Reconstruction of the ala nasi and the tip of the nose by means of an alar-columellar flap.

This paper describes a new technique for reconstructing the nasal ala or the tip of the nose. It is useful for defects that are too large for closure with composite grafts and gives a good aesthetic result as there are no visible scars. An understanding of the vascular anatomy of the alar-columellar flap is essential if it is to be used successfully.