Aesthetic Plastic Surgery

, Volume 32, Issue 3, pp 576–578 | Cite as

Use of Bilaterally Pedicled V-Y Advancement Flap for Reconstruction of the Nose

  • Horia R. SiclovanEmail author
  • Salim Azar
Letter to the Editor

The bilaterally pedicled V-Y advancement flap was introduced by Pontes in 2002 with clinical applications for facial reconstruction [1]. Here we present the use of a bilaterally pedicled V-Y advancement flap for reconstruction of the nose following excision of a recurring basal cell carcinoma in a 97-year-old patient. The bilaterally pedicled V-Y advancement flap is based on two subcutaneous pedicles that vascularize the skin island through subdermal plexus lateral bridges. It differs from traditional V-Y advancement flaps in that it does not rely on the classic subcutaneous vertical pedicle that is sectioned from top to bottom to improve advancement of the skin island based only on its bilateral pedicles.

A 97-year-old man presented with a recurrence of a basal cell carcinoma 2.5 cm in diameter and located on the lower half of the nasal dorsum (Fig.  1). A bilaterally pedicled V-Y advancement flap was designed from the frontal region to the upper half of the nasal dorsum (Fig.  2). The...


Basal Cell Carcinoma Aesthetic Result Advancement Flap Pedicled Flap Lateral Cartilage 
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  1. 1.
    Pontes L, Ribeiro M, Vrancks JJ, Guimaraes J (2002) The new bilaterally pedicled V-Y advancement flap for face reconstruction. Plast Reconstr Surg 109:1870–1874PubMedCrossRefGoogle Scholar
  2. 2.
    Andrades PR, Calderon W, Leniz P, Bartel G, Danilla S, Benitez S (2005) Geometric analysis of the V-Y advancement flap and its clinical applications. Plast Reconstr Surg 115:1582–1590PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  1. 1.Clinic of Plastic and Reconstructive SurgeryClinical County HospitalSibiuRomania
  2. 2.Med Art ClinicsRiyadhSaudi Arabia
  3. 3.“Dr. Azar” ClinicTimisoaraRomania

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