I’ll share all the consultation notes about removal surgery so far

[Clinic A] - Save the tip of the nose. Lower the bridge again by the amount removed from the tip. But they do not show before-and-after photos for this case. - The removed bridge area may be ground down, so it could end up a bit square. - Headaches from silicone: they cannot guarantee anything even after removal. - If silicone causes these symptoms, it should be discontinued. - Tenderness is something you basically have to live with as long as the silicone remains. - There is no immediate need for surgery. It becomes urgent only if a lot of silicone shows at the tip. Watch it closely. Progress is not fast. - If the capsule is removed, the skin will get thinner and the bridge may look lower too. - 450 (including anesthesia) [Clinic B] - On endoscopy, the right nasal cavity was blocked by septal deviation -> after the tip was lifted, it tried to return to its original position, so the inside bent too (why it became more crooked after surgery than before). - None of my previous surgeries used septal cartilage. - It is okay to remove everything down to the tip. Why leave it? It is fine, no need to worry. - They built the septum extension with rib cartilage, and they said to remove that and leave only the rib cartilage as support. - If silicone is removed, headaches and tenderness should improve a lot. - Complete capsule removal. - The after photos were much better. - It is not a difficult case. - I could not ask properly because they kept laughing at everything I said and talking over me, so I do not even remember the answers. - Full removal 550 / sedation 20, total 570 - Septal deviation surgery 220 (if not done, the tip will bend; even if the crooked part is removed, it will bend again) - If both are done together, 770 - Why is the consultation expensive? Because they have been in practice a long time. - Complete removal is possible; it is not a difficult case. The septal cartilage is very solid. They could not understand at all why rib cartilage was used for the first surgery. - They have handled a lot of noses. - The line is pretty and harmonious with the face, but as a doctor, if there is pain, they can only recommend removal. - I said my original nose was extremely low, but after seeing the photos, they said it did not seem that low, the bridge was visible to some extent, and the shape itself was not an ugly shape. If I remove it later and am unhappy, filler could still make it pretty. - The visibility is not extremely severe. It is not a case that urgently needs removal right now, but the speed of progression cannot be predicted. If it becomes more visible, then it will be difficult, but it will not break through. - Because I am still young and cannot give up aesthetics, remove the visible tip and leave only the support structure, replace the tip with dermis, and switch the silicone to a lower one. In response to the question of whether the dermis will get absorbed and become odd, they said it would not happen because there is support, but it would look spread out. - Full removal 600, secondary surgery with autologous dermis (bridge silicone) 900; these are partial disclosure prices. - Propofol is difficult to use. If ketamine is scary, it is possible with midazolam alone, but it will be very painful, right? - Surgery time: full removal 3 hours, revision 3.5 hours. - Nasal packing for 2 to 3 days, or 7 days if the condition is not good. - The doctor was really kind and warm, and so was the manager. [Clinic C] - Left nasal obstruction occurred due to osteotomy; the right side looked narrower externally, but in terms of breathing, the left side was actually more blocked, so the left nostril, not the visibly narrower one, was harder to breathe through (this was explained to me for the first time here). They looked at the CT very carefully. - Covering the tip all the way to the end with fascia from behind the ear can prevent transparency. - The director examined the nose a lot and made the diagnosis. - It is unclear whether the unusual shape seen at the tip is the stacked rib cartilage showing through or my own original cartilage. - I am still young, and the fact that it is showing does not mean it will ever break through, so complete removal is not recommended aesthetically. - If covered with fascia from behind the ear, 400 - Full removal 495 - Sedation with propofol is possible [Clinic D] - The manager felt kind of... off. Something about [Clinic E] felt really weird, and I was not drawn to it at all, so I did not go. I even saw a serious review. If I were to do it, even if I had to stay awake for 3 hours, I would still most want to go to [Clinic A]... But I have severe panic, so I am just very scared. Anyway, I hope this helps. Ask questions if you want, but if possible please do not use anonymity and leave a public comment...