Bipedicled Bridge Flap Reconstruction: A Novel Flap for Functional and Aesthetic Closure on the Nasal Dorsum.

Cohort studyDermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]· Apr 2026

Bipedicled Bridge Flap Reconstruction: A Novel Flap for Functional and Aesthetic Closure on the Nasal Dorsum.

Paul J M Salmon, Neil J Mortimer, Adrian J Seine, Richard Barlow

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Dermatologic SurgeryCohort studyTreatmentQ2IF 1.2

Bipedicled bridge flap yields excellent cosmetic scores in nasal dorsum reconstruction.

Bipedicled Bridge Flap Reconstruction: A Novel Flap for Functional and Aesthetic Closure on the Nasal Dorsum.

Paul J M Salmon … Richard Barlow

Dermatologic surgery · Apr 2026 · Q2 in Dermatology

Background

Reconstructive options for nasal dorsum defects are limited by poor skin laxity and high aesthetic demands.

Purpose

To introduce and evaluate a novel reconstructive method-the bipedicled bridge flap|(BBF)-that combines the reliability of dual-pedicle vascularity with scar concealment along cosmetic subunit boundaries.

Methods

Prospective single-center study of consecutive patients undergoing BBF reconstruction of nasal dorsum defects after Mohs micrographic surgery between June 2021 and June 2025.

Median MSS = 4

Results

Median MSS = 4

A Manchester Scar Scale score of 4 indicates excellent cosmetic scarring after flap repair.

More results

Mean defect size was 1.7 cm2 (range 0.3-4.3).

No infections, necrosis, dehiscence, hematoma, or hypertrophic scarring occurred.

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Conclusion · 1 of 3

The BBF is a novel, reliable, and versatile single-stage option for small-to-medium nasal dorsum defects, expanding current reconstructive algorithms by combining favorable vascularity with superior aesthetic concealment.

Conclusion · 2 of 3

Cutaneous malignancies of the nose are common and frequently require Mohs micrographic surgery to achieve complete excision.

Conclusion · 3 of 3

Reconstruction of the nasal dorsum after tumor removal remains one of the most technically and aesthetically demanding challenges in dermatologic surgery.

Bipedicled Bridge Flap Reconstruction: A Novel Flap for Functional and Aesthetic Closure on the Nasal Dorsum.

Bipedicled Bridge Flap Reconstruction: A Novel Flap for Functional and Aesthetic Closure on the Nasal Dorsum.

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