MicrosurgeryTotal Nasal Reconstruction With Prefabricated and Prelaminated Free FlapCavadas, Pedro C. MD, PhD; Torres, Asia MDAuthor Information From the Reconstructive Microsurgery, Clinica Cavadas, Valencia, Spain. Received August 23, 2018, and accepted for publication, after revision July 18, 2019. Conflicts of interest and sources of funding: none declared. Reprints: Pedro C. Cavadas, MD, PhD, Reconstructive Microsurgery, Clinica Cavadas, Paseo Facultades 1, 46021 Valencia, Spain. E-mail: [email protected]. Annals of Plastic Surgery: December 2019 - Volume 83 - Issue 6 - p e35-e38 doi: 10.1097/SAP.0000000000002077 Buy Metrics Abstract Nasal reconstruction is a complex staged procedure. When optimal donor areas are unavailable, flap prefabrication and prelamination techniques can be used for total nasal reconstruction. A technique of total nasal reconstruction using neovascularization of the supraclavicular skin from a skin free flap used for internal lining, along with prelamination of the cartilage framework and surgical delays, is described in 2 patients with adverse anatomical conditions. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.