The use of folded melolabial interpolation flaps to repair full thickness distal nasal defects: A review of technique and results

  • Eamonn Maher Marshall University School Of Medicine
  • Scott Walen Saint Louis University School of Medicine
  • Ian Maher Saint Louis University School of Medicine
Keywords: MLIF, melolabial interpolation flap, flap, nasal reconstruction


The nose is a common site for skin cancer and there are several surgical options available for reconstruction after excision. Traditional surgical teaching suggests that in the case of a partial full thickness defect involving the distal nose or ala, a paramedian forehead flap (PMFF) or an intranasal lining flap with free cartilage graft and additional cutaneous flap should be performed. However, each of these options comes with unique disadvantages. The incision and pedicle required for the PMFF can be unsightly and functionally limiting, while the intranasal lining flap is technically challenging and can obstruct the nostril. Herein, we review our experience with a two-stage folded-over melolabial interpolation flap (MLIF) to repair partial full thickness defects of the distal nose and ala in order to recreate the cutaneous covering, nasal rim, and inner mucosal lining.

Author Biographies

Eamonn Maher, Marshall University School Of Medicine
3rd year medical student
Scott Walen, Saint Louis University School of Medicine

Assistant Professor

Saint Louis University-Department of Otolaryngology-Head and Neck Surgery


Ian Maher, Saint Louis University School of Medicine

Assistant Professor

Interim Director of Mohs Surgery and Cutaneous Oncology

Department of Dermatology

Saint Louis University


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