SUMMARY: Nasal tip reconstruction is a complex undertaking. However, the restoration of soft triangle to mimic the opposite side is extremely difficult. Small nasal defects especially resulting from human bite do not warrant staged forehead flaps. Local flaps are usually not sufficient. We present our experience of six cases in which we used composite grafts consisting of small pieces of cartilage wrapped in its cutaneous envelope for reconstruction of the tip of nose. Four of the grafts successfully took while one was totally lost. One patient required some secondary augmentation. The resulting donor defect was primarily closed with an acceptable scar.
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