This young woman met with Dr. Garrett Griffin to discuss revision rhinoplasty. She had had two prior nasal surgeries with a different surgeon at the VA hospital and was left with a deformed appearance and nasal congestion. Dr. Griffin offered her revision rhinoplasty with a cadaver rib graft. Usually during a person’s first rhinoplasty, cartilage is borrowed from the septum to help reshape the nose. Thus, if a revision is required, another source of cartilage may be necessary. Options include a person’s own rib or ear cartilage, or a cadaver rib cartilage. Cadaver rib cartilage has been extensively studied and performs as well as a person’s own rib cartilage. After surgery, her nasal symmetry is much improved, she can breathe better, and she is very happy.