Department of Medicine, Montefiore Hospital, University Health Center, Pittsburgh, Pa.
Four hundred consecutive surgical wounds on the nose were studied for wound management. The most commonly used flap was the bilobed double transposition flap that is especially useful for reconstruction of defects on the lower third of the nose. While the standard design often results in tissue protrusions or pincushioning, improvements in the design are outlined herein to achieve the best results for defects on the nose.