A 62-year-old Korean woman presented with waxy plaques with telangiectasia on left nasal ala of 6-month duration, histopathologic finding of which was basal cell carcinoma. Full-thickness excision was performed leaving defect of the ala and alar rim. This defect was reconstructed by Spear’s nasolabial flap. Nostril retainer was in situ for two weeks, which was made from a syringe by cutting it apart on bed-side. The subcutaneous pedicled nasolabial flap transferring skill was described as a useful method for reconstructing full-thickness defects of nasal ala by Spear et al. It is suitable for not only ensuring structural integrity but also preventing the “valve” movement without cartilage grafts. Also, additional usage of nostril retainer could aidthem. In this case, the barrel part of a syringe was used as a nostril retainer. It is made from a common medical supply, a syringe, not only easy to get but also very cheap (8 cents). In addition to its accessibility, it adequately performs its role, preventing “valve” effect of reconstructed nasal ala. In conclusion, this simple nasal retainer can be used as an alternative to ready-made products in ala reconstruction patient.