As dermatologists and plastic surgeons have focused more effort on nasal repair, the dorsal nasal flap has been revitalized as an elegant repair for distal nasal defects. Small modifications of the flap provide for flexibility in execution. The viability of the dorsal nasal flap are unparalleled. When properly designed and executed , the dorsal nasal flap can reproducibly succeed in the repair of many challenging distal nasal wounds.