{Reference Type}: Journal Article {Title}: Nasal ala V-Y island flap with a superior vascular pedicle based on inferior perforators of the superior alar artery. {Author}: Read J;Coates D;Pagliaro J;Gaspar Z; {Journal}: Australas J Dermatol {Volume}: 65 {Issue}: 3 {Year}: 2024 May {Factor}: 2.481 {DOI}: 10.1111/ajd.14265 {Abstract}: 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.