THE USE of preserved cartilage in plastic surgery is not new. As Peer1 pointed out, this procedure was reported on more than fifty years ago but it gradually fell into disuse. Recently it has been revived, and several surgeons have reported excellent results with isografts of preserved cartilage. Thus, Brown2 has used cartilage preserved in alcohol since 1928, with satisfaction in most cases. Peer3 has used the same material to repair depressions in the brow, orbital socket, skull and nose. Pierce and O'Connor4 employed cartilage preserved in solution of merthiolate in 182 cases, with excellent results. O'Connor5 reported 375 cases in which "pickled" cartilage was used and expressed enthusiasm for its use. The advantages of using isografts of preserved cartilage instead of autografts of fresh cartilage are manifold and have been well covered in the literature previously cited. They may be enumerated as follows: