Abstract
The aims of rhinoplasty reconstruction include augmenting tip projection, restoring dorsal stability, and restoring optimum respiratory function. The methods required to obtain these objectives are based on the intrinsic nasal principles at the time of the rhinoplasty. The most challenging problems that a surgeon is faced with during a rhinoplasty include traumatic saddle deformity, defects following neoplastic resection, congenital nasal deformities, severe tip underprojection, rhinoplasty in the ethnic patient, and revision rhinoplasty. Due to the consistent results autologous costal cartilage grafts provide when faced with these challenging problems, they are an invaluable resource to the rhinoplasty surgeon. Once the surgeon becomes comfortable and proficient at harvesting this graft, it inevitably will become the graft of choice when substantial amounts of cartilage are required.
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