I had surgery in December 2017, and about 4 years and 4 months have passed now. First of all, I had sinusitis due to a deviated septum, and since I was doing it anyway, I thought I might as well have cosmetic surgery too, so I had surgery for a hump nose + nasal tip (ear cartilage) + nasal bridge together.
First, my hump was not severe but was present to some extent, my nasal bridge was on the higher side, and I did not have a bulbous nose, so my nose did not have any major flaws. I wanted a ski-slope nose shape with silicone inserted, but I went to 3 consultations, and all 3 clinics recommended not putting in an implant. It was a long time ago so I do not remember clearly, but at the clinic where I ultimately had surgery, they said they would cover the nasal bridge with something like a thin membrane and improve the shape and function without raising the nasal bridge itself very much. It probably was not autologous dermis, so I think you would need to ask that clinic. (I do not remember.)
As a result, I got a smooth straight nose, and when the bandage was removed 5 days after surgery, the first thought I had was, “Ah, I should have put in an implant and made it higher.” But looking back now, I think having implant-free surgery was the right choice.
The surgery itself went well for me, and I have no side effects or functional problems, so from here on I will talk not about the clinic, but about common cosmetic side effects caused by rhinoplasty in general. First of all, even before rhinoplasty, my midface, simply put the length of my nose, was not on the short side, but it was not long either. After rhinoplasty, the shape itself improved, but I strongly feel that my midface became quite long. This is something many people who have had rhinoplasty talk about, not just me. Even though I did not even put in silicone, so there is less of a chalk-like feeling and the area between the eyebrows did not become much higher, I still think the length of my nose became longer, making my midface look longer, and giving me a slight so-called horse-face impression (even if not to that extent). Even without an implant, the area between the eyebrows was raised in some way, and it is true that its length also became longer.
Also, in the case of a hump nose, if there is a curve on the nasal bridge and that is shaved down to make a straight bridge, I think there is a high chance the nose will look even longer from the front. Especially if you have a face shape like mine, with a narrow horizontal width and long vertical length, I expect the nose will look even longer.
In conclusion, I am very satisfied with the shape improvement, but my opinion is that because the nose became longer, the overall proportions seem to have been disrupted. I am talking about rhinoplasty itself, not a clinic issue. For people with a short midface, it may not matter, but if your nose is not short and you have a long face shape, I think it would be best to think carefully, or even if you have surgery, ask them not to touch the area between the eyebrows.
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