A new technique of subdermal flap dissection for reconstruction of the ala of the nose

There are different techniques for reconstruction of the ala of the nose. Nasolabial flaps are commonly used. With these techniques nasolabial and perialar skin is subdermally dissected and turned over into the defect to create both the inner and outer lining of the ala. If there is also loss of the perialar and nasolabial skin, such techniques become impossible. With a modification it is still possible to reconstruct both the ala of the nose and the perialar/nasolabial skin in one operation. A VN sliding flap from the cheek with a side extension from the lower nasolabial fold used as a turnover flap is dissected. With this technique it is also possible to reconstruct isolated loss of the ala of the nose.