One dorsal nasal flap was created in each of 61 patients (26 men and 35 women; age range, 29-87 years). In these 61 patients, the defects resulted from basal cell carcinoma (n = 46), squamous cell carcinoma (n = 8), lentigo maligna (n = 3), or microcystic adnexal carcinoma (n = 1). The smallest defect measured 12 × 17 mm; the largest, 35 × 40 mm. Follow-up time ranged from 3 months to 17 years. Complications, which were minor in all patients, included a small stitch abscess (n = 2) and hypertrophic scar formation (n = 2). Sixteen years after undergoing reconstruction, 1 patient presented with alar stenosis, which was successfully revised. This patient's initial defect had not included the alar rim. No flap loss was observed, but 1 patient with a combined flap had loss of the full-thickness skin graft. One recurrence, or second primary lesion, was observed at the excision site at 10 months.