Case ReportCorrection of Atrophic Nasal Ala by Sandwiching an Auricular Cartilage Graft Between Para-alar and Nasal Floor Retrogressive FlapsSuzuki, Shigehiko MD*; Muneuchi, Gan MD†; Kawai, Katsuya MD*; Naitoh, Motoko MD*Author Information *Department of Plastic Surgery, Kyoto University Graduate School of Medicine; and the †Department of Plastic Surgery, Kagawa Medical University, Japan. Received October 7, 2002 and in revised form November 26, 2002. Accepted for publication November 26, 2002. Reprints: Dr Suzuki, Department of Plastic Surgery, Kyoto University Graduate School of Medicine, Shogoin, Sakyo-Ku, Kyoto 606-8507, Japan. Annals of Plastic Surgery: November 2003 - Volume 51 - Issue 5 - p 513-516 doi: 10.1097/01.SAP.0000058506.45185.2D Buy Metrics Abstract To correct atrophy of the nasal ala, combined flaps of the para-ala and the nasal floor were used. The flaps were pedicled on the alar base then slid in a retrograde fashion. Auricular cartilage harvested from the concha was placed in the original ala and between the para-alar and the nasal floor flaps to support the reconstructed nasal ala. The resulting skin defects in the nasal floor were covered with the skin grafts taken from postauricular regions. Postoperative scars were not conspicuous because suture lines were placed on the alar groove and the postauricular groove. © 2003 Lippincott Williams & Wilkins, Inc.