The hatchet flap, well known for repair of the nasal pyramid, laterofacial defects and pressure sores, is used to reconstruct different aesthetic units of the face. The authors describe the surgical technique and its clinical applications to the different face subunits in 38 patients, highlighting the easy learning curve, the versatility of the flap and the good aesthetic results when the principles of the facial units are respected. No previous detailed report has been described in the literature.

        Key words: hatchet flap, face skin defects, facial reconstruction