Nasal deformities represent the main condition requiring a dorsal nasal reconstruction, in order to obtain a harmonic and pleasant nasal profile, projection and width. Multiple techniques have been described to achieve this purpose, while one of the most commonly used is the “diced cartilage graft”.1, 2, 3, 4 We describe a new approach to this surgical procedure where an absorbable collagen membrane is adopted to “wrap” cartilage graft, being a valuable alternative to the currently used materials.

Cartilage grafts may be harvested from different donor sites, based on the quality, the type of nasal deformity and the preference of the surgeon. Septum and ear concha are the mainly adopted donor sites, however when large amount of cartilage is needed, chondrocostal graft represents the gold standard (first choice).⁵