First of all, I have a short nose and a small nose, and I said I wanted a refined straight-bridge nose. I just wrote this down in my notes right after the consultation, so please understand that it is written in a messy, stream-of-consciousness style..
ㅁㅂ / Dr. ㄱㅈㅎ
CCTV: yes, but guardians can only watch it in real time It can be provided later only if a problem arises Anesthesia: the surgeon who performs the operation also does the sedation anesthesia directly The anesthesiologist only does general anesthesia Aftercare for up to 1 year if side effects or problems occur However, material costs may still come up
They said donor rib cartilage is necessary; without it, that shape cannot be achieved. The key point is choosing what materials to use. Because the silicone is placed depending on the height of the nasal tip, they expected about 3 to 3.5 mm. It is true that the risk of side effects is higher with donor rib cartilage, but it can be done with only your own cartilage. Still, it would be very natural. Even if side effects develop later and the silicone or cartilage is removed, it cannot return to my original nose. There is no effect on nasolabial folds; that would require fat grafting. Right ear cartilage + septal cartilage + silicone Ear cartilage is used to shape the nasal tip, not to build a support column. I personally prefer a non-implant approach, but the shape may not look pretty. The judgment is mine to make.
ㅁㅋ / Dr. ㅇㅈㅈ
The doctor was the kindest!! Donor rib cartilage is necessary. Non-open rhinoplasty + donor rib cartilage + ear cartilage If it is done using only septal cartilage without donor rib cartilage, the risk of side effects ultimately increases. If excessively insufficient septal cartilage is removed and used, it can later bend or become uneven, and that is how those cases happen. So in the end, it would be used in revision surgery. If the donor rib cartilage is absorbed later, it basically returns to looking like my original nose. About 2 to 3 mm of silicone would be used, and the anesthesia is done directly by the surgeon. The effect on nasolabial folds would be slight, just enough to smooth the shadowing on both sides of the nose. CCTV retention period is 2 weeks, and it can only be viewed if a problem arises Aftercare: swelling laser on the day of surgery, swelling injections, and not much else special Also, the consultation director comes into the doctor consultation and stands next to you
ㅇ / Dr. ㅇㅅㅂ Recommended donor rib cartilage + ear cartilage as well Whether the nose looks bent after surgery varies from person to person, so they could not be sure what would happen Everyone is asymmetrical, so if the bridge is straight from the front, the columella may look bent, and there is nothing that can be done about that Silicone is also placed after checking the nasal tip, so they did not know how much would be used Because my skin is thin, there is a possibility the cartilage could show through, so they recommended adding dermis. They also said everyone has a hump, so we should shave the hump too, because that is what makes it smooth (I have never once been told I have a hump in my life, and I do not think I have one either) Donor rib cartilage + ear cartilage + hump + nasolabial angle + nostril lowering No swelling laser; swelling injections only. No CCTV in the operating room on the day of surgery, but filming with my own phone was possible. If inflammation or side effects occur, aftercare is possible. If there is simple dissatisfaction, after consultation with the surgeon they usually recommend observing for about 8 to 10 months.
ㅁㅌ / Dr. ㅇㅎㅅ The doctor was really, extremely blunt, to the point of being unpleasant, but he seemed professionally competent ㅡㅡ He said my nose would only be lowered by 5 degrees, and even after surgery my nostrils would still be visible. If lowered too much, it could look stuffy and the alar base could look compressed. So they would only lower it by about 5 degrees, but then it could still look upturned after surgery. The bridge would need about 3 mm of silicone, and the slight hump would need to be shaved before adding silicone, otherwise it could bend later. The surgery would use only septal cartilage + ear cartilage, and if there were not enough septal cartilage, then only ear cartilage would be used. All cartilage eventually sags, and ear cartilage sags especially easily. So the only option is to overcorrect from the start. But he said it would be better if I did not have surgery at all. When I asked if, if I later had silicone side effects and had to remove everything, my nose would return to my original one, he said I was already thinking about removing it before even having surgery, and that if I had surgery later, I would probably panic over even the slightest change and think it was a side effect. He said nose surgery is for people who are not easily rattled. Anyway, open rhinoplasty + (septal cartilage) + ear cartilage + hump + bridge silicone + nasal tip cartilage rearrangement? Ah, he said the cartilage on the nasal tip probably would not show through because my skin thickness is average, but if it did show, he would check and add dermis. He said he knew. Because my lower face is long, if the bridge is raised too much it can feel like it is attached to the forehead, and if the nasal angle is lowered too much there is also a possibility breathing could become uncomfortable. Sedation anesthesia + local anesthesia, waking me up in the middle and continuing. No separate aftercare, just inflammation injections or swelling injections. The surgeon does the anesthesia directly. There is CCTV. AS for 3 years. Cosmetic dissatisfaction is handled with a discount.
ㅋㅂㅈ / Dr. ㅎㅅㅁ Probably because I went there after ㅁㅌ, the doctor felt very kind.. It seemed like I might not need silicone. My bridge is not especially low. He recommended preserving my original bridge, but if I wanted it higher, 3 mm would be fine. The materials would be septal cartilage + ear cartilage. He did not really explain the surgical method or anything like that.. He just showed before-and-after photos while showing me other people’s pictures.. For the bridge, he would use fascia from behind the ear to fill only the sunken parts, and for the tip he would use septal cartilage + ear cartilage. He took a photo of my side profile on an iPad and the doctor edited it with Photoshop right there to show me. They said there would be a discount if I placed a deposit on the same day AS for 3 years; if dissatisfied cosmetically, only anesthesia fee applies, about 3 to 50. Aftercare includes swelling laser, swelling injections, etc.
ㅇㅇㅌ Apgujeong Station He would use silicone + ear cartilage, and his confidence was just insane. He asked whether I had any aversion to silicone, and if I disliked implants, whether I wanted autologous costal cartilage or just silicone. It was a choice-based consultation. When I asked about what was said at ㅁㅌ, he got annoyed and asked what that meant, then used a cotton swab to shape my nose while saying, this is 5 degrees, this is about 10 degrees lower, which looks better? He kept asking questions by showing photos of people with the same type of case as mine and asking how it looked..? He showed photos of people with humps and said, does this look like a hump or not? His way of speaking kept being like that. And then he said, why do you keep asking me about things another hospital said? I said I have no medical knowledge, so I was asking to be sure from the doctor whether this was right. He said he did not know what they were talking about, and that I could go ask them instead.. Honestly, I almost cried. He was so pressuring that I was scared.. But maybe I looked intimidated, because he said I seemed afraid of him. I said yes, and only then did he smile and say he was not angry at me, but angry at the attitude of recommending unnecessary surgery and trying to make a lot of money. His tone was like he was shouting, but his confidence was insane and it was confusing. In the end, I was scared.. If I get nose surgery later and act even a little dramatic, I feel like I will get scolded AS for 1 year, no aftercare