A patient was referred for surgical reconstruction of a left facial defect after Mohs surgery that resulted in loss of the apical triangle, more than half of the lateral superior ala, and 4 to 5 mm of the medial cheek (Figure 1). After a medial advancement flap to reconstruct the aesthetic subunit of the cheek and a paramedian forehead flap over an auricular cartilage batten graft to re-create the ala, distortion and loss of the apical triangle occurred. The overall result of the reconstruction could be considered reasonably successful, but the patient's face still did not appear completely symmetrical, particularly when attention was directed to the left apical triangle region. An inferior-medial displacement of the melolabial crease marked the distortion of this sub-unit (Figure 2). How would you repair this subunit?
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