Reconstruction of nasal defects presents a challenging problem for the
surgeon. This is due to the complexity of the nasal surface lines and
the diversity of the colour, texture, and appearance of its lining sk
in. Furthermore, there is a limited availability of mobile, adjacent s
kin. Defects of nasal cover after cancer-ablative procedures have been
rehabilitated with numerous reconstructive modalities including free
skin grafting and local flaps. Each technique differs according to the
depth and size of the defect, the quality of the donor site, and the
skills of the surgeon. The nasal glabellar rotation flap, initially de
scribed by Gillies and later modified by Reiger, has evolved into a ch
oice flap for nasal defects of cover since it provides local skin with
an exact colour, thickness, and contour match for the nasal skin. It
is a safe flap, the donor site morbidity being minimal and especially
suited for dorsal and lateral nasal resurfacing. The technique of the
flap development is presented.