The following procedures cover practically all conditions of external nasal deformities requiring the building up of the nose by the addition not only of bony structures but also of skin. The case reported represents the severest type, in which not only the soft parts, but also the bony structures are wanting and must be supplied. In such a case there are three measures which may be used: A flap consisting of soft parts, periosteum and outer table of skull reflected down from the forehead. The resulting scarring of the forehead as well as the problematic, natural, final shape of the nose are the objections to this method. The use of a finger to supply the deficiency of the nose. This an excellent method and has given splendid results. The only objection is the loss of the finger. A rib may be transplanted into the forehead (Morestin) or into the arm