Aesthetic medicine continues to evolve toward less invasive procedures with equal or superior results. While the current economic conditions have had some influence in the recent rise of minimally invasive cosmetic procedures and the decline in surgical procedures, they are likely not the sole cause. The popularity of minimally invasive surgery cannot be denied, because many patients prefer the minimal morbidity and favorable results associated with less invasive procedures. While much of aesthetic medicine is evolving toward less invasive procedures, rhinoplasty, in contrast, has evolved over the past 2 decades into a bigger procedure, performed primarily by 1 method and with extensive grafting.1 The emphasis placed on grafting is partially to control crooked or deviating nasal cartilages. And while outcomes include straight, strong, well-built noses, results may take months to years to be realized. We describe a modification of the mattress suture for straightening a curved convex or concave cartilage segment as well as supporting the nasal tip, middle vault, and nasal valves while decreasing the need for harvesting cartilage, further reducing morbidity.