Paul O’Keeffe, M.B., B.S., (Syd), F.R.C.S., F.R.A.C.S., Sydney, Australia describes his semi-open rhinoplasty technique using the MEDPOR® Nasal Shell for saddle nose deformity. The MEDPOR Nasal Shell Implant, developed with Dr. O’Keeffe, resembles the natural nasal pyramid and was designed specifically to augment the nasal bones and upper lateral cartilage. The Nasal Shell is provided sterile in two sizes with two optional dorsal inserts to fill any void under the implant, and a silicone sizer. Pre and post operative photo’s are included.