I had a nasal septum + silicone during my first surgery, and re-operated about 5 years later.
During the first surgery, my nasal septum was absorbed a lot and got smaller, so the tip of my nose came down too much, which was stressful,
so I used ear cartilage + mesh to firmly raise the tip of my nose and use it as a support.
The costal cartilage is either autologous or not. I don't want to use the donor rib... I'm afraid it's too hard and feels like a foreign body. I'm
happy with the shape and it looks natural. I hope there won't be a third surgery... haha