This was my third time. I'm at week 3 now. First of all, please don't ask me for hospital info or anything like that. This is just my own venting. In the end it was my choice, so I hope it gets better, and if not, I'll have to consider revision surgery. And maybe it's too early to vent, so I'll try to keep hope and watch how things go.I had my last surgery 10 years ago using autologous dermis, but a lot of it was absorbed and my nose became upturned. It was basically a severe upturned, short nose where you could see the inside of my nostrils straight from the front. One side also had a triangular nostril. On one side of my nose, there was a scar line next to the columella from an incision. Those were the parts I wanted to improve.I'm in my 40s now. I really thought this would be the last time in my life, so before getting any older I looked into it and had surgery with autologous costal cartilage. Even so, I didn't research very much. I watched YouTube, had a consultation, and decided right away. It was a new hospital, but they said they use autologous costal cartilage well and are good at revision surgery, and they looked confident on YouTube.I still had autologous dermis remaining, so maybe because of that, I decided not to do anything to the bridge and instead focused on lengthening the tip, narrowing the medial alar base, and lowering the nostrils.I don't know if this is normal, but after surgery, when I woke up in recovery, no one really told me how the surgery had gone or whether it had gone well. I just woke up, the nurses gave me an IV and checked my condition, and once I could walk they came out, someone briefly gave me a paper bag with instructions and gauze, and I left. I didn't even meet the director that day. That was all. I don't know if other places manage things this way either; I was just curious about how other places do it as I wrote this.I was shocked when the splint came off at one week. The middle of the bridge had been pinched really hard like > <. The swelling was so severe that I figured it was just that. But what shocked me even more was that the columella had become extremely thick. I looked it up and apparently that's normal because autologous costal cartilage is thick. Everyone should know that in advance. And maybe because autologous costal cartilage is very hard, the nose and the area around the philtrum are so stiff that I can't smile. They said not to smile broadly for about a month. But even at week 3 I still can't move much. Then at week 2 they removed the internal silicone sheet from inside my nose and took out all the stitches.So now it's 3 weeks. If I speak only about the current state, everything is a mess.I still can't go out without a mask. My job involves dealing with people, but my expressions don't work, so I wear one, but right now the shape of my nose and the columella are such a mess that I can't take the mask off. I didn't do the bridge, right? So they must have refined the nose while lowering it, but the bridge line is tilted to one side. I don't know whether this will improve once the swelling goes down. Under light, the line where the bridge sits is not centered but slants to one side. The line is tilted, and right now the bridge shape is not quite > <, but it looks like ) ( to me.And the triangular nostril has become even sharper. Thanks to the other side coming down well, this triangular nostril looks so abnormal that it seems deformed. The scar tissue has bulged out on both sides next to the columella, all along the columella line. Because autologous costal cartilage is thick, the tissue inside the columella can come out, but I already had scar tissue, so that scar tissue came out. And on the other side, new scar tissue formed. I didn't know that could happen either.Ah, the pain from autologous costal cartilage was actually manageable. My nose was so blocked, painful, and exhausting that the rib area was still bearable.I hope these current issues improve. I sincerely hope everyone researches well and that their surgery goes well.
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