I have to choose a hospital and book surgery by tomorrow... I'm torn between ㅅ ㅇ, ㅅ ㅇ ㅇ, and, please help (edited)

I’m working overseas For the first time in 17 years, I actually took 3 months of unpaid leave because I had a goal and was prepared to get fired over it.... At the beginning of my leave, I told the hospital that my nose was getting very red, but they just said it was fine... so I thought it was fine.... The thing I was aiming for didn’t work out, so I have to go back to the company, and I’m literally on the brink of getting fired. Earlier this year I also used a month of sick leave, so it’s awkward to say I’m sick and not go back... My departure date is coming up soon.. they say it’s serious, so I have to have surgery no later than the 20th next week and then leave.... I think I’ve been to all the hospitals mentioned here. Out of those, I can’t choose between three places ㅅ ㅅ ㅇ had the longest wait time. Even though there were many patients waiting behind, the explanation seemed thorough and unhurried. They calmly wrote down my nose history in detail, debated open vs. closed surgery, and said that with an open approach, blood supply is already not good now, so cutting blood vessels could cause necrosis in the inflamed part of the nose... After a long deliberation, they said not to do anything and just remove it with a closed approach. I thought, what is best for the patient? The way they seemed to think from the patient’s perspective made me think I should do it here The director who did my first nose job 18 years ago is still in the same place, which makes me think they must be good at surgery plus aftercare for patients too. The doctor explained all the possible cases and spent a really long time talking and thinking it through. Looking at the condition of my nose, they said if there’s inflammation, just remove it; because my skin has thinned, autologous dermis is not okay, so add donor dermis and close it. If the condition is okay, replace the silicone and use donor rib cartilage lower, then add autologous dermis on top. ㅅ ㅇ The director looked at it and said it has to be removed very quickly and it will be done open. When I mentioned closed surgery, they said even with the eyes open, the layers of the skin are hard to see, and if they try closed surgery, the cartilage could be damaged. They said only removal is possible and nothing else can be done. Since my skin is thin, I asked about placing dermis, but they said dermis is heavy, so if they use dermis the nose could get pressed down. Seeing my ruined nose, maybe they were angry as a doctor that I’d gone to strange hospitals, or maybe they were frustrated that I kept saying I was scared of open surgery when the condition is so bad. It was a bit scary, but I also thought that if I do it here with an open approach, they’ll clean everything up and do their best, so maybe I should do it here The first director does both open and closed surgery, and said closed would be safest for me. The second director only does closed surgery. The third director only does open surgery, and said that if it’s not open they can’t see inside, so there could be cartilage damage... That’s why I can’t decide on a hospital first. The first director said only removal is needed. The second director said because the skin has thinned, dermis needs to be added. But the third director said if dermis is added, it’s heavy and the nose will sink under that weight I don’t know which method is best... My nose hurts.. but my head hurts even more If anyone has experience with open vs. closed surgery / adding dermis or not, please share your opinion - I decided on only removal, so I skipped the hospitals below - 1. Closed-surgery doctor - because it’s severe, surgery is possible after taking antibiotics for 3 or 4 days / leave the silicone in place, and since the donor rib has been exposed to air, replace it a bit smaller; donor dermis or autologous dermis needs to be added 2. The doctor is nice. They kindly explained everything while showing the nasal implant. Looking at the CT, they said the silicone was crooked and the osteotomy looked a bit odd on one side. At that time they confirmed the silicone was 3.5, and when they showed the thickness of the skin and the nasal bridge and tip, they said the tip was too thin. They said to remove the silicone and grind the cartilage, then inject it with a syringe to create the same height as silicone, and slightly grind down the donor rib to lower it. When lowering the donor rib, they said doing it closed could make it bend to one side, so for safety it should be done with at least a minimal open approach. 3. When I mentioned closed surgery, they said it was like operating blindfolded with your eyes closed, and insisted they must open it and look inside, so they talked about silicone replacement and donor rib removal. The consultation was quite long and they explained many things carefully, but I got so focused on the word open that I couldn’t really concentrate. 4. They looked with ultrasound and measured the tip skin at 1 mm, saying it will soon break through. When I said I wanted closed removal, they said they can do closed surgery, but it would be difficult for them and take longer... It is possible to do closed surgery, but they said they can switch from closed to open during surgery. The manager gave me a quote for putting autologous dermis on the bridge and donor rib cartilage, and I paid 150,000 won the next day and received hyperbaric oxygen therapy. 5. I went because I saw a post saying they were good at closed surgery, but on the chart they wrote silicone removal, rib cartilage removal, open surgery, so when I said I really wanted closed surgery... they said they can do closed surgery, but it would be like surgery with handcuffs on. If a risky situation comes up, instead of dragging it out for a long time, they might switch from closed to open. 6. They wrote open surgery, silicone removal, donor rib removal, so when I said I wanted closed surgery, they looked a bit flustered, but after seeing how firm my will was, they wrote on the chart that it would be closed removal of silicone and donor rib. They said there isn’t a doctor who has done as much closed surgery as I have... Looking at me, they seemed amazed and puzzled at how I managed to remove donor rib closed. 7. The director gets angry, doesn’t listen to the patient, and only says what they want. They wrote open surgery with silicone removal and donor rib removal, then silicone again and a lower donor rib -> the next day the manager called and said the director was very flustered by me yesterday and apologized. They said I don’t have to do it at their hospital, but that it absolutely has to be removed quickly. I thanked them for calling. 8. University hospital - CT scan and prescription (500,000 won) The doctor kept sighing and saying “oh dear, oh dear” while filling out the chart, and it seems a diagnosis would only be possible after the CT and blood test results come out on the 19th 9. I had an appointment with ㅊㅁ because I wasn’t feeling well, but couldn’t go 10. ENT checkup with an endoscope to check inside the nose. They said there wasn’t a major problem inside the nose, but told me to go back to the hospital where I had surgery as soon as possible. When I said that hospital no longer exists, they prescribed antibiotics and anti-inflammatory medicine, and the woman at the desk strongly advised me not to go abroad in this state and to 꼭 go to another hospital.