I am wondering whether to remove all or part of the 4-saw autologous rib.

First surgery: 2012 (4mm silicone + one side of ear cartilage + mad pore)
 Second surgery: 2022 (2mm silicone replacement + nasal septum extension with autologous ribs + columellar support + nose tip + 3 types of functions)
 Third surgery: early 2023 (only silicone removed)
 
Silicone The reason for removing it was that after being headbutted by a child, a foul odor and a small amount of blood began to come out of the nose, and something like a stick kept moving within the mucous membrane, so I explained the situation again to the hospital where the surgery was performed, but was only told that there was nothing wrong. So, I thought there might be a problem with the silicone, so I had the silicone removed while getting a cartilage massage. I asked them to check what was moving inside my nose, but the hospital where I had the surgery only removed excessive skin from that area and closed it up. (It's not the cause of the scar...) However, even after that, only in the same area, there was a bad smell and a stick-like object kept poking and moving, so I thought it was strange, so I visited another hospital and found out that the nasal septum was deeply extended in that location. I also felt strange pulling and tightness symptoms, and after surgery, I found out that both my nose bones were fractured. (I am still thinking about how to solve this problem.)
 To summarize, the costal cartilage that is currently padded with the septum extension implant has moved out of place and is tilted diagonally to the area below the lateral nasal bone. The outer skin is also uncomfortable, possibly due to excessive removal of healthy breast fat.
Plan 1:
 
Removal of the entire autologous rib (support + extension + nasal tip) followed by removal of the nasal
            bridge with donated dermis + tip of the nose with donor or autologous dermis +
            lowering the columella with ear cartilage
 Plan 2: Autologous rib (nasal septum) Only the extensions are removed + the support and the tip of the nose are intact) The bridge of
            the nose with donated dermis + the tip of the nose with donated or autologous dermis +
            Recycling costal cartilage to lower the
 columella To sum up,
 should the entire autologous rib be removed and the shape improved, or
 only the autologous costal extensions be removed and some maintained and the shape improved? I'm wondering whether to do it or
 not. Which one would you choose? ㅠㅠ