The nose is the most prominent feature of the central face. Management of small defects in nasal reconstruction can be quite challenging. Any distortion to the nasal appearance should be avoided. The goal should be restoration to as normal a nasal contour as possible. Most of the nasal defects presenting for reconstruction are secondary to tumor excision. Location, size, shape and orientation of the defects are important factors in determining the method used in reconstruction. In this article, we retrospectively reviewed a total of 140 patients who presented for nasal reconstruction. We analyzed sex distribution, location, etiology, size of the defects and correlated them with the techniques used to reconstruct them. We focused on defects that could be reconstructed with local flaps.