Hi Joey,
This is a quote from K Couture's guide regarding using rib cartilage for your rhinoplasty:
"Rib Rhino - this method involves an incision at the rib area and a cartilage being harvest as such. The surgeon then carves the rib into shape and implants it into the patient. Rib rhino is the most invasive form of rhinoplasty. Many surgeons in Seoul use it as a last alternative for revision patients who, for whatever medical reason, cannot use artificial implants. Potential issues to consider, as with any autologous grafts, are absorption rates, assymetry, uneveness and humps. Again like the diced cartilage, because the shape and structure is not comparable to that of the silicones. However, some surgeons do recommend rib rhino for primary patients as that is their speciality. But as Bryan Mendelson explained to me, the reason behind the aesthetic complications is that most surgeons should not be performing this procedure. Because it is at the end of the day an art form with the shaping of the implant, hence it is difficult to get an ideal shape for the patient. I have seen many cases of unsatisfactory autologous grafts from rib and diced ear with fascia including my own, which is why I avoid autologous methods for the bridge like the plague. So while certainly good results are very much possible, there is also a higher margin of error with these procedures."