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A Journal on Dermatology

Journal of Istituto Dermatologico San Gallicano
Official Journal of the Associazione Dermatologi Ospedalieri Italiani - A.D.O.I.
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Esperienze Dermatologiche 2013 September;15(3):129-31

language: Italian

The stair-step flap in alar nose notching

Russo A. 1, Vernoni S. 2, Dondas A. 1, Ascari Raccagni A. 1

1 Unità Operativa di Dermatologia, Azienda Unità Sanitaria di Forlì, Ospedale “G. B. Morgagni – L. Pierantoni”, Forlì, Italia;
2 Clinica Dermatologica, Università di Trieste, Trieste, Italia


The alar lobules of the nose are frequently submitted to complex and extensive cutaneous surgery procedures, with large demolitions and they often need a great attention to obtain a pleasant and symmetrical appearance of their shaft. One of the most common esthetic complications is the deformation and lifting of the lower alar side, an unfavorable fenomena that can manifest even after a long time and is summarized by the English term “notching”. The stair-step flap consists of a series of incisions steps along the retraction area from the upper alar side down to its lower line; it is a simple and fast method, easy to perform in a single surgical time, with good healing time and aesthetic outcome.

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