Clinical StudiesNasolabial Perforator Flap A Multi-Tool for Reconstruction of Facial UnitsErcan, Alp MD*; Ercan, Leman Damla MD†; Demiroz, Anil MD‡Author Information *Department of Plastic, Reconstructive and Aesthetics Surgery, Memorial Atasehir Hospital †Department of General Surgery, Faculty of Medicine, Istanbul University ‡Department of Plastic, Reconstructive and Aesthetics Surgery, Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Turkey. Address correspondence and reprint requests to Alp Ercan, MD, Istanbul Teaching and Research Hospital, Haseki Sultan Mah. Cevdetpasa Caddesi 94/12 Fatih/Istanbul, Turkey; E-mail: firstname.lastname@example.org, email@example.com Received 2 July, 2019 Accepted 27 November, 2019 The authors report no conflicts of interest. Journal of Craniofacial Surgery: June 2020 - Volume 31 - Issue 4 - p 1042-1045 doi: 10.1097/SCS.0000000000006285 Buy Metrics Abstract Background: Nasolabial flap is a work-horse flap for coverage of many facial units. However, these flaps have limited mobility and these limit their use in many instances. Facial artery with its numerous small cutaneous perforators can be a source for free-style skin flaps that can be islanded and have greater reach, one of which is nasolabial perforatory flap. Methods: The authors present a case series of 35 patients with central facial unit defects reconstructed by a single flap harvested from the nasolabial sulcus. Results: In our series, we did not encounter any significant flap loss and patient satisfaction was high both functionally and aesthetically. Main drawbacks were temporary venous congestion and hair bearing flaps in male patients. Conclusion: The authors think with its reliability and versatility nasolabial perforator flaps, based on the same donor area as the traditional nasolabial flap can be a valuable addition to our arsenal in reconstruction of central facial unit defects. © 2020 by Mutaz B. Habal, MD.