Workhorse Flaps: Cheek to Nose Advancement

The presentation discusses the cheek to nose advancement flap, a surgical technique used for reconstructing nasal defects. Originating from the cheek, this local flap is ideally suited for mid to lower nasal reconstructions and is known for its tissue laxity, excellent vascular supply, and color match with nasal skin, allowing for more natural cosmetic outcomes. The flap is beneficial as it avoids the need for distant donor sites and blends incision lines seamlessly with existing natural contours. The presenter, based in Wenatchee, WA, begins by explaining the design and performance of the flap, emphasizing the critical placement of incisions to prevent distortion. A demonstration by Doctor Jang showcases the marking, excision of the primary and secondary cones, and the suturing techniques that advance the flap, ensuring proper alignment and closure of the nasal defect while maintaining nasal function. Finally, various examples of successful flap applications illustrate the technique's versatility and efficacy in restoring aesthetics, with post-operative results showing well-integrated scars that match the surrounding skin. Overall, the advancement flap is highlighted as a reliable method in facial reconstruction, with the speaker expressing gratitude to the surgical community for their guidance.