use strict;
my $str = '<h1>Bla-bla-bla</h1><img class="class" alt="image" src="img.jpg">
';
my $regex = qr/(<h1>(.+?)<\/h1>)<img class=".*?" alt="[^"]+" (src="[^"]+")>/mp;
my $subst = '\\1<img \\3 alt="\\2">';
my $result = $str =~ s/$regex/$subst/rg;
print "The result of the substitution is' $result\n";
Please keep in mind that these code samples are automatically generated and are not guaranteed to work. If you find any syntax errors, feel free to submit a bug report. For a full regex reference for Perl, please visit: http://perldoc.perl.org/perlre.html