Would I be able to remove the rib & use septal cartilage/something softer like a normal nose?

This is a big problem i see with open rhinoplasty, especially when rib grafts are used. It is very unusual to need rib cartilage for a primary rhinoplasty. It is possible that some of the grafts could be removed to help soften the nose. It totally depends on what types of grafts were used and what other maneuvers were performed.

Hi @tennisshoes. I'm sorry your are not happy with the results of your rhinoplasty. I recommend seeing an expert revision rhinoplasty specialist for an in person examination. There are options for you that can be determined after examination.

Best of luck,

Dr. Nima

Good Morning! If donor rib was used, it can certainly be removed as long as the structure of the nose underneath will be stable. If no septal cartilage was taken, then that would be the first choice to use. A lot will depend on what the prior surgeon used in terms of cartilage. If the septal cartilage has been removed, your own rib is a great choice. Ear cartilage is soft but tends to curve and provides little in terms of lasting support. I would suggest seeking consultation with a facial plastic surgeon proficient in revision rhinoplasty to see what safe options exist. Hope this helps you out!