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Nasolabial V‐Y Advancement for Closure of the Midface Defects

BACKGROUND V-Y subcutaneous advancement flaps receive an excellent blood supply from subcutaneous tissue and are ideal for use on the face. Also it is advantageous cosmetically compared to other local flaps. OBJECTIVE Nasolabial V-Y advancement flaps are very useful in closing defects of the midface region after tumor resection. METHODS Our experience with nasolabial V-Y flaps in 22 patients is reported. The average defect size was 2.4 cm × 3.2 cm. RESULTS Minor flap necrosis occurred in one patient and simple lower eyelid ectropion in another. CONCLUSION Nasolabial V-Y advancement flap is a simple and satisfactory alternative for closing relatively large defects in the midface when compared with other methods such as skin graft and rotation or transposition flaps. It is easy to design, reliable, and offers good cosmetic results.