Purpose: To describe prosthetic rehabilitation following partial rhinectomy with use of a novel retentive internal nasal keeper piece. Materials and Methods: The reported novel nasal keeper piece engaged the intact inferior portions of the major alar cartilages and the alar fibrofatty tissues to aid in retention of the prosthesis. Results/ Conclusion: The reported prosthesis utilizes a retentive mechanism not previously reported in the literature to maximize function and esthetics.