Aesthetic reconstruction of the nasal tip using a folded composite graft from the ear

Abstract

Defects of the nasal tip, the alar, and the columella were treated with composite grafts from the postauricular area. The graft was folded into a three-dimensional shape, which provided a three-layered reconstruction of skin, cartilage and nasal lining. This procedure preserved the shape of the reconstruction for a longer time and yielded a good aesthetic result. Moreover, although this method was simple and was carried out in one stage, it left minimal morbidity of the donor site, and produced satisfying results.