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The nose has a dominant position on the face, and is of great importance in the context of facial aesthetics [1]. If trauma, tumor extirpation, or scar contracture causes defect or notching in the nose, aesthetic and functional problems occur as a result. Therefore, the reconstruction of nasal defects is a challenging and important area for plastic surgeons. Reconstruction is not easy if defects occur in the lower third of the nose, because the lower third of the nose is a single subunit and has limited mobility [2]. Furthermore, the ala has a complex 3-dimensional (3D) shape and a convex curvature with 3 different components (inner mucosa, cartilage supporting the 3D shape, and outer skin) [3]. For this reason, many factors must be considered when reconstructing a nose, and if an incorrect reconstructive method is chosen, the free margin of the ala can be easily disrupted by imprecise closures [2]. Many methods have been developed for covering nasal defects. The most basic method is primary closure, but this method encounters limitations because alar asymmetry is unavoidable due to the intrinsic tissue defects. In addition, forehead flaps have been developed. However, forehead flaps are likewise not suitable for relatively young patients because they involve a multi-stage technique that is inconvenient for the patient. Local or regional flaps have the disadvantage of causing visible midfacial scars [4]. Finally, free flaps are not used in initial reconstructions, because the proceSeok Min Yoon, Da Woon Lee, Seung Min Nam, Syeo Young Wee, Hyun Gyo Jeong, Chang Yong Choi

Four Limb Shaped Auricular Chondrocutaneous Composite Graft for the Alar and the Columellar Defects