Two‐Stage Nasolabial Flaps for Facial Reconstruction: Revisiting the Three Week Rule for Pedicle Division

Results: Sixteen staged nasolabial flap nasal reconstructions were performed with an average patient age of 60 years old, ranging from 38 to 82 years old, with a 5:3 female to male ratio. The most common dermatologic pathology was basal cell carcinoma. The nasal ala was involved in 50% of cases, while the tip and dorsum were involved in 38% and 19% of surgical defects, respectively. Three patients were active smokers. The average defect area was 1.2 cm2, ranging from 0.12 to 4 cm2. Pedicle division occurred at any point between four and sixteen days, with a mean time to division of 7.3 days.