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Nose Re-Surgery

I had my nose surgery under local anesthesia. Are there any places like that again?

I call myself a modern-day Guan Yu. I had my first nose surgery with ear cartilage + silicone, and it was done under local anesthesia. Maybe because of that, sleep anesthesia doesn't really appeal to me. It's been 8 years since my nose surgery, and I have had no side effects at all, but my nose was crooked from the start, and the ENT doctor said my nasal bone is crooked. So I want revision nose surgery. I want to correct the crooked nose (bone) + because my nose is broad, do osteotomy of the bones on both sides of the nose? to reduce the width + correct the bulbous nose that I still have. My wannabe noses are Winter's or Karina's nose.. or otherwise a small but high and slim nose is my wannabe. I don't want to touch my ears again, and my ear cartilage is on the smaller side, so I want to use autologous costal cartilage. Is there a place that does revision surgery well, that can proceed with this under local anesthesia and checks my nose structure in advance with MRI, CT + X-ray before going into surgery? (I got a recommendation online for ㅇㅈ Plastic Surgery, but there are too many doctors, and when I asked who they got it from, they said they don't remember..; The skin on the lower part of my nose is very thick and has a lot of capillaries. The skin between my eyes is thin, so the silicone shows through slightly.)

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