Repair of small nasal defects.

Nasal reconstruction is a challenging yet rewarding endeavor. Repair of nasal defects requires an appreciation of variations in nasal skin thickness and the influence of these differences on potential reconstructive methods. Multiple factors help determine the optimal method of repair, including the size of the defect relative to the amount of remaining skin, the depth and location of the defect, and the strength of the underlying nasal framework. Maintaining symmetry, contour, and function is essential for a successful nasal reconstruction.