I had L-shaped silicone + ear cartilage surgery about 20 years ago. Until now there hadn’t been any major issues, but over time I started to feel like my nose was getting a bit more upturned, so I thought I should get a consultation. I currently live overseas, so I booked two places while I was visiting briefly this summer. [Clinic A] I thought my nose had become quite upturned compared to right after surgery, but they didn’t see that as a major problem. Since so much time has passed since the surgery, it seemed within the normal range. There’s no inflammation or contracture, and the skin at the tip of the nose has become very thin now. No one knows how long the skin will stay okay, and the doctor personally thought it would be better to remove the implant. So the currently possible options were removal of the implant and capsule by a closed approach, or opening the nose to remove the implant while also doing a little touch-up to the tip using ear cartilage and septal cartilage. Honestly, I had been worried personally that it might be severe contracture, so after the consultation I felt a bit relieved. At that point I hadn’t even considered removing the implant, so I was thinking maybe I’d have to do a little tip support after removal, something like that. They said that if I had surgery on the tip after removal, about 2 weeks would be enough time. Then I went to [Clinic B]. Here the cosmetic standards were a bit stricter. They said there was definitely contracture, and that the skin at the tip was also very thin, but given that I live overseas and my stay is short, it would be best to just remove the implant. They said that if they opened it, removed all the capsule, and released the compressed cartilage, it should end up looking close to the original nose shape. Here they clearly told me that given my situation, with the short stay, silicone removal was the best option, and that helped me spend less time worrying on my own, which made me feel a bit more at ease. If the silicone has actually broken through the skin, that would be the top priority for removal, and I’m probably around the next level after that T_T Here they said that even with removal surgery only, I’d probably need around 2 weeks for recovery and observation. The style at the two places felt very different, but both consultations were comfortable and kind. Honestly, I hadn’t researched that much before going, I just went because I felt like something was wrong, so after the consultations I’ve been busy searching and learning more. I’ve now decided on silicone removal, and I think I’ll book a date quickly with the place where I feel a little more comfortable. Since implant removal is something where you don’t know what will happen afterward and there are many things the patient has to handle, I really think you need time to prepare mentally for it. My nose was originally small, and they put in a huge L-shaped silicone, so I’m worried I might feel a sense of loss after taking it out. Still, I’ve decided to be grateful that I got to live with a pretty nose all this time... But honestly, I do hope it still looks somewhat okay after removal... T_T
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