Reconstruction of the Nasolabial Fold Using Island Pedicle Flap: A Systematic Approach for Flap Design

Authors

  • Andrew Yoshihiro Wirya Dermatovenereology, Udayana University/Prof. Dr. I.G.N.G Ngoerah General Hospital Dermato-venereology Department, Indonesia
  • Ketut Kwartantaya Dermatovenereology, Udayana University/Prof. Dr. I.G.N.G Ngoerah General Hospital Dermatovenereology Department, Indonesia
  • I Gusti Nyoman Darmaputra Dermatovenereology, Udayana University/Prof. Dr. I.G.N.G Ngoerah General Hospital Dermatovenereology Department, Indonesia
  • Nyoman Yoga Maya Pramita Dermatovenereology, Udayana University/Prof. Dr. I.G.N.G Ngoerah General Hospital Dermatovenereology Department, Indonesia
  • Herman Saputra Pathology, Udayana University/Prof. Dr. I.G.N.G Ngoerah General Hospital Pathology Department, Indonesia

Keywords:

Surgical Flaps, Reconstructive Surgery, Basal Cell Carcinoma

Abstract

Reconstruction of nasolabial defects following wide excision presents both functional and aesthetic challenges. We report the case of a 65-year-old female with basal cell carcinoma in the nasolabial region who underwent a 5-mm wide excision followed by reconstruction using an island pedicle flap. The flap demonstrated excellent viability, and follow-up revealed satisfactory wound healing with minimal scarring. This case highlights the versatility and safety of the island pedicle flap for defect repair in the nasolabial region. Successful outcomes depend on careful flap design with attention to anatomic distortion, vascular supply, technical execution, and aesthetic considerations. The island pedicle flap remains a reliable and effective option for reconstruction of nasolabial defects after tumor excision.

References

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Published

2025-12-31

How to Cite

1.
Wirya AY, Kwartantaya K, Darmaputra IGN, Pramita NYM, Saputra H. Reconstruction of the Nasolabial Fold Using Island Pedicle Flap: A Systematic Approach for Flap Design. J Pak Assoc Dermatol [Internet]. 2025Dec.31 [cited 2026Jan.21];35(4):359-62. Available from: https://www.jpad.com.pk/index.php/jpad/article/view/2455

Issue

Vol. 35 No. 4 (2025): October-December

Section

Case Reports

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