The prevalence of cutaneous malignancies is frequently observed in the facial region, with a notable predilection for the nasal area. The distribution of nonmelanoma skin tumors is predominantly observed in the head and neck region, accounting for approximately 75% of cases. Specifically, the nasal area is affected in approximately 30% of these instances. Basal cell carcinoma and squamous cell carcinoma represent significant clinical-surgical indications within the medical field. Moreover, the utilization of skin flaps for nasal reconstruction exhibits remarkable versatility in its various applications. The potential outcome of the reconstruction procedure is based upon various factors, including the precise location, dimensions, and depth of the defect, as well as the feasibility of accessing a suitable donor area. Just as important are the surgeon's choices regarding the materials, techniques, and approaches employed during the intervention. The innovative research conducted by Burget and Menick has brought about a paradigm shift in the field of nasal reconstruction surgery. Their pioneering contribution lies in the introduction of the concept of aesthetic subunits of the nose, in which variations in elasticity, color, contour, and skin texture are taken into account. This innovative method has significantly enhanced the precision and finesse of nasal surgical procedures, leading to remarkable advancements in the field. The unique attributes of the dermal layer that envelops the region, along with the numerous waves and projections present on its outermost layer, necessitate careful consideration in order to restore the usual natural shape and functioning. Even a small, unnoticed alteration in structure may have a significant influence on both aesthetic appeal and structural integrity. The therapeutic approach includes both functional and cosmetic considerations, with the primary objective being the mitigation of the most minimal degree of anatomical abnormality.