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Adjunctive use of primary nasal tip closure to facilitate local flap closure of challenging nasal defects.

Closure of large nasal tip and dorsum defects after Mohs micrographic surgery (MMS) is a challenge that Mohs reconstructive surgeons encounter frequently. When designing these closures, attention must be paid to functional preservation and esthetic restoration. Options for nasal reconstructions include healing by second intention, primary closure, skin grafting, local nasal flap repair, and staged interpolation flap reconstruction.