The dermal graft is de-epithelialized derma and is prepared by shaving off the top layers of the skin, which are discarded, the basal layers then being utilized as a subcutaneous graft. Von Eitner1 was the first to introduce this type of graft, and it was called to my attention three years prior to this report by Dr. J. B. Brown while I was at the clinic of Dr. Vilray Blair. I have since used it successfully in the repair of various facial defects. A description of a typical case in which this procedure was used has been published.2 It occurred to me that the dermal graft might be used in the repair of small saddle defects of the nose, and in cases in which, after an attempt to repair a saddle defect by readjustment of the nasal tissues, there was still not enough material to correct the loss