Could a full nose reconstruction expert please help me with these questions, one who can make aesthetically nice nose w/ autologous materials (no nasal tissues left). 1) Can a blend of rib & ear be used to make the reconstructed nose softer? 2) Can columella be remade w/ ear? 3) Are spreader grafts uncomfortable? 4) what happens to extra skin in reconstruction, is it cut? 5) can columella rib graft be removed? 6) can columella scars be cut out with new skin to drape? Thank you!!!