This is a surgical case report that presents a modified method of subtotal nasal reconstruction that employs vascularized septal chondromucosal flaps for lining, and conchal cartilage grafts to support the nasal dorsum, replace the missing tip and rim support and forehead flap replacement of nasal subunits. This method has many advantages. The lining is thin and highly viable. Neither external shapes nor airway patency is distorted by excessive bulk. Lose of lining, the chief enemy of nasal reconstruction, seldom occurs because these flaps are highly vascular.