It was my first surgery, and after thinking about it for a long time and going back for consultations several times, I decided carefully. My natural nose had a low glabella, was short, and looked slightly upturned with no columella. It was a semi-bulbous nose that looked a bit spread out, and my biggest needs were to have a bit more frontal contour than my natural nose and, above all, to have the columella brought out nicely. That was my top priority.
I kept debating until the very end, but because I was afraid of silicone, I chose a non-implant bridge (donor dermis) and autologous costal cartilage for the nasal tip …