The reconstruction of the nasal ala requires the achievement of esthetic and functional results. Composite auricular grafts are extremely valuable here. The purpose of this study is to evaluate the surgical outcome after using composite grafts for alar nasal reconstruction according to our experience. A retrospective study of our outcome of 10 performed alar nasal reconstruction cases. All these patients were operated using the proposed surgical technique between 2011 and 2015 in AL-ASSAD University Hospital in Lattakia, Syria. The cosmetic and functional results of this relatively simple technique of reconstruction are excellent. It provides an internal lining and support. The integration was total. We could fill the alar nasal defect using composite grafts. The defect has disappeared consequently. The form of the nose could be improved. The use of this technique efficiently enables a one-stage reconstruction of nasal defects. The morbidity rate within the donor areas was low. We believe that composite grafts have an important and under-utilized role as an adjunct to the flaps in nasal reconstruction.