TY - CHAP M1 - Book, Section TI - Axial Pattern and Interpolation Flaps A1 - Miller, Christopher J. A1 - Sobanko, Joseph F. A1 - Albertini, John G. A2 - Avram, Marc R. A2 - Avram, Mathew M. A2 - Ratner, Désirée Y1 - 2015 N1 - T2 - Procedural Dermatology AB - Facial symmetry correlates highly with facial attractiveness.1 The symmetry of midline structures has the greatest impact on perception of beauty.2 As the nose occupies the most central location on the face, its complex, symmetrical contours play a key role in how we perceive other people’s faces. Observers normally focus their gaze on the central triangle of the eyes, nose, and mouth.3 Asymmetric noses are perceived as less attractive, deformed noses attract excessive attention,1,3 and even small nasal lesions are considered disfiguring, bothersome, and important to repair.4 When local flaps are insufficient for coverage of a complex nasal defect, the surgeon may need to consider staged repair with a forehead or cheek interpolation flap. Similarly, the ear may require a postauricular interpolation flap (PIF) to repair a larger defect in an aesthetic fashion. Staged interpolation flaps present unique technical challenges. This chapter will discuss the planning and execution of: (1) the paramedian forehead flap for nasal reconstruction; (2) the melolabial interpolation flap (MIF) for alar reconstruction; and (3) the retroauricular interpolation flap for ear reconstruction. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - dermatology.mhmedical.com/content.aspx?aid=1175091497 ER -