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By Neil S Sadick; et al

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C. Rhombic—1 month postoperative ● ● Melolabial ● Rhombic ● Nasal ala ● Small and laterally placed defect? Consider a rhombic flap from the nose/cheek crease. ● Medial defect? Consider a V to Y advancement. ● Lateral defect? Consider a meilolabial flap. Ala ● ● Rhombic (Fig. 23) V to Y advancement ● Meilolabial (Fig. 5 cm or less? The bilobed transposition is often the best choice. You can use the bilobed transposition for defects up to 2 cm, but it cannot be used for defects placed too far superiorly on the nose or on an excessively short nose as the inner canthus does not allow for good pivotal movement of tissue.

Click here for terms of use. 48 | Concise Manual of Cosmetic Dermatologic Surgery ● Delineate the exact procedure, indications for therapy, treatment alternatives, and complications. ● Procerus pulls the forehead skin inferiorly and determines medial eyebrow height. ● Consent for photography advisable. ● ● The form should be signed by the patient and the witness in a dated format and should be offered to the patient for his/her individual record. Vertical perioral rhytids, commonly referred to as “smoker’s lines,” or “lipstick bleeders,” are the product of repeated activity of the orbicularis oris muscle.

Rhombic—immediately postsuture. C. Rhombic—1 month postoperative ● ● Melolabial ● Rhombic ● Nasal ala ● Small and laterally placed defect? Consider a rhombic flap from the nose/cheek crease. ● Medial defect? Consider a V to Y advancement. ● Lateral defect? Consider a meilolabial flap. Ala ● ● Rhombic (Fig. 23) V to Y advancement ● Meilolabial (Fig. 5 cm or less? The bilobed transposition is often the best choice. You can use the bilobed transposition for defects up to 2 cm, but it cannot be used for defects placed too far superiorly on the nose or on an excessively short nose as the inner canthus does not allow for good pivotal movement of tissue.

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