biostudies-literatureUnknown13(7)Patel JMReconstruction of the nasal ala poses challenges due to the need to maintain its concave 3-dimensional shape, preserve nasal symmetry with the contralateral ala, and retain functional patency of the nasal valve. Full-thickness defects after Mohs surgery that involve the external skin, fibrofatty middle portion, and internal nasal lining often require staged procedures for an acceptable cosmetic outcome. Herein, we describe a single-stage repair of the nasal ala using a subcutaneous pedicle advancement flap with a 180-degree transposition.Plastic and reconstructive surgery. Global opene6961https://www.ebi.ac.uk/biostudies/studies/S-EPMC12273638biostudies-literatureSingle-stage Nasal Ala Repair Using a Rotated Pedicle Flap.PMC12273638Patel JMKlein JCTate JNijhawan RIfalseSingle-stage Nasal Ala Repair Using a Rotated Pedicle Flap.Reconstruction of the nasal ala poses challenges due to the need to maintain its concave 3-dimensional shape, preserve nasal symmetry with the contralateral ala, and retain functional patency of the nasal valve. Full-thickness defects after Mohs surgery that involve the external skin, fibrofatty middle portion, and internal nasal lining often require staged procedures for an acceptable cosmetic outcome. Herein, we describe a single-stage repair of the nasal ala using a subcutaneous pedicle advancement flap with a 180-degree transposition.2025-01-01T00:00:00Z2025 Jul2026-03-27T16:18:44.971Z2025-08-30T03:06:01.328ZS-EPMC122736384068675710.1097/GOX.0000000000006961