I would like to have a more elegant and less flared nose with a little added height to my bridge. Longevity of implant and achieving a result that will accentuate my esthetic are key factors. I am scared of a silicone implant extruding over time, like the pictures I have seen online. I am also not too keen on the idea of a scar on my chest from a rib graft because I scar hypertrophically.