The procedure described here consists of a myocutaneous axial flap wit
h lateral pedicle. It uses the transverse part of the nasal muscle tha
t goes forward in rotation and the lateral and superior portions of th
e flap in the V-Y. The procedure is useful for repairing losses of nas
al tip and the surrounding area. It is a simple method that can be use
d to reconstruct the brim near the tip of the nose, yielding an aesthe
tically and functionally efficient nose.