Dermatosurgery rounds: crescentic nasojugal flap (perialar crescentic advancement flap) for reconstruction of a cutaneous defect involving the nasal dorsum and the lateral nasal sidewall

A 68-year-old male presented to the dermatology department with a primary complaint of a tumorous formation measuring 1.5×1.5 cm and protruding above the surrounding skin. The lesion exhibited a central hyperpigmented nodule and visible telangiectasias. It involved multiple nasal cosmetic subunits, extending across the right inferior dorsum nasi onto the inferior portion of the right lateral nasal sidewall and bordering the right ala and nasal tip. Based on the clinical presentation, nodular basal cell carcinoma was suspected and surgical excision under local anesthesia was recommended. [...]