Rhinoplasty and septal reconstruction often require the use of cartilage grafts. Complete nasal septal reconstruction may be required in very speciifc situations like dififcult secondary septoplasty or severely deformed post traumatic noses. Usually in these cases the septal cartilage or bone is insufifcient for septal reconstruction. The authors hereby describe a new technique of complete septal reconstruction by using the 7th rib (costal) cartilage combined with author’s ingenious technique to prevent warping.