Nasal Ala Reconstruction Using a 2-stage Nasolabial Flap: Retrospective Analysis of a Refined Technique

Reconstruction of the nasal alar subunit remains a challenging task in reconstructive surgery. Due to the anatomical complexity of this region, the demands for an ideal flap are manifold. Although the nasal ala is structured to allow facial expressions and breathing, it also contributes to the aesthetic aspects of the nose.

We developed a refined 2-stage nasolabial flap procedure using a turnover flap for the inner lining. Although enhancing aesthetic and functional outcomes, the procedure aims to minimize bulkiness and improve contour definition.

The 2-stage nasolabial flap was performed on 6 patients between 2018 and 2024. No major complications occurred, and no partial or complete flap loss was observed. No significant nostril asymmetry or nasal obstruction was reported. Aesthetic outcomes were rated as satisfactory by all patients. Scars were minimal, and flap swelling decreased within 3 months.

Compared with other reconstructive options, the nasolabial flap offers a safe, fast, cosmetically pleasing, and simple procedure for the reconstruction of the nasal alar subunit.