Background. Numerous traditional and contemporary methods for nasal reconstruction are used today. Our investigation qualitatively analyzed different methods of nasal tip reconstruction which led to the development of an algorithm for repair based on the size, depth, and location of tissue loss.
Methods. A case series of 165 nasal tip reconstructions performed during a 2-year period followed for at least 6 months was critically analyzed with photographic documentation.
Results. Different methods of reconstruction exhibited varying aesthetic results. Analysis of surgical reconstructions led to the development of an algorithm based on the area of tissue defect.
Conclusions. An algorithm was developed for nasal tip reconstructions based on the size and location of tissue defect. Both the recipient and donor sites were analyzed for aesthetic result and complications. © 1994 John Wiley & Sons, Inc.