Rotation advancement flap for isolated congenital alar rim defect: an effortless paradigm?

Congenital isolated alar defects are exceptionally rare with 6 cases reported out of all cranio-facial clefts. This entity provokes the ingenuity of the surgeon to manifest a symmetry in form, shape and contour with aesthetically acceptable scarring of the most dominant structure defining the mid face. We present a rotation advancement flap, from the armamentarium of the surgeon, proficient in addressing all the concerns of the patient and treating surgeon for congenital alar cleft.