Nose status: I have a hump nose, and my nasal bridge is on the high side + large side (that’s what the doctors say)
Desired nose status: Shape is important too, but I’m someone facing my first surgery who absolutely wants to avoid side effects & revision surgery and wants it to be naturally on the safe side^~^
I’m still going around for consultations, and today I went to two places. I had CT scans at both, and the clinics I went to today recommended completely opposite materials lol (I don’t know if it’s because of the doctors’ surgery styles)
At the second clinic, they said that usually with hump noses the septal cartilage is on the larger side, but mine is short so it can’t be used.. (I don’t know if that’s actually a good thing. I’d seen so many different side effects from using septal cartilage, like saddle nose and the nose collapsing after 10-20 years, so I’d seriously been debating because of the septal cartilage) Anyway, the doctor said using septal cartilage would be best, but it’s short so it can’t be used, and that I’d have to use autologous costal cartilage. They said they don’t use donated rib cartilage because of the absorption rate. They said it was quite an unexpected obstacle… When I said I was worried about inflammation, they said if I think that way, I can’t have surgery.. appendectomy, double eyelid surgery, everything has a chance of inflammation.. So mean! So I have to use autologous costal cartilage, and osteotomy is apparently required, but the cost was.. way beyond what I imagined, so extremely extremely extremely high that I was shocked. Haha… They said I can’t use nothing at all because the hump is also big, so they have to shave off a lot. When I asked if that wouldn’t create an open-roof deformity, they said of course it would, but they would suture it..? Honestly I don’t remember well;;; I’m going to ask again tomorrow.
But then the first clinic said they always use donated rib cartilage. They said septal cartilage and ear cartilage are old methods and collapse. (I was flustered then too because I hadn’t even considered donated rib cartilage) According to the consultant, it’s a clinic that only uses donated rib cartilage. But when I said I was a bit reluctant about donated rib cartilage because of inflammation, the director said septal cartilage and ear cartilage are possible too. But they said the shape could become bumpy and there could be a step-off, and that it’s too old-fashioned a method.. They didn’t explain things clearly. Since I was a bit worried, the mood shifted toward using septal cartilage and ear cartilage, but then the consultant came back and said donated rib cartilage plus septal cartilage.. This place uses septal cartilage as a must. They said my septal cartilage is ample. They even said leaving 8 mm is the standard, but they’ll leave about 10 mm for me (because I was worried it might collapse lol) When I said I was worried about inflammation from donated rib cartilage, they said something completely opposite from what I knew: that donated rib cartilage has a higher risk, and autologous = septal cartilage. But I do think that might be right too. Still, the consultation honestly felt really half-hearted, and the director.. seemed not even 1% interested in me. The consultation was over in 5 minutes + what they said was different from the consultant’s (it was my first clinic, so I admit I couldn’t explain things very precisely. But they told me I’d studied a lot… lol)
<<<I studied online that the order of higher inflammation risk is autologous >> donated rib cartilage > septal cartilage.. and that the downside of donated rib cartilage is sagging because of absorption!!>> But what order do you all know for the materials with the highest chance of inflammation??