead flap	Multiple subunit defects that include the ala, tip, columella, and dorsum Folded forehead flap permits reconstruction of multilayered defects including the mucosal lining Young patients with minimal cheek laxity and absence of prominent nasofascial and mesolabial groove	Multistaged operations spanning several weeks Conspicuous forehead pedicle, with potential psychological and functional burden
Melolabial flap	Defects localized to the ala and columella	Multistaged operations with a cheek pedicle visible between procedures Medial cheek and melolabial fold asymmetry Contraindicated in young patients with an indistinct melolabial groove
Nasolabial flap	Defects localized to the superficial ala Hairless	Multistaged operations with a cheek pedicle visible between procedures Shorter flap because of a less than 90-degree arc of rotation Contraindicated in young patients with an indistinct nasolabial fold
Bilateral cheek advancement flap	Defects localized to the lateral sidewall and dorsal subunits Patients with medial cheek laxity	Additional operation required to recreate the nasofascial groove because of blunting
Full-thickness skin graft	Defects localized to the lateral sidewall and dorsal subunits in patients who do not wish to or cannot endure multiple operations One-stage operation	Color mismatch Potential graft loss