%0 Journal Article %T Nasal ala V-Y island flap with a superior vascular pedicle based on inferior perforators of the superior alar artery. %A Read J %A Coates D %A Pagliaro J %A Gaspar Z %J Australas J Dermatol %V 65 %N 3 %D 2024 May %M 38757426 %F 2.481 %R 10.1111/ajd.14265 %X For small defects of the anterior nasal ala, a V-Y pedicle advancement flap within the subunit is a useful repair option. Here we propose a modification of this technique, utilising careful dissection to identify inferior perforators of the superior alar artery. Basing this flap on a visualised vascular pedicle aims to prevent common complications of internal mucosal buckling and free margin notching, by allowing more extensive dissection without compromising the vascularity of the flap.