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Nose Re-Surgery

Autologous dermis vs. donated dermis, which would be better?

This is a revision surgery for me, and I currently have silicone in my nose. Some clinics say they remove the silicone in the first surgery, then insert dermis in a second surgery, doing it in two stages. Is it less safe if they remove the silicone and insert dermis right away? At the clinic I consulted with, they said they don’t split it into a first and second stage, and that after removing the silicone from the nasal bridge, it would be good to use donated dermis, and for the nasal tip, ear cartilage + donated dermis. I know both autologous dermis and donated dermis have high absorption rates, but as long as the unevenness isn’t too severe, I think I’d be okay with it? I tend to prefer a more natural feel than silicone... Cons: high absorption rate, spreads sideways and can make the nose look bulky, can become uneven Pros: natural-looking nose, relatively safe because there is no implant Among everyone here who had surgery with donated dermis or autologous dermis, if you experienced the cons above, or unexpectedly didn’t have any downsides, please let me know in the comments. Please! Even after surgery, I’d like my nose to not be too hard, even if it isn’t exactly soft...

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