Reconstruction of the nose poses a vitally important challenge to the dermatologic surgeon. This is the most prominent feature on the human face. Due to the high incidence of cutaneous malignancies in this area, knowledge of unique anatomic considerations of the nose and the ability to apply this knowledge are essential to repair defects in this region.

The nose has many features such as differing surfaces that make reconstruction challenging, because these surfaces are in close proximity and are both convex and concave.<sup>27 Zitelli J.A. Reconstruction of the nose with local flaps J Dermatol Surg Oncol 1991 ;  17 : 184

Cliccare qui per andare alla sezione Riferimenti</sup> Because the nose does not have a great deal of tissue laxity, making closure of defects difficult, its texture, with its high concentration of sebaceous glands, makes tissue matches for full-thickness skin grafts and local flaps challenging. This article reviews the anatomy and the anesthesia of the nose. The reconstruction of defects of the nose by secondary intention, primary closures, grafts, and local flaps is also discussed.