Consultation notes: Clinic A, Clinic B, Clinic C, Clinic D

I had my first surgery in early 2022, and because of the difference in the slant of my nose, the silicone became crooked (that was the first surgeon's opinion), so at the same hospital I had the right side corrected twice with a non-open approach (osteotomy). The tip was extended with septal cartilage, and I also had surgery for a deviated septum (rhinitis surgery). The reason I want removal now is that I could see blood vessels on the glabella, and when I smiled, it stuck out too thickly, which I hated. Also, after washing my face, the bridge color looked a bit red. I became very anxious because of that, so I started looking into removal! So my current goal is to remove the silicone from the bridge and leave some of the tip so it looks better than my original nose. But only as far as is not too much!! My question list was: - open or closed - how to solve the height difference (I want to keep the tip as much as possible!!) - since septal cartilage was harvested, is there a risk of saddle nose (rhinitis surgery) - glabellar blood vessels - whether the capsule should be removed Clinic A 770 They said that while correcting the septum and extending it, they would use part of what had already been extended, reinforce the septum, and reposition as much height as possible with my own cartilage; if that was not enough, they would use ear cartilage. They said the columella and nostril asymmetry would be corrected, and the position of the nasal mucus would shift a bit too (I asked because I was uncomfortable with the mucus collecting toward the front on the right side). They said silicone makes the skin thinner, so blood vessels show through more easily. They said the reason the silicone direction looked crooked (/ like this) was probably not because of the difference in nasal bridge slope, but because the extended septal cartilage was taking force. No nasal packing x, splint for 3 days. I visited after making an appointment and waited about 30 minutes. Maybe because it was the last time slot, they looked tired and were a bit irritable, speaking in a clipped way as if scolding me. I had already gone in knowing that was their usual style, so it did not bother me. Because the fee is the fee, I probably will not do it here. I recommend booking a morning consultation!! Clinic B 400 If they need to use other cartilage +50 Because the nose looks spread out, they recommend pulling the columella down with ear cartilage. They said that could make it look more pointed. Use only the septum to lower the tip; if the bridge is too shaved and collapsed, wake up the patient midway and show how much the nose is spreading. They said the silicone is too long and too high for the nose, so problems will likely happen eventually, and even if not for cosmetic reasons, they recommend removing it. They said they had put something huge into the nose lol. The blood vessels should improve a lot after the silicone is removed. I do not want any further procedures if possible. When I heard they would pull the columella down, I shook my head, so the consultation became a bit vague. Then I asked, "So are you filling the height difference with ear cartilage?" They said the columella has to be lowered with ear cartilage, but since I said I did not want that, they were not sure how to explain it... But the team at Clinic B definitely saw that my nose does look spread out. I just do not want to add anything else anymore. So in the end, I still do not really understand how the surgery would be done. It seems like the same direction as Clinic A, reducing the existing septum. I could not ask everything I wanted, and they told me to hear the details from the coordinator, so I left lol. Even after making a reservation, I waited over an hour, and it ended so quickly that I was kind of stunned. But maybe I should have asked more actively? I also went late in the afternoon, so the doctor looked tired... If possible, I recommend going in the morning for the consultation The coordinator was very kind!! Small plastic splint, removed on day 2 or 3. The columella sutures are non-absorbable, so they are removed around day 5, and the inside sutures are absorbable, so they can be left in or removed. They dissolve in about a month. Clinic C 380 (not sure whether VAT was included) If ear cartilage is used +50 If another material is used +50 Method for solving the height difference: lower the tip and use the existing septum, or if that is not possible with septum, solve it with ear cartilage. If the silicone is removed and the bridge is bumpy and the osteotomy area is blunt, shave a little off the bridge. A glabella blood vessel showing through is not a reaction to silicone; the blue blood vessel is a vein and naturally appears and disappears. It will not disappear just because silicone is removed. A bridge looking thin and red does not mean inflammation. If there is no inflammation, the capsule does not have to be removed. They usually remove the capsule from the bridge anyway, but whether to remove it all the way to the glabella is the decision point (if the patient wants, they will remove it, but because capsule removal means peeling it off, the swelling is worse, and since my skin is thin they did not recommend it). Nasal packing is used for about two days when septal cartilage is used additionally. It is also used if there is a lot of bleeding or the condition is poor. If there is a possibility of saddle nose, reinforcement is definitely needed, so they handled it with ear cartilage and I left. The consultation was detailed and they showed many example photos. They kept asking if I had more questions, so I recommend writing down a question list to take with you. Clinic D 495 Silicone removal + lowering the tip + height difference + ear cartilage + wrapping with fascia behind the ear. The fascia behind the ear is my own tissue, so it gradually gets absorbed, but right after surgery it helps prevent symptoms like looking bumpy. Since it will all become smooth later anyway, think of it as buying time to prevent the early unevenness. No nasal packing, splint for one week. The swelling is similar to or less than before. Once the implant is gone from the bridge, the hump will likely show again (I said that did not bother me, so it was fine!). The silicone height is relatively high (5 mm) and the skin is relatively thin. The consultation was good, so I went after reading a premium review that said if you are worried about removal, the consultation is worth it. It was the most detailed and kind consultation, but there are not as many reviews here compared with the other three major places, so I am torn... I learned here that the silicone height was also 5-6 mm! That is all for the consultation trip review. I want to keep the tip, though, so I do not know whether I should go to a removal clinic or a revision clinic The consultant at Clinic B looked at my nose and immediately said the columella had to be lowered with ear cartilage, so I think they definitely have a good aesthetic sense! My tip is a bit round, wide, and large. But the hospital looked too busy and the doctor looked tired, so I felt uneasy about whether surgery here was the right choice... There were just too many patients... But the busier it is, the more experience they probably have, right.. I am really torn Somehow it feels like if I had surgery at Clinic C, I would feel the most at ease. I am worried my tip might end up blunter or bigger than my original nose.. Can everyone share post-op reviews, consultation reviews, worries, hospital recommendations, anything at all