The use of perforator flaps in face reconstruction is becoming increasingly common. They are particularly useful in nose reconstruction, where they can be tailored to match the complex three-dimensional structure of the nasal concave and convex subunits.
Literature on this topic is still limited, with only 12 studies reporting data on 129 recon-structions. Reconstruction of nasal defects with pedicled perforator flaps is a novel and expanding field. It allows for the achievement of good aesthetic results, with a single op-eration and low donor site morbidity. Temporary venous congestion frequently occurs, but resolves spontaneously without leaving sequelae. Also, perforator flaps have precipi-tated a novel approach to nose reconstruction, allowing for the modification of both ran-dom and axial flaps according to a “perforator-like technique”.