Lesion‐directed treatment for actinic keratoses

containing local anaesthetic or the topical use of vasodilator agents affects outcomes in FTSG repair. Whether FTSGs that do span the entire alar unit are less prone to pincushioning without the need for postoperative intervention, or whether the use of synthetic collagen matrix materials (dermal substitutes) are superior to muscular/cutaneous hinge flaps or even delayed grafting are some of the questions pertaining to ala reconstruction that are yet to be answered in randomized controlled trials. The authors of this current series are to be commended for their work.