“…Several techniques have been established to reconstruct partial-thickness defects of the nasal ala. For smaller defects, these include second intention healing, side-to-side closure, delayed closure with serial tightening, full-thickness skin grafts, the myocutaneous island pedicle fl ap, the rhombic transposition fl ap, the Z-advancement fl ap, the keystone perforator island fl ap, or the bilobed fl ap. Larger defects may be closed using the cranially inserted nasolabial transposition fl ap (melolabial fl ap), the subcutaneous island pedicle fl ap, the shark island fl ap, the nasal dorsum transposition fl ap, the two-stage nasolabial interpolation fl ap or dermal regeneration templates as one-stage or two-stage procedures [ 1,[3][4][5][6][7][8][9][10][11][12] . Unfortunately, complication rates associated with an undesirable cosmetic outcome are highest for defects of the nasal ala and tip [ 13 ] .…”