Congenital nasal hypoplasia, burns, post-tumor resection, and post-rhinoplasty nasal column necrosis can all lead to nasal wing and nasal column deformity. It not only affects the aesthetics, but also causes nasal ventilation dysfunction, which has a great impact on the patient’s quality of life. The curved appearance of the nasal wing and the multi-layered anatomical structure make it more difficult to repair than other parts. Most of the nasal wing defects need to be repaired surgically. The repair of nasal wing defects is demanding, requiring not only that the color, texture and thickness of the donor tissue be as close as possible to the recipient area, but also that the three-dimensional morphology and ventilation function of the nose be maintained. The key point of surgery for nasal wing defect repair is the reconstruction of the three main components of the lining, outer perineal skin and nasal scaffold, and the surgery should be considered in a comprehensive manner according to the location and extent of the defect. The methods of nasal wing defect repair can be summarized into three main types: skin flap repair, flap repair and repair using auricular composite tissue flap. For the repair of nasal defects, comprehensive consideration should be given to the patient’s requirements for the surgical result, the actual size of the defect, the peri-incisional scar situation, the donor area, the patient’s age, the ability to tolerate the surgery, and the physician’s experience level according to the actual clinical situation.