I briefly summarized the characteristics of the directors at clinics known for nose implant removal. Everyone has a preferred surgical direction—for example, removing only the silicone while leaving the nasal-tip support, or removing everything and slightly building up the step-off with cartilage. The direction needs to match so you can communicate well with the surgeon and feel comfortable with the clinic. I will briefly explain each director’s approach and characteristics. I hope it helps.
1. Full-removal group - [Clinic A] (complete full-removal group; does not like autologous dermis) This director strongly favors complete removal. Even the reviews mostly say that the director recommended full removal. They are extremely safety-oriented, avoid using autologous dermis and AlloDerm, and say to fill any step-off later with filler. The idea is that dissolvable filler is better. - [Clinic B] (full-removal group; likes autologous dermis and AlloDerm) They usually recommend full removal and dislike partial removal. They say partial removal is revision surgery and revision surgery costs more, so you should remove everything. I asked whether I could leave a little of the tip or remove only the support and shape the tip with cartilage, but they said I would probably come back later to look into complete removal anyway, so they recommended full removal. I do not have an infected nose. They talk a lot about using autologous dermis for step-offs and depressions, and seem to use donated dermis only for the bridge. I have no silicone in my nose.
2. Flexible partial-removal group - [Clinic C] If you seem particularly concerned about the tip, they recommend not removing the support. However, they will perform full removal if you want it. They tend to accommodate what the patient requests. They let you choose between closed and open surgery and seem more eager to say yes than other clinics. If a step-off or depression develops after removal, they use dermis but seem to prefer filling it with cartilage. You can definitely feel that, as a plastic-surgery clinic, they care more about shape than an ENT specialist such as [Clinic B]. However, for people with an infected nose who prioritize safety, the full-removal clinics in category 1 may be a better fit. - [Clinic D] They say that removing all the columellar support could cause collapse, so it is acceptable to leave the support. However, they also perform full removal, and their direction feels similar to [Clinic C]. While [Clinic C] generally gives an easy, confident, positive impression, this clinic strongly feels like it has to open things up first to know. Trust in the director seems important. They communicate with patients better than any other clinic. You know how you remain awake throughout surgery except when they inject the anesthetic? They show the patient the situation during surgery and explain the direction as they go. I feel this clinic would be popular if you communicate well with the director after the consultation.
3. Partial-removal group - [Clinic E] This clinic often turns patients away. The director does not like performing removal, especially when there is no silicone and no sign of infection: they say, “Why remove it? It will collapse. Don’t remove it,” and send the patient home. They like leaving the support and the tip in place. Plastic-surgery clinics do seem to have this tendency, but I think removal patients should have as much removed as possible, so our directions do not match. - [Brand A] ([Doctor A]) Extremely expensive. Even simple removal costs around 10 million won, so only people with plenty of money can go there. You need to transfer the consultation fee to make a reservation, and a separate CT fee of 50,000 won is added. The director does not like complete removal and seems to discuss the septum and rhinitis like an ENT specialist, preferring to leave support to prevent step-offs and depressions. They seem to reinforce step-offs and depressions with cartilage or dermis without exception.
Price ranking from most expensive to least expensive (there may be individual differences, but this is generally the order): [Brand A] > [Clinic A] > [Clinic D] > [Clinic C] > [Clinic B] > [Clinic E]. [Brand A] is on another level and cannot really be compared. I hope this helps haha. I am still deciding on a clinic.