When attempting to repair the damage surgically, the use of donor cartilage presents its own unique challenges. To acquire a deeper comprehension of the post-operative surgical procedures that follow the transplantation of free cartilage. To put up this study overview, the databases Embase, PubMed Medline, the Cochrane Library, ClinicalTrials.gov, and Web of Science were searched from the time they were created until May 21, 2021. Included in this section is research that details the use of free cartilage grafts extracted from the ear or nose under local anesthesia to restore facial surgical abnormalities. Only surgical problems that were directly connected to tumor resection were taken into consideration. There were a total of 713 patients with a total of 723 surgical anomalies among 34 trials that met the inclusion criteria. Patients had a mean age of 63.3 ± 10.4 years old. The ear was the most common site for obtaining a free cartilage graft (93.1%). About 90% of recipients had theirs placed in their noses, with the next most popular sites being the lower eyelid (6.7%) and the ear (3.1%). Reconstructive surgery with free cartilage grafts is a viable alternative for patients with deep or cartilaginous abnormalities that have impaired the structural support of the nose, ear, or eyelid.