Objective: To observe and evaluate the advantages and disadvantages of modified subcutaneous pedicle flap movement in repairing nasal defects. Methods: Since January 2015, a total of 16 patients with nasal defects were repaired by the modified subcutaneous pedicle flap movement. The conditions of the donor and recipient areas and the three-dimensional shape of the nose were observed after surgery. Results: All the 16 cases survived well, and the postoperative follow-up showed that the nasal shape was good, with the scar fusion of donor and recipient areas, good three-dimensional structure of nose and high satisfaction of patients. Conclusion: The modified subcutaneous pedicle flap was used to repair the lower 1/3 nasal defect. The nasal shape was good, and scars of donor and recipient areas fused together without additional scars on donor area. The operation is simple and easy for implementation, and can be used as a clinical choice for repairing small nasal defects.