Revisional rhinoplasty is a challenge for the nose surgeon. In most cases there is no septal cartilage, because that has been resected and used as a graft in previous interventions. Grafts olecranon and rib provide the properties needed to give support in the revisionales septorhinoplasty. This article presents detailed surgical technique in two males with multiple previous interventions. In one case of rib grafts were obtained in the same surgical time, in the other case, olecranon graft obtained using a prior intervention and was necessary to supplement with auricular concha cartilage.