Is Rib cartilage recommended for primary rhinoplasty?

Without in person evaluation and/or good series of photos, it is impossible to give you meaningful advice. In general, if large augmentation of dorsum is needed, rib cartilage graft may be best option (or fresh frozen cadaver rib cartilage). However, moderate and small augmentations can be treated with septal cartilage grafts, possibly with addition of fascia graft. In the hands of an experienced surgeon, rib cartilage graft is safe procedure and that per se should not be your major concern. Second and third opinion consultation is recommended. Good luck.

Rib cartilage or septal Cartlage for primary rhinoplasty. in my experience of 45 years of rhinoplasty and thousands of noses I have never had to use rib cartilage for a primary rhinoplasty! Rib grafting is painful and much more expensive! See several very experienced rhinoplasty surgeons who can show you natural results of their noses without rib