Reconstruction of nasal ala with nasolabial perforator flap after cancer removal

Before the concept of perforator anatomy and perforasome was established, coverage of defects in nasal alar was performed with random local flaps from adjacent skin. This method was fairly successful, but restrictions in flap mobility were a major drawback. In an attempt to overcome this disadvantage, researchers have successfully reported the use of flap mobility and rotation using perforator flaps based on nasolabial perforators. Here, after removal of malignancy of the nose, eight patients received reconstruction with perforator flap based on nasolabial perforator of the facial artery, which was elevated as an island pattern. All flaps completely survived. Two cases which were extensively rotated in a propeller pattern temporarily experienced flap congestion, but later, this completely resolved. All donor sites were healed by direct closure. Versatility of this flap facilitates its further utilisation in reconstruction of other facial regions. Here, we report our novel methodology along with an update of the literature.