Complex nasal reconstruction continues to be a challenge to the plastic surgeon [1]. It is often multi-staged and lengthy process [2]. In cases of malignancy, due to the need of the patient to have complementary radiation and possible chemotherapy, the reconstructive surgeon does not always have the luxury of healing time of the operated area. In these cases, one must provide “first aid” for the patient while trying to preserve and protect the patient's remaining tissues from further damage for future reconstruction. Skin graft is low in the reconstructive ladder because it is simple, easy to perform and the potential for complications that will delay oncologic treatment is little. We present a simple innovation that may help the skin graft take and reduce nasal tissue shrinkage while the patient is having radiation therapy and before definite reconstruction is undertaken. We found that patient tolerance was excellent.