Reconstruction of the eyelids, especially medial canthal area, is one of the greatest challenges faced by the oculoplastic, head and neck surgeons. A patient with a medial canthal defect, following oncological resection involving the medial canthus, upper and lower eyelids, and nose is presented. The defect was reconstructed using a transnasal bilobed fl ap. The transnasal bilobed fl ap is a simple and effective for medial canthal reconstruction and provides in one-time reconstruction and preserves the local anatomy.