Autologous grafts, derived from the patient, are used wherever possible. These grafts include cartilage (septal, auricular, and costal),4- 6 bone (septal, calvarial, costal, and iliac),4,7,8 fascia, and dermis.4 Such tissues remain the gold standard of nasal graft materials given their availability in most patients, unrivaled biocompatibility, low risks of infection and extrusion, minimal cost, and acceptability. Indeed, some researchers recommend and use only autologous implants for nasal reconstruction.4 However, it must be considered that many patients undergo nasal reconstruction after extensive previous surgery such that the most suitable autologous tissues (particularly septal and auricular cartilage) have been harvested already. The use of other available tissues, including costal cartilage and bone, may not yield such satisfactory results, particularly in aesthetic terms, and are prone to warping, resorption, displacement, and fracture. Donor site morbidity, prolonged immobility, and an extended hospital stay are other important considerations, particularly in patients already troubled by their nasal appearance and function.