Frontonasal Flap Reconstruction for Nasal Tip, A Practical Review

Abstract

The frontonasal flap is a versatile, single-stage local cutaneous flap used for reconstruction of nasal tip and alar defects, most commonly following oncologic resection or trauma. Harvested from the nasal dorsum and glabellar region, it benefits from the robust vascular network of the upper nose, allowing safe transposition with predictable outcomes. Proper flap design—adapted in size, curvature, and scar placement—enables tailored reconstruction according to defect location, laterality, and patient-specific anatomy. Compared with larger axial flaps such as the paramedian forehead flap, the frontonasal flap offers a less invasive option for select defects, avoiding multistage reconstruction. Reported complication rates are low, with high aesthetic and functional satisfaction. This article reviews the indications, design principles, advantages, limitations, and current evidence surrounding the frontonasal flap, emphasizing its role as a reliable alternative in nasal reconstruction.