Tips for Multi-Subunit and Full Thickness Defects Involving the Nose

The presentation discusses techniques for addressing multi-subunit and full thickness nasal defects, emphasizing the unique challenges posed by such conditions. The speaker engages the audience with musical references and encourages breaking down complex surgical procedures into manageable components, much like simplifying a musical score. Three key tips are highlighted: respecting the boundaries of cosmetic units, using pedicle flaps to minimize tissue loss at the alar rim, and repairing the subsurface structure for significant alar rim loss. Various flap techniques, including advancement and staged myelolabial flaps, are stressed as essential tools for effective reconstruction. The speaker provides specific case examples to illustrate these techniques, noting the importance of a systematic approach to surgery while ensuring functional and aesthetic outcomes. The presentation concludes by reinforcing the importance of careful planning and execution in the repair of such defects, advocating that they can be effectively managed under local anesthesia when approached methodically.