When the nose is flat and dorsal augmentation is requested, options for augmenting the nose include use of autologous tissue (the patient’s own) such as the septal cartilage, ear cartilage or rib cartilage. Non-autologous sources include silicone or medpor implants. Another great option, in my opinion, is irradiated homograft costal cartilage which is a cadaveric rib cartilage graft.