Writing this as a record so I do not forget while visiting clinics for revision rhinoplasty.
The consultation order was coordinator–doctor–coordinator. There was no consultation fee, but there was some waiting, so I saw the doctor after waiting 30 minutes. I had already shown my question list during the coordinator consultation, and during the doctor's consultation I asked everything that came to mind freestyle. It was comfortable that they did not make me feel self-conscious for asking many questions. However, the doctor spoke rather quickly, so someone with a slower personality might have trouble following.
One unusual thing was that they also examined my temporomandibular joint. The doctor even knew which side I chew on more and seemed sensitive to symmetry. I also had a CT scan. There was no particular functional problem, but the doctor said that, although it was not definitive, the tip looked quite absorbed to the naked eye.
First of all, replacing the silicone in the bridge is definitely necessary, and the doctor said it would be better not to raise the bridge too much, recommending 3 mm. Since the dorsum protrudes slightly, they recommended shaving it down; the hump needs to be reduced somewhat for the bridge to look smooth after inserting the silicone. I was disappointed because I wanted the bridge higher, but my skin is relatively thin, so I am considering not raising it too much in line with the doctor's opinion.
For the tip, I had been debating donor rib cartilage versus autologous costal cartilage, and the doctor recommended autologous costal cartilage. I also asked about particulate rib-cartilage rhinoplasty, which I had been curious about, but the doctor strongly advised against it. I asked out of personal curiosity and plan to keep asking about it whenever I consult for revision rhinoplasty in the future.
I asked how many surgeries they perform per day, and they said they do only one nose-related surgery per day, no exceptions. Other hospitals probably do at least two, so I liked that. If the donor-site scar from harvesting autologous costal cartilage is a major concern, Fraxel may be possible later, and they offer post-operative care including swelling injections and Healite.
The doctor seems rather meticulous by temperament, so I have high expectations for the surgery.