The nasofacial sulcus as a primary donor site for full-thickness skin grafts of the nasal alar and distal nose.

Full-thickness skin grafting (FTSG), from a number of potential donor sites (Table 1), is a well-established, efficient, and commonly used repair technique for superficial defects of the alar nasi. Reconstructive surgeons aim to choose a good tissue match (in terms of texture, actinic damage, and sebaceous quality) for the removed skin while also considering the repair of the donor site and any associated postoperative morbidity. Although adjacent skin optimizes tissue match between removed and grafted skin, it has been said that this is rarely a practical option for anything but the smallest of nasal defects. Herein we describe the utility of the nasofacial sulcus as a primary donor site for FTSG repair of small to medium-sized defects of the alar and distal nose.