We present a review of international literature on the topic of nasal dorsum reconstruction with 11th rib cartilage and auricular cartilage grafts, analyzing 123 patients selected from 653 cases of rhinoplasties performed between January 1990 and October 2007 at the Department of Plastic and Reconstructive Surgery of the University of Rome "Tor Vergata." We present our experience with the correction of deformities of the nasal dorsum using rib cartilage and auricular cartilage grafts. The majority of the time, nasal dorsum deformities are complicated defects to correct surgically. They can be a consequence of naso-ethmoid-orbital fractures and of surgical procedures in the nasal area where a loss of bone or septal cartilaginous support has occurred. After a review of the techniques employed in the reconstruction, we describe the advantage of the use of rib cartilage and our experience using this procedure. In the sample examined, 84% of treated patients showed cosmetic improvements, with satisfactory results to both surgeon and patient. A functional improvement has been achieved in 94% of the operated cases.