Combination of a glabellar flap and a transposition flap for the reconstruction of 2 noncontiguous nasal defects.

The reconstruction of multiple surgical defects of the nasal pyramid is not a common situation and can be a challenge for the dermatologic surgeon, as the reconstructive techniques are limited. The problem is further compounded when the surgical defects are anatomically independent and cannot be united into a single defect. In such reconstructions, it is essential to take into account the color, texture, and morphology of the different anatomical subunits of the nose, as well as the tension lines in each region, making the situation yet more complex. The skin of the glabellar region is frequently used to close defects of the external nose because of its excellent blood supply, its ample reserve of tissue, and its satisfactory