Microvascular free tissue transfers have greatly expanded reconstructive options for the nose. This case examples the use of a radial forearm free flap for restoration of the nasal lining as a preliminary step in subtotal nasal reconstruction. Part II Gary C. Burget 31 m. Traditional techniques for subtotal nasal reconstruction are combined with sophisticated free tissue transfer techniques involving segmented microvascular skin flaps for nasal lining to create a normal natural nose with a capacious airway.