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Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Revision rhinoplasty requires the surgeon to strike a careful balance between conservation and deconstruction. Contemporary rhinoplasty has focused on structural cartilage grafts. These grafts resist static and dynamic forces produced by tissue contraction, gravity, and pressure gradients during respiration. However, the simultaneous use of multiple grafts also leads to an increased deconstruction of natural supports. In this article, we discuss some simple yet effect