I went to 4 consultations today. I’m about to have my third surgery. Right now my nose has silicone and my own cartilage in it. In my case, both times, the deformity started less than a month after surgery. It’s mild to call it contracture, but it does have the features of a contracted nose. Only one clinic diagnosed it as contracture, and the other three said it’s ambiguous to view it as contracture. But I also don’t think I have a foreign-body reaction to silicone. Other than the shape, there are no problems, and I’ve just lived with it for many years. Clinic A said silicone for the nasal bridge is possible too, but recommended autologous costal cartilage and told me to choose. Clinic B recommended silicone. I personally tend to agree that the idea that silicone has to be replaced every 10 years is wrong, and that as a nasal bridge material, silicone has no warping, is smooth and pretty, easy to remove, and is the best material for the nasal bridge. But since I’m doing this anyway, I also want to remove all foreign materials, so I kind of want to do it with autologous costal cartilage? But I’m worried about absorption or warping Since the nasal tip support has to be made with autologous costal cartilage anyway, they’ll have to open it up regardless. What would you do?
Lalaby Why did you have multiple revision surgeries? If it keeps becoming contracture, an external material could actually be the cause…. Like your friend said, I also think smooth, easy-to-remove silicone (for the nasal bridge) is currently the most appropriate material, but if you have contracture symptoms, it seems like you’ll need to change your choice. If you use diced autologous costal cartilage on the nasal bridge, is there warping? I don’t think there would be… The issue would just be whether they can really lay it out smoothly and well, and if not, you may need to use dermis. Compared with silicone, you’ll probably need to accept that it may be somewhat lacking in design aspects like height
noname430 I think the best option would be to remove all external materials and cover it with autologous costal cartilage and dermis
달방이 [@noname430] Really? If I do it at a place that manages warping well, could I really avoid another revision surgery? Ugh.. Okay!! Even if there’s no problem with the silicone, problems can also develop after many years, right? This is really hard..
달방이 [@Lalaby] They said it’s neither an inflamed nose nor a contracted nose, but it ended up with a contracted shape. Based on the consultation, it seems like the support was weak and the nose rolled upward? So they said it’s okay to write that it’s not a silicone side effect. That made me even more conflicted
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