Repair of the combined defect of the nasolabial fold and nose with simple primary suture and modified transposition flap

The performance of facial cutaneous reconstructive surgery requires understanding and application of many important principles. Facial surgical defects can be repaired by simple primary suture, secondary intention healing, skin graft or by cutaneous flap. Tissue reservoirs, mechanisms and effects of tissue movement, and favorable incision placement should be considered when planning a local flap repair for surgical defects. Surgical techniques that maximize the aesthetic and functional outcome should be conducted. Management of surgical defects of the nose is often challenging. Maintenance of an aesthetically and functionally normal nose requires careful preoperative planning and meticulous surgical technique. One of the challenges in nasal reconstruction is the lack of excess skin within the nasal cosmetic unit. We reconstructed the defect of the nasolabial fold and nose with simple primary suture and modified transposition flap and achieved a good cosmetic result.