I had nose surgery 6 years ago. Of all the places I consulted at the time, this was the one I trusted the most, so I went ahead with it. Silicone was used for the bridge and ear cartilage for the tip.
I have not had any major side effects so far, but the bridge looks slightly crooked.
The incision scar is easy to see from below, which stresses me out.
Only the early stage of surgery used sleep anesthesia; after that, it was done under local anesthesia.