In the second half of 2017, I had surgery for a deviated septum covered by private insurance, and then I had nose tip + hump nose surgery. During the consultation, the doctor was kind, and the manager was also kind, but I could strongly feel that they were trying hard to get the person being consulted to go ahead with the surgery. The surgery itself went well, and I don't have any functional or cosmetic side effects. They said they didn't insert silicone and instead laid down a thin membrane-like layer on the bridge of the nose. It wasn't autologous dermis, and I can't quite remember what it was called. The surgery at this hospital ended well, and it's not a problem with the hospital, but no matter which hospital you go to, rhinoplasty has a high chance of making the nose look longer and the midface look somewhat longer, so if you dislike that, decide carefully.
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