Objective To explore the application of nasolabial fold flap and auricle compound tissue in repairing nasal alar defect. Methods From October 2011 to March 2016, 32 patients with nasal alar defect were treated with nasolabial fold flap graft and auricle compound tissue free graft. The defect state of nasal alar, repair methods, incision scar, symmetry and postoperative appearance were all observed and analyzed. Results Nineteen patients received the treatment of nasolabial fold flap graft and 13 patients received the treatment of auricle compound tissue free graft. Nasal alar defect was well-repaired, and the outcome appearance was satisfactory without obvious scars around wound surface and donor tissue's incision. Conclusion Both nasolabial fold flap graft and auricle compound tissue free graft are favorable treatments for repairing nasal alar defect. Auricle compound tissue free graft should first be considered for patients without severe nasal alar defect, while nasolabial fold flap free graft should be employed for patients with severe nasal alar defect; Both methods have its advantages and disadvantages, the choice should be made base on the comprehensive consideration of the actual conditions of each patient.