Aims: To evaluate the aesthetic results of local flap reconstruction of nasal skin defects following oncological surgery. When planning the reconstruction of nasal surgical defects, important considerations include – maintaining the structural complexity of the nose (nasal aesthetic subunits) and maintaining symmetry. In addition to aesthetics, it is important to maintain functionality of the nose by preserving or replacing the mucosal lining and bony/cartilaginous framework. Methods: 52 patients referred for excision of nonmelanoma nasal skin cancers, from 2024 - 2025 were included. 32 males and 20 females, aged 35 – 87 years. All patients underwent primary reconstruction following excision of the malignancy. Reconstruction techniques included – local advancement flap, bilobed flap, nasolabial flap, forehead flap and nasalis flap. Results: A total of 52 patients underwent nasal reconstruction after skin cancer surgery. 36 underwent reconstruction with local advancement flap, 8 with bilobed flap, 6 with nasolabial flap, 1 with nasalis flap and 1 with forehead flap. Complications in this series included – 2 patients with partial flap dehiscence that healed by secondary intention and 1 post-surgical infection managed with antibiotic therapy. No patients had required revision surgery. The cosmetic outcome was evaluated at 6 months following surgery. Aesthetic results were deemed satisfactory by all patients and the operating surgeons. Patients were satisfied with colour and texture matches and nasal contour remained distinct in all patients. No patients had undergone revision surgery. Conclusions: Reconstructive modality of choice depends on location, size and depth of the surgical defect. Individualized therapy is the best course, numerous local flaps have been designed to provide optimal coverage and aesthetic outcome for nasal-specific defects.