Summary:. We introduce and evaluate a novel L-shaped perforator free flap from the thenar eminence for total nasal ala reconstruction. addressing both the inner and outer linings in complex nasal reconstruction cases. A 74-year-old man with a history of basal cell carcinoma and multiple failed local flap reconstructions underwent nasal ala reconstruction using the L-shaped thenar flap. https://chefesquipmenters.shop/product-category/deep-fryer-filter-pots/