A wide variety of autologous grafts have been used for the coverage of contour deformities in rhinoplasty. Mastoid fascia tissue (MFT) grafts are easy to harvest and very versatile, and the resulting donor site scar is not visible. Natural looking results can be obtained with MFT grafts when used for the coverage of dorsal irregularities, for dorsal augmentation, for camouflaging abnormalities related to skin atrophy, and even for tip-of-nose coverage and tip augmentation. Mastoid fascia tissue was used as a graft in 8 primary and 22 secondary cases for various purposes. All patients had satisfactory cosmetic results. Used in conjunction with a rigid graft such as cartilage, MFT grafts, which are ideal fillers, can be successfully used in rhinoplasty.