Selection of the procedure for correction of saddle nose deformity should be determined by the severity of the deformity. Cartilage inlay grafts are satisfactory in the repair of minor supratip depressions. Moderate deformity of the cartilaginous septum is readily reconstructed by transposition of the upper lateral cartilages. Marked saddle nose deformity with destruction of large portions of the cartilaginous and bony nasal septum requires bone grafting procedures.