The Retroangular Flap Revisited

BACKGROUND To date, the retroangular flap has been used only for reconstruction of defects of the nose and the glabella. OBJECTIVE The objective was to expand the indications of the retroangular flap in facial reconstruction. MATERIALS AND METHODS We repaired the facial defects of 11 patients using 12 retroangular flaps. These defects were located on the nose in 4 patients, the lower eyelid in 4 patients, the upper eyelid in 2 patients, and the cheek in 1 patient. RESULTS The mean follow‐up time was 13.2 months. All of the flaps survived, and no revisional procedures were required. Cosmetic and functional outcomes were satisfactory in all patients. CONCLUSION The retroangular flap is a valuable alternative for the management of small‐ to moderate‐sized defects of the midface. We strongly suggest extending the use of this flap to include reconstruction of nasal, eyelid, and cheek defects.