(Photos of a perforated nose included; graphic warning) Complications from rhinoplasty, silicone removal, autologous dermis nasal revision surgery: 1st removal to 2nd-stage update

Hello. About 7 years ago in Gangnam, after my first nose surgery with donated costal cartilage + silicone, I recently developed complications from nasal surgery, and after urgently searching for a hospital and completing the first operation, I want to share my experience. These photos may be a bit graphic. It seems there are not many posts from people with severe perforations in this community, so I hope this is helpful. Even though I developed postoperative complications from rhinoplasty such as pus or blood discharge and a burning, painful sensation at the tip of my nose, I thought it would just pass again, so I left it untreated for more than 6 months, almost a year, due to a lack of safety awareness. In the end, the tip of my nose perforated, and I hurriedly searched for a hospital while traveling abroad and went in for treatment. As you can see from the photos alone, the perforation was obvious, and silicone had even protruded on the left side, making it a serious situation. While traveling abroad, I quickly searched for a hospital that could handle the situation. Before getting into the review, I run an advertising marketing company as my profession. The reason I mention this is that, thanks to my job, I could understand in detail how viral advertising for plastic surgery clinics is carried out, the structure and methods behind it, the range of products offered, and other details that ordinary people cannot easily check. From a more expert perspective, I was able to clearly distinguish whether a clinic was truly skilled or merely packaged by advertising. (I can even identify the names and prices of advertising products requested by dozens or even hundreds of plastic surgery clinics.) That is why I needed a clear standard when choosing a hospital for the revision surgery that would decide my life. 1. I eliminated from consideration any clinic that showed even the slightest sign of trying to hide skill behind money (= advertising). 2. It had to be more than just a skilled plastic surgery clinic; in a narrower category, it had to have a solid understanding of complications after nose surgery. 3. Beyond understanding, it also had to be a clinic with clear indicators for future improvement plans. With those three criteria in mind, after searching the Seoul metropolitan area using programs and AI, I visited the former Spring Light Plastic Surgery clinic, now Spring Night Plastic Surgery, which I ultimately decided on, along with two other clinics including a Gangnam client clinic! The other clinic I was comparing against had a process of removal of the implant -> a recovery period of about 6 months -> then re-implantation. The fact that I would have to live for 6 months in a preoperative state without an implant, and then use an external material that had caused problems again, made me hesitate. (For reference, even though the client clinic could have provided the procedure completely free of charge, I chose Spring Night Plastic Surgery!) Mentioning the business name makes it look like advertising, but it absolutely is not advertising. As you can see from the photos, both the left and right tips of my nose were actually perforated, and I want to share the result of a very thorough, analytical search. As soon as I arrived, I had consultations with the manager and the director, and after hearing the director's confident explanation, I decided to proceed with the first-stage removal surgery that same day. In my case, because the tip of my nose was already perforated, a one-day program was not possible, and the situation had to proceed as 1st removal surgery -> recovery period -> 2nd surgery. The reason I decided I had to use autologous dermis was: 1. Since it uses my own skin, there is no need to worry about complications. 2. I would be able to live with an improved nose shape rather than my original nose without waiting 6 months. 3. The director has accumulated extensive data and experience regarding rhinoplasty complications. Those three reasons seem to have had the biggest influence. So I went ahead with the first removal surgery. Briefly describing the process: because anesthesia injections hurt, they first use sleep anesthesia and then proceed with the anesthesia. (For 2 to 3 minutes you feel dazed, with something like a roller-coaster sensation too... well, once you go through that strange experience, you will wake up under anesthesia.) And although you can feel it, it is not very painful. For me, it was at a tolerable level. If it still hurts, rather than forcing yourself to endure it, be honest and say that it hurts! They will give you more anesthesia. My surgery took longer, so I had additional anesthesia. As the anesthesia gradually wore off, it started to hurt... My surgery time was quite a bit longer than the time I had been told. The director and the staff supporting the procedure seemed to have a hard time at various points as well. (I am truly very sorry and very grateful T_T) The reason was that my nose had already been left in a bad state for a long time, so the inside was in very poor condition due to bad pus and contents, and even while suctioning at intervals, there was an overflowing feeling because it was so severe... The odor coming from it was also very strong. (I had my nose blocked during surgery, so even though I could not sense it well, I could clearly tell what kind of feeling this was...) Contracture had also already progressed significantly, so the director had to work extremely hard to remove all of that contracted tissue. Even though it lasted far longer than the originally expected time, I could feel how carefully every single movement was being handled. That is also why I am writing this review so carefully now, with my 2nd surgery coming up... Through this post, I want to sincerely thank the director and everyone involved. Right after the 1st removal surgery ended through day 2, I attached photos. After the 1st surgery, your nose will be packed with cotton for a day, so you will be uncomfortable and have to breathe through your mouth. Rinse your mouth with plenty of water and run a humidifier or something similar; it helped me. After the splint was removed, the director judged that the condition was fine, and although the 2nd surgery had originally been scheduled for day 7 after the 1st stage, I will be having the 2nd surgery tomorrow, on day 5! Right now, you can think of it as my original nose without any implant before the 2nd surgery, but swollen. It was originally a troublesome nose with various factors such as deviation, a low bridge, short nose length, and a blunt tip, so after this autologous dermis 2nd surgery, I am both looking forward to how much the aesthetics will improve and also a little scared. I suppose the biggest reason people hesitate about autologous dermis surgery is concern about the aesthetics of the procedure, right? Rather than the difference in cost, people will probably worry by comparing it with implant surgery because, although they say it can be improved later by injections, there are concerns about the absorption rate and about whether it is less effective aesthetically than an implant. I will share my follow-up thoughts on that part in a later review. I will try to speak as objectively as possible and only say things that I truly feel, without exaggeration or fabrication. This got long with all my rambling before tomorrow's 2nd surgery. I hope this review helps someone.