Tissue removal in African American nose job

The African American nose tends to have a wide nasal base.  One method to narrow the wide nasal base is with nasal base reduction.  This helps address nostril flare.  In an effort to make the nose less flat, I use several techniques, including suturing techniques and grafting techniques.  The grafts I use are cartilage and the source is from the nasal septum.  Occasionally, I may need to use ear cartilage.  If more grafting is needed, I may use rib cartilage.