"West by East-West": combination repair of wide or multiple distal nasal defects.

The "West by East-West" reconstruction is designed to incorporate the CAF and the BAF utilizing the paranasal cheek tissue reservoir, midline nasal dorsum supra-perichondrial movement, and a shared standing tissue cone (STC). It provides a reproducible, single-stage reconstruction of the distal nose when defects are wide, multiple, or span multiple cosmetic subunits.