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Burns, trauma and tumor excision repair due to defects of the nasal aesthetic and functional point view is of particular importance.. A 62 years-old male patient underwent a tumor excision that was diagnosed as basal cell carcinoma on the dorsum of the nose. A full thickness defect with 4,2x4,5 cm in size extending from nasal dorsum to left lateral side involving cutaneous, subcutaneous, muscle, nasal bone and mucosa occurred. Triple layer reconstruction was performed where the nasal mucosa was repaired with septal mucochondral flap, nasal skeleton with free calvarial bone graft and the skin defect with forehead flap. No early or late complication was encountered in the 38-month follow-up period. The combined use of septal chondromucosal flap, calvarial bone graft and forehead flap is supposed to be a reliable and a suitable method. [ABSTRACT FROM AUTHOR]