When you want to remove a nose implant but keep the tip (+ consultation review)

15 years ago Silitex (you will know if you go to consultations), surgery with septal cartilage, corrected a bulbous nose tip with septal cartilage >>> The reason for the nose surgery is that there are no side effects, but I am worried that contracture might come, and there is occasional redness of the nose bridge I want to remove the implant in the bridge, and I do not want to go back to a bulbous nose, so I want to keep only the tip and the support structure (the tip was modified only with septal cartilage) 1. [Clinic A] Silitex / not contracture While removing the implant, they said because my nose is long they would lift the tip a little. The step difference would be adjusted with AlloDerm or autologous dermis using existing septal cartilage. Difficulty is 0.1 out of 10 (surgery can even be done today). 2. [Clinic B] Silitex, removal is tricky. They said the previous nose was a premium cosmetic surgery... lol If everything is removed, the nose shape will be distorted, and because septal cartilage at the tip can become visible over time, they said to redo the tip with ear cartilage. The bridge would use Megaderm. / No sedation anesthesia. 3. [Brand A] Very confident. Silitex is not a good material, so it is better to remove it. (They said that since I had no problems for 15 years, my tissue reactivity must be good.) Why use ear cartilage when you can keep the good septal cartilage that is already there? If the cartilage shows through at the tip, they would trim it a little (but since it has shown through this much so far, it apparently is not a problem). On ultrasound, they said the step difference probably does not even need to be filled. Not every removal causes a step difference.. They said doctors just throw out every possibility by saying there will be a step difference to begin with... 4. [Clinic C] The septal cartilage that serves as support is somewhat short. Since you are doing it anyway, would you like to use ear cartilage to build a pillar and increase height? When I said I did not want another incision, they immediately agreed and said, then let us just change the angle of the septal cartilage to improve the nasal tip droop. They asked whether I also wanted to correct the pinched-nose feeling, and I said that would be fine too (my original nose already had a somewhat pinched-nose look). Looking with endoscopy, they said the inferior turbinate is large and recommended resection (not covered by insurance). From online research I thought it would be [Clinic A], but when I actually went, [Clinic C] and [Brand A] felt the most trustworthy. At [Clinic C], I said no to everything the doctor suggested, so lol I wondered if the outcome would go differently from what that doctor aims for. [Brand A] was also too confident...... Even if the doctor is confident, I worry lol and if they are not confident, I also worry. Is it just me who feels anxious like this? I still have only the consultation at [Clinic D] left. I plan to decide on surgery after going there. If anyone had the bridge removed at [Brand A] and kept the tip, how was it? Please share your review.