The transposition flap is one of the most useful methods of facial reconstruction after Mohs micrographic surgery of the basal cell carcinoma, but occasionally some variations are needed.

We present our experience with several variations of the transposition flap to overcome the disadvantages of classic rhomboid flaps.

We performed the Webster 30-degree angle flap on the lower eyelid, the double 30-degree angle flap on the temple area and the nasolabial flap on the ala nasi.

These variations of the transposition flap gave no complications such as ectropion, tissue distortion, protrusion, or trapdoor deformity.

The variations of the transposition flap in our cases might be of help in selecting the ideal method in facial reconstruction.