Fat Graft Transfer in Nasal Tip Reconstruction

Objective To assess the esthetic and functional outcomes of reconstructing small cutaneous nasal tip defects with fat graft transfer. Methods Under local anesthesia, fat graft transfer was performed in nine patients affected by non-melanoma skin cancer of the nasal tip to fill surgical gap. A NAFEQ questionnaire was submitted to all patients to verify nasal function and appearance. Results The surgery was uneventful in all cases. In most of the patients (8 of 9 patients), the adipose tissue graft remained vital and re-epithelization started from the edges of the resected area. In three patients, a hematoma in the donor site was observed. All patients were satisfied of esthetical appearance of the nasal tip and of the nasal function. Conclusions The fat tissue graft is a good reconstruction option because it gives both good esthetic and functional results, and it can be performed also in elderly patients with many comorbidities.