What is this deformity called? Is it fixable and do I need rib cartilages or will ear cartilage work? (Photo)

Normally there's what's called a break point of the columella as it approaches the tip of the nose. You have a sharply defined tip with no break point and a very narrow tip. This can be repaired using a graft to to widen and round the tip.

Best Wishes,

Gary Horndeski, M.D.

Hello and thank you for your question. Based on your photographs, you are a great candidate for rhinoplasty. Maneuvers for your surgery would include dorsal hump reduction, tip refinement, nasal tip deprojection, tip elevation, among other maneuvers. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon