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Nose Re-Surgery@rhino-redo

Revision rhinoplasty materials and hospital choice

In my previous nose surgery, I had it done naturally with “septal cartilage + silicone,” but over time, the columella became very deviated and blocked one side of my nose. Appearance-wise, my nose looked crooked and the nasal tip drooped, so this is a case where I decided on revision surgery. (My original nose was a long, arrow-shaped nose.) 1) At the first hospital, they said they would remove the silicone from the nasal bridge and use the remaining septal cartilage only for the nasal tip + use ear cartilage / They said they would place ear cartilage on both sides of the deviated columella to hold it in place. They said that if the silicone on the nasal bridge is removed, there will still be some height because of the capsule, so it should be okay without silicone. (Hospital: B) 2) At the second hospital, they said that if the silicone is removed, there would be a height gap once the nasal tip is raised, so considering absorption, they would insert 3 mm donated dermis, use ear cartilage for the nasal tip, and use donated costal cartilage for the deviated part of the columella / Since using an already deviated septal cartilage and weak ear cartilage could make it deviate again, they recommended that if autologous costal cartilage feels too burdensome, I should at least definitely use donated costal cartilage. (Hospital: HㅇㅇD) I feel somewhat uneasy because of the side effects related to donated costal cartilage, but if it were you, which hospital do you think you would choose? ㅠㅠ

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