Rotational Columellar Skin Flap for Nasal Alar Rim Reconstruction

Nasal alar reconstruction is complex due to the region's anatomy and aesthetic importance. This report describes repairing a small, full-thickness alar rim defect in a 36-year-old man using a rotational columellar skin flap with septal cartilage grafting. This single-stage technique achieved good color match, symmetry, and minimal donor-site morbidity. Compared to multi-stage flaps or composite grafts, this method is less invasive and effective for small defects, offering reliable aesthetic and functional results in carefully selected cases.Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.