Bulbous nose tip & need ostomy, natural nose, silicone or donor cartilage?

For rhinoplasty, there are many materials that can be used: silicone, goretex, septal/ear/rib cartilage. Asian nose usually have smaller nose structure, and Asian nose rhinoplasty requires to build the nose from the base - structure - bridge - and tip. Sometimes using foreign material extensively in the nose structure may increase the possibility of infections, complications, or contractions. In order to have least possibilities of complications, I recommend using your own cartilage.Septal cartilage inside the nose is good for rhinoplasty, but if the amount of septal cartilage is limited, autologous rib cartilage (your own rib cartilage) is recommended to build the entire structure & the shape.

Hello, hope you are well. Thank you for your question. Generally speaking, most surgeons in the United States prefer to use rib cartilage (homologous/donated or autologous/from oneself) because it has a lower rate of implant infection and extrusion complications. I personally use cartilage grafts for this reason.
Best,Dr. Tower

I always recommend fresh frozen donor cartilage (assuming it is fresh frozen cartilage like MTF, not irradiated donor cartilage which is different) over silicone. Fresh frozen cartilage provides lasting results. Silicone comes with a number of serious potential complications including infection and extrusion, so I do not recommend it.