The medical records of 462 patients (160 men [35%] and 302 women [65%]; age range, 14-72 years [mean age, 36.7 years]) in whom crushed cartilage grafts were used, which had been selected from a total of 669 rhinoplasty procedures performed by one of us (O.C.) between June 1, 1999, and June 1, 2006, were reviewed. Patients were followed up for 6 to 72 months (mean follow-up, 22 months). Graft data including the source (septal, auricular, or costal), recipient site, and degree of crushing (slightly, moderately, significantly, or severely) were analyzed from a Gunter rhinoplasty diagram (Canfield Scientific Inc, Fairfield, New Jersey) of each patient. For each patient, a standard rhinoplasty series of photographs (a frontal view, 90° side views, 45° oblique views, and a basal view) were obtained preoperatively and postoperatively during each visit after 6 months. Postoperative control visits consisted of inspection and palpation on day 10 after surgery; 1, 3, 6, and 12 months after surgery; and yearly thereafter. Any complication (infection, resorption, rejection, displacement, visible irregularity, or excess graft thickness) associated with a crushed cartilage graft was considered a sign of graft failure.