This lady underwent rhinoplasty having had two prior septoplasty procedures elsewhere.  She wanted an improvement in the profile of the nose in particular but had ongoing nasal blockage problems.

The photos show her obvious improvement to the side profile giving a softer appearance and the tip has been elevated and brought back slightly.  Her breathing was also enhanced with additional cartilage grafting.

As no cartilage was available due to the prior septoplasties, there was a need for an additional cartilage source and hence we used rib for this purpose.  An option could be ear but generally I prefer rib due to its strength and straightness, especially for structural needs.