I was in Chicago this weekend participating in the summit of Rhinoplasty surgeons. Highlights included how to manage difficult noses. A specialized kind of synthetic sheeting is now available, called a PDS plate. This is used when there is not much cartilage remaining in the nose to use for grafting. With the sheeting, we have the ability to suture smaller pieces of cartilage, for example from the ear cartilage and smaller pieces from the septal cartilage, to the PDS plate to create one large graft. Why do we care? Because this should decrease the morbidity (discomfort and potential other issues) associated with obtaining cartilage grafts from the rib for example. This provides one more tool for us in our goal of obtaining great results while minimizing the potential for unwanted effects.