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Full-thickness skin grafts (FTSGs) are often used to repair superficial nasal-tip defects after skin cancer surgery. Although these grafts are easy to perform, the results are often less than optimal due to poor match of skin color and texture. These authors report their experience using conchal bowl FTSGs in the repair of more than 100 nasal-tip surgical defects. (The conchal bowl is the concave surface of the ear pinna posterior to the auditory canal and anterior to the ear pinna antihelix.) This site was chosen because histologically it shows a relatively high density of sebaceous glands, similar to the density seen in the nasal tip.
The FTSG was harvested in the supraperichondrial plane and was cut slightly smaller than the size of the r…