[Reconstruction of the nasal ala with a glabella flap]

Reconstruction of the nasal ala demands a two-layer reconstruction with or without a cartilaginous support. Many techniques are described: most of them need several stages either by a delayed procedure or by secondary thinning. Often the external skin is taken from the surrounding area, but the texture of the skin is different and obvious scars may result. Therefore, we suggest using a rotation flap from the glabella combined with a trap-door flap from the nose or the septum. A thin, well-shaped nasal ala can thus be rebuilt without additional obvious scars.