I'll try to clarifiy concepts I think may be of the greatest help for you and readers: -rib cartilage is an excellen kind of graft, has no substitute whenever the surgeon needs thick, strong or long grafts or when other donor sites are for whatsoever reasons unavailable; however it is not the first choice in structure and revision rhinoplasties in the vast majority of cases (its morbidity involves a visible scar at the chest a a somehow painful couple of weeks after surgery, besides the time consuming procedure to harvest it and the technical skills required) -in afroamerican and asian rhinoplasties of primary type rib cartilage is required in 90% of cases; in revision rhinoplasties (non ethnic) the percentage of rib cartilage usage is way smaller, I'd rate it 20-30% cases -genuine or predominantly african and asian noses the use of rib can be cosidered the rule, so in your case it was good decision -harvesting a rib cartilage is technically challenging, the surgeon has to be careful not to produce a pneumothorax or a pleural tear, and its tayloring is tricky: only the core, center or shaft of the rib cartilage is usable, since it is the straight part which remains straight, the cortex of the rib cartilage warps and has to be discarded as first instance (although there are trick to use it like joining 2 warped cortex portions facing each other like parenthesis); as a rule and regarding the build up of a dorsum in afroamericans or asians, or saddle nose deformities in revisions, the shaft of the cartilage is the block we shape and taylor for the nose; failing to use ONLY the shaft leads to warping, this is a well known fact many decades ago and still some surgeons fail to comply with this technical standardSeek the advice and hands of a serious professional who offers to you a time-consuming and expensive procedure; stay far from minimally invassive snake-charming procedures, synthetic implants, fillers, wrapped diced cartilage, etc. See the link below to find few cases of my own practice very similar to yours which I had the opportunity to operate successfully on, sharing a lot of common features with the technical problem you have posted. If you wish better grounded opinion well lit, focused and standard images have to be assessed: frontal, both lateral and both oblique views, also from underneath.