IntroductionHowever, nasal reconstruction has always been challenging to the otolaryngologists, various nasal reconstruction methods have been introduced.These reconstruction techniques depend on various factors including defect etiology, size, location, and depth.1Recently, the forehead flap and the radial forearm free flap are recommended in nasal complex defects.2Our patient had a complex defect involving nasal tip, columella, septum, and a portion of upper lip after MOHS surgery for squamous cell carcinoma. Restoration of a nasal and lip function and contour are the main goals of reconstruction in this case.This report details a two stage approach to repairing such a defect using bilateral inferiorly based malar transposition flaps with auricular cartilage graft for more support and contour.