Nasolabial flap and its modifications are a group of versatile flaps used in reconstructive surgeries of face and oral cavity providing a source of pliable skin with good colour match! However, scar on the face is a serious limitation and therefore, needs careful planning.
Full thickness defects of ala of nose can be reconstructed by local flaps or composite graft. Pinna provides an excellent source of composite graft. The present case already had an oblique facial scar near the nasolabial fold, therefore the incision for flap was modified to keep the same scar line.