The nose is subject to adverse events such as trauma or excessive sun exposure, requiring greater attention from plastic surgeons. The characteristics of the primary defect will influence the final result of the reconstruction. We report a series of cases of reconstruction of the nasal coverage with local skin flaps secondary to resection of previous malignant lesions followed by the author during the first and second year of medical residency, between 2021 and 2022, in the plastic surgery service of the University Hospital. Walter Cantídio and the Ceará Cancer Institute. Due to the complexity of the nasal anatomy, more than one procedure will often be necessary to achieve the original delicacy. It is important to have knowledge of different strategies and plan correctly so that the best result can be offered to the patient. Furthermore, it is essential to know the likely complications and their possible solutions.