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Nose Reconstruction by Dr. Frederick J Menick

The advanced cheek flap is fixed with deep sutures in the naso-facial sulcus to minimize tension of the nose and the flap extension.

The wound edges are then closed in layers with subcuticular sutures and skin sutures.

If well vascularized, the deep surface of the flap can be fixed to the soft tissues of the alar crease to restore its contour.