Defects at the dorsum or tip of the nose are a special challenge for plastic surgeons. Considering the tough skin, primary closure is normally not possible. As full-thickness skin grafts are not satisfactory, we strive for defect-coverage using adjacent skin. One possibility is the bilobed flap which can be used all over the body. Indications, special planning, and technique as well as several variations of the bilobed flap in the nasal region are discussed.
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