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Nose Re-Surgery

If my septum is bent and it's hard to breathe through one nostril, is full removal the right choice? And consultation review for GYS

Because my septum is bent, when I look up at my nostrils from below, the two sides are very different. It's been 10 years since the surgery, and 10 years ago I had silicone placed in the septum. Breathing through the narrowed nostril is difficult. At SA and PRM, they said full removal was possible, but they spoke as if we would have to see whether breathing would actually get better. I also went to DR, and they said that if it's a functional problem, I should remove everything. So I had made up my mind to go with full removal. But at my last consultation, GYS said that if we only remove it, the bent septum will not get better, and that the septum would need to be removed, the support re-established, the septum reinforced, and the nasal tip lowered with ear cartilage, maybe a wing rotation graft? They talked like that and the surgery fee was unbelievably high. They said the silicone would be removed. It felt kind of like a revision surgery...? I do think GYS was professional and pointed out the problem correctly, but using ear cartilage and doing all that feels burdensome to me, and I don't want to leave any support behind either. I feel like if I do that, the shape will end up similar to my operated nose now anyway. I just want to remove everything and erase the feeling of having had surgery. But the problem is that I already have a functional issue and it's hard to breathe through one side, so now I'm conflicted. For now I feel like it would be better to just remove everything. If anyone has a similar case, could you tell me what it was like? I'm confused because the doctors all say different things. (To be precise, only GYS said something different. They said that removing it alone would not make breathing through the nostril better; this would not be a nasal valve surgery, and the things mentioned above would have to be redone.) And for reference, after a consultation where I was basically scolded at GYS, I started thinking, is it enough if the skill is good? If something goes wrong doing it this way, how much more pain will it cause? I couldn't even ask much. By contrast, the other hospitals were all kind.

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