The wingman flap: Bilateral closure of a supra-tip defect of the nose

Mohs micrographic surgery for basal cell carcinoma on the nose may result in a large defect (Fig 1) posing challenges to achieve a cosmetically acceptable closure. Most reconstruction options for a supra-tip defect result in a fairly large scar across the dorsum of the nose or risk asymmetry in at least the shape of the scar.

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