(A, C, E, G) Preoperative and (B, D, F, H) 5-year postoperative views showing improved nasal aesthetics after three layers of AlloDerm placed on the nasal dorsum. At 5 years, elongation of the contracted skin-sleeve and dorsal nasal augmentation with AlloDerm is well maintained. There are smooth dorsal aesthetic lines on oblique view. (I, J) The distal dorsal cartilaginous polly-beak was not resected but rather was balanced with the dorsal AlloDerm and a Sheen cartilage graft. (From Gryskiewicz J. Waste not, want not: the use of AlloDerm in secondary rhinoplasty. Plast Reconstr Surg 2005;116:1999–2004 Reprinted by permission. Parts I and J, © J.P. Gunter, M.D., 1986. Reprinted by permission.)