Rib cartilage graft is used when a large amount of building material is needed to reconstruct a nose. It is primarily used as an adjunct for building up a bridge of a nose as a dorsal onlay graft or can be used for septal reconstruction as well as spreader and/or batan grafts. Main advantages are that there is plenty of material to work with once it is harvested. The rib can be divided into many thinly sliced grafts. Disadvantages are that it increases length and cost of procedure, and has additional risks. the grafts can warp and are very firm. Best use cases are for secondary or tertiary revisions, someone who wants a more sculpted, projected nose and for someone who wants to build up a bridge height. Also, it is very useful in reconstructing a saddle nose deformity. Ear cartilage is my most commonly used go to graft when performing revision surgery, it is soft and pliable and matches the flexibility of the native cartilages. Although easier to harvest, sometimes there is not enough cartilage to perform all the grafting. The cartilage is too soft for some structural grafts. The best use cases are for sculpting the tip and bridge of the nose.