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The complexity of the structure of the nose and its prominent position in the face makes it a very challenging region for reconstruction.3 Classic flaps used for nasal tip defect coverage are the forehead flap and the dorsal nasal flap.4 Although the nasolabial flap has not traditionally been considered the optimal option for tip reconstruction, certain types of patients and defect locations can benefit from its use, with minimal drawbacks respect to Extended Nasolabial Flap for Reconstruction of a Complex Nasal Tip and Columella Defect in an Elderly Polymorbid Patient