LAUSR

The paramedian forehead flap (PMFF) remains the workhorse of the modern surgeon to restore large (>1.5–2 cm) nasal defects today (Cook & Zitelli, 2005; Correa, Weathers, Wolfswinkel, & Thornton, 2013). It is a staged, interpolation flap with a vertically oriented axial vascular supply, derived from the supratrochlear artery. This procedure provides high quality cosmetic and functional repairs, because of the excellent color and textural match of the forehead skin, the robust vascular pedicle, and the low donor site morbidity (Cook & Zitelli, 2005; Correa et al., 2013). However, medially located forehead flap (FF) variants, defined as midline FF, midline central artery FF, paramidline FF and others have been recently proposed as excellent alternatives to the classic PMFF (Faris, van der Eerden, & Vuyk, 2015; Namdev & Darbari, 2013; Oo & Park, 2011; Skaria, 2015a,b; Stigall, Bramlette, Zitelli, & Brodland, 2016). We report our experience with the use of both PMFF and median forehead flaps (MFF) to restore nasal defects after Mohs micrographic surgery (MMS) for basal cell carcinomas.