Figure 9.

Nasolabial folded flap. (a) Preoperative picture. A 68-year-old patient was affected by melanoma of the nasal ala. A nasolabial folded flap was planned to repair the full-thickness defect in two stages. (b) A nasolabial flap was folded to reconstruct the lining and external coverage after being thinned. A cartilage graft (held by the forceps) was harvested from the left auricle and molded to provide structural support to the ala. (c) Stage I. Immediate postoperative picture. A povidone iodine impregnated gauze was positioned. The donor site was sutured primarily. (d) The 12-month postoperative (stage II) picture shows an optimal result; the nasal ala regained a good contour, and alar facial sulcus was restored.