The quest for nasal symmetry and balance with the face often mandates the need for implantable materials to sculpt and rebuild the nasal skeleton and the overlying tissues. A suitable implant must be biocompatible, strong, and elastic. Implant materials that may be used in the nose can be divided into four groups: autografts, homografts, xenografts, and alloplasts. Each type of implant is reviewed and discussed in the context of rhinoplasty and nasal reconstruction.