I had my first nose surgery 8 years ago and this time I had a second surgery. Originally, I was going to use only ear cartilage (the nasal septum was completely unusable), but they said that if I only use ear cartilage, the columella may sag or the tip of my nose may sag, and the shape of the sagging is different for each person. I used the donor rib only for the pillars, but now that I've found out about the side effects, I'm a little worried. Are there any major problems for those of you who are older than n years?