Reliability of the helical advancement flap for auricular reconstruction.

GUIDELINES Viewpoints, pertaining to issues of general interest, are welcome, even if they are not related to items previously published. Viewpoints may present unique techniques , brief technology updates , technical notes, and so on. Viewpoints will be published on a space-available basis because they are typically less time-sensitive than Letters and other types of articles. Please note the following criteria: • Text—maximum of 500 words (not including references) • References—maximum of five • Authors—no more than five • Figures/Tables—no more than two figures and/or one table Authors will be listed in the order in which they appear in the submission. Viewpoints should be submitted electronically via PRS' enkwell, at www.editorialmanager.com/ prs/. We strongly encourage authors to submit figures in color. We reserve the right to edit Viewpoints to meet requirements of space and format. Any financial interests relevant to the content must be disclosed. Submission of a Viewpoint constitutes permission for the American Society of Plastic Surgeons and its licensees and assignees to publish it in the Journal and in any other form or medium. The views, opinions, and conclusions expressed in the Viewpoints represent the personal opinions of the individual writers and not those of the publisher, the Editorial Board, or the sponsors of the Journal. Any stated views, opinions, and conclusions do not reflect the policy of any of the sponsoring organizations or of the institutions with which the writer is affiliated, and the publisher, the Editorial Board, and the sponsoring organizations assume no responsibility for the content of such correspondence. A 46-year-old man requested aesthetic enhancement of his nasolabial folds. Local anesthetic block of the infraorbital nerves was achieved using 2% lido-caine with 1:100,000 epinephrine. One cubic centimeter of hyaluronic acid gel (Juvéderm; Allergan, Inc., Irvine, Calif.) was injected into both nasolabial folds through a transcutaneous and superior gingi-vobuccal sulcus approach. Successful effacement of the nasolabial folds was achieved. The patient tolerated the procedure well and there were no immediate postinjection complications. On postinjection day 1, the patient reported right-sided alar pain during the prior night. The external skin of the right ala appeared dusky with poor capillary return, but the nasal mucosa was intact. Over the ensuing days, epidermal sloughing was seen from the right nasofacial angle over the right alar region to the soft triangle. The lateral crus of the alar cartilage was not involved. Granulation tissue and epithelium emanated from the sebaceous pores …