To study merits and demerits of graft materials used for augmentation rhinoplasty.Design: Prospective. Settings: Study carried in the department of ENT Allied Hospital Faisalabad. Period: From Jan2001 to Dec 2002. Material and Method: The majority of patients were admitted through ENT out patient department.The data was collected on the basis of history, physical examination, investigations, photography, management andfollow up. Results: Total 30 patients 20 males (67%) and 10 females (33%). The majority of patients were from 3rddecade of life (53%). The duration of deformity in majority of patients was with in 2 years (73%). Majority of patientswere belonged to the lower class (60%). In many of the patients indication for augmentation rhinoplasty was cosmesis(100%). In 50% patients autologous iliac crest bone graft was used. The etiological factor for saddle deformity inmajority of cases was trauma (67%). The donors site morbidity was 32% as compared to other complications. Overallsuccess rate was 90%. Conclusion: The autologous cartilage has many advantages over autologous iliac crest bonegraft while performing augmentation rhinoplasty