I had my nasal tip lifted with the septum, but it is twisted too much and I’m going for revision surgery...

This is exactly like mine. The septal deviation probably existed from before, and because a patent airway has to be secured, they probably fixed the support so it bent in the opposite direction. Back then there was no CT, so when this had to be diagnosed by opening the nose, most surgeries were done that way. If it stays that way for a long time, it gradually becomes even more crooked. Telling you to use ear cartilage now seems to be about keeping the height achieved by septal support, but ear cartilage tends to sink. It’s not usually able to raise height much; it is typically used as extra cartilage for reinforcement. Then only rib cartilage remains as backup, but donor rib cartilage is absorbed and can make the tip drop, plus there is inflammation risk. Autologous costal cartilage is the right answer, though it can leave about a 1.5 cm scar on the side of the rib. If you can accept a lower tip height, remove the tip septal strut.

[@2다정2] I don’t want to put anything in my nose, and I think it would be okay if only the crooked part is corrected, even if the tip gets slightly lower—unless I get fibrosis or contraction. But it’s already too pointy… I don’t want to insert skin graft or cartilage. I regret having nose surgery itself so much… If I keep going around, is there any place that says it can be done without putting anything in at all? I don’t know where to go. I even came up from the provinces to Seoul on purpose, but I was shocked to be charged a consultation fee.. Is a consultation fee always charged? The area I used to live in didn’t have that. Could you recommend a clinic worth visiting for consultation? I have no knowledge about cosmetic surgery clinics at all.

[@오리루랑캐] [@오리루랑캐] Because the septum was stood up as a strut, I think the internal framework may have been pulled and twisted even more. I wonder if it will change when removed… This has to be checked by direct consultation with CT images. Whether removal alone is enough, or whether internal cartilage needs to be touched. In Seoul, I saw places that do CT, review the structure, and explain the operation plan based on it. They even charge the consultation fee of 50,000 KRW, but it doesn’t seem necessary to go that far. Usually it is around 10,000 and 30,000 is common. Given your needs as everyone, if you have no height obsession and no breathing problem, removal alone looks sufficient. I mostly visited revision hospitals, not removal-only hospitals, so I don’t know well. Focus on visiting removal-specialty hospitals. Avoid bundled recommendation comments.

[@2다정2] You have such abundant info, everyone—sounds right. I agree. Without donor rib or autologous costal cartilage, a twisted nose probably cannot be corrected at all by just taking it out or using only ear cartilage… Any hospital that says it can fix it without putting anything in is likely sales talk, so screen carefully. If it wasn’t done, then it wasn’t. If you do fix it, I recommend doing it correctly with proper rhinoplasty and fixing it for sure… If the plan is vague, even revision surgery can land you with a scammer. Twisted noses are really hard even at good clinics; everyone says it’s hard to correct. Use a clinic that truly handles rib cartilage well and do it properly—future mental health will be better.

It’s really similar to me. I used silicone plus septum, and because the tip is too pointy, I want to fix just that. I don’t want to add anything else. I got a consultation yesterday, and they said a closed-approach method could just lower the septum naturally, so I’m still deciding. But there are few review posts and poor ratings, so I’m very, very worried...

[@주주봉봉] I couldn’t come in because login didn’t work, and I just came back to see it. What is this ㅅㅇㅅ thing? Hmm… If you use rib cartilage, won’t the nose become stiff? Ah… Why did I do my nose? I regret it so, so much, truly… But doing it two or three more times would be even more terrifying, so I want to do it only after understanding things properly… so tired.

[@2다정2] I had a removal consultation, and they said because it’s a saddle nose, the septum is so collapsed that they can only do surgery to prevent further collapse. Otherwise, rib cartilage is required. If it must be done to that extent, is that really the right way? Or do I just live with a crooked nose and hard breathing for life? It feels too hard…

[@넴옹] I’m trying to consult only removal-specialty clinics first, but I don’t know where to start. Can my nose be brought back? Ah, I feel like my head will crack and I feel like I might become unable to go on. I should have just accepted how I looked and not done nose surgery, why did I do this The problem is the tip is too pointy; if I only want to fix that, maybe I should try a place that does repositioning—wouldn’t that be fine? The swelling/curving inside is not there, right? My septum is sticking out into the inside of the nostril since it’s twisted.