Review the Converse scalping flap for nasal deformities. How is this done?
The area of skin to be transferred is located on the frontotemporal skin contralateral to superficial temporal artery that serves as the vascular base. The paddle of skin to be used as nasal cover is raised superficial to the frontalis muscle, leaving only skin and a thin layer of subcutaneous tissue. At the level of the hairline, the plane of dissection is deepened, penetrating the galea to raise the remainder of the pedicle of the flap in the subgaleal plane. The flap is rotated inferiorly and inset. The donor site may either be temporarily skin grafted or dressed. At division, the flap is replaced and the forehead defect is repaired with a full thickness skin graft.
