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March 14, 2026International Journal of DermatologyOpen Access

Reconstruction of a Columellar Defect Following Excision of an Infiltrating Basal Cell Carcinoma

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To address the reconstruction of a columellar defect following excision of an infiltrating basal cell carcinoma.
Surgical excision was performed on a columellar basal cell carcinoma with subsequent full-thickness defect.
A bilateral advancement flap was used for repair, utilizing an H-shaped incision pattern.
Local anesthetic was infiltrated, and dissection was done in the subcutaneous plane to preserve flap vascularity.
Postoperative follow-up at 6 months showed preserved columellar morphology and symmetric nasal contour.
Scars were well hidden, and nostril patency was maintained with high patient satisfaction.
The reconstruction offered a single-stage solution with minimal morbidity.

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Implication

A case report demonstrates successful columellar reconstruction using a bilateral advancement flap after basal cell carcinoma excision, highlighting functional and aesthetic outcomes.

Cite This Study

Lippolis et al. (2026) studied this question.

synapsesocial.com/papers/69b4add218185d8a39801ddf https://doi.org/10.1111/ijd.70386

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Implication

A case report demonstrates successful columellar reconstruction using a bilateral advancement flap after basal cell carcinoma excision, highlighting functional and aesthetic outcomes.

Reconstruction of a Columellar Defect Following Excision of an Infiltrating Basal Cell Carcinoma

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Implication

Cite This Study

Reconstruction of a Columellar Defect Following Excision of an Infiltrating Basal Cell Carcinoma

Key Points

Discussion

Implication

Cite This Study

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