Surgical skill in a nutshell
Vol. 18 No. 2 (2026)
https://doi.org/10.4081/dr.2025.10443

Dermatologic surgery rounds: cheek advancement flap for lateral nasal defect reconstruction after basal cell carcinoma removal

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Published: 30 July 2025
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Cheek advancement flap, dorsum nasi, lateral nasal defect, dermatologic surgery, basal cell carcinoma

Authors

Georgi Tchernev
Onkoderma, Clinic for Dermatology, Venereology, and Dermatologic Surgery, Sofia; Department of Dermatology and Venereology, Medical Institute of the Ministry of Interior, Sofia, Bulgaria.
Konstantin Georgiev Tchernev Jr
Onkoderma, Clinic for Dermatology, Venereology, and Dermatologic Surgery, Sofia, Bulgaria.
Simona Kordeva
simonakordeva97@gmail.com
Onkoderma, Clinic for Dermatology, Venereology, and Dermatologic Surgery, Sofia; Department of Dermatology and Venereology, Medical Institute of the Ministry of Interior, Sofia, Bulgaria.

A 75-year-old female presented to the dermatology department with a primary complaint of a solitary tumor formation located on the dorsum nasi region, slightly toward the left sidewall. The lesion was round, approximately 1 cm in diameter, prominent above the surrounding skin, with multiple telangiectasias and a characteristic pearly edge. [...]

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Citations

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Europe PMC
1. Himeles JR, Criscito MC, Kellner R, et al. Applying Occam’s Razor and Descending the Reconstructive Ladder: The Modified Cheek Advancement Flap for Reconstruction of Nasal Defects. Facial Plast Surg 2023;39:180-4.
2. Chen EH, Johnson TM, Ratner D. Introduction to flap movement: reconstruction of five similar nasal defects using different flaps. Dermatol Surg 2005;31:982-5.
3. Tchernev G, Kordeva S. Cheek аdvancement flap for BCC of the nose: the nitrosamine contamination during the combined drug intake as important skin cancer triggering factor. Acta Medica Bulgarica 2025;52:67-75.

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1.
Tchernev G, Tchernev Jr KG, Kordeva S. Dermatologic surgery rounds: cheek advancement flap for lateral nasal defect reconstruction after basal cell carcinoma removal. Dermatol Reports [Internet]. 2025 Jul. 30 [cited 2026 Jun. 10];18(2). Available from: https://journals.pagepress.net/dr/article/view/10443
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