I’m posting this in case it helps someone!
The know-how needed for preparing for nasal surgery. This is just my own method haha 1. The most important thing in nasal surgery is figuring out the problems with my nose right now. -> I think people who get nose surgery fall into exactly three categories. First, the nose is already at 70–80 points and they do it to refine it a bit more. Second, they do it because the nose is upturned, crooked, bulbous, or otherwise looks unattractive. Third, they have no choice because of an accident. A lot of you in this community are probably in category 1 or 2. But the first thing to do while preparing for nose surgery is clearly defining what my problem is, and what part I want to improve and fix. And it is important that you yourself know that part precisely, discuss it with the surgeon, and explain it in detail. 2. When planning nose surgery, know your own forehead, nose, lips, jawline, and the condition of your skin and tissue precisely. -> Setting aside the surgical method itself, such as augmentation for a low bridge or reduction for a large nose, the first thing to do is to look at your nose and understand your forehead, lips, and jawline. If your nose is low and you want to raise the bridge, then augmentation is needed. But how much your forehead projects, how much volume there is in the cheekbone area, how protruded the lips are, whether you are protrusive, whether your jaw is prognathic or retrusive, all of these conditions are considered when performing nose surgery, so they are very important. Sometimes people say, “I had surgery because my bridge was low, but oh my, my nose is still low... I wish they had raised it more.” People like that often think that way while looking only at their nose without knowing their forehead line, lips, and jawline. To raise the nose, a deeply recessed forehead often needs to come forward more for the proportions to match, and if you have a retrusive chin, a chin advancement procedure may need to be done together to get a more satisfying result. That is why clinics talk about nose-surgery combinations. Forehead + nose Nose + chin Nose + fat grafting, things like that, right? Doing it together, rather than only the nose, often gives greater satisfaction. And your skin/tissue quality is important for surgery too. Acne-prone skin, atopic skin, or keloid-prone skin require caution. Of course, keloids do not often appear on the face, but sensitive, reactive skin may lose elasticity after nose surgery, and acne-prone skin may break out more, and similar problems can occur, and scar healing may be slower, etc.~ Now that you have a sense of your own problems, what you want to fix, and your forehead-nose-chin three-step line, start going for consultations. 3) Don’t rely too much on internet information. Get out there and find the hospital/clinic where you’ll have surgery. Choosing a clinic is the hardest part while preparing, right? Sigh I’ve been to a huge number of clinics not only for the nose, but also for fat grafting, eyes, skin care, semi-permanent makeup, and more. I’ve built up my own know-how to some degree. 1) Is it a clinic with some word-of-mouth credibility and verification? 2) The director, the manager, their experience, and the nose style they pursue 3) They carefully assess the front view, side view, and even changes at 45-degree angles 4) Material selection (silicone, Gore-Tex, AlloDerm, dermis, etc.) 5) Aftercare 1) Word of mouth and a clinic that is somewhat verified gives us peace of mind. But I tend to avoid places that advertise too much and very large hospitals/clinics. Those places, how should I put it, feel like they are cranking out surgery like a factory machine and doing a huge volume of operations, (not all of them, but still) and when we’re preparing for cosmetic surgery in summer or winter, they have to handle an enormous surgery schedule, so thorough consultations and things like that don’t go well. Of course, aftercare too. 2) As for the director, I somewhat avoid people who are too young. There’s a difference in experience, and if they try too hard to follow an overly trendy, new-school sense, some of them end up treating cosmetic surgery like a fashion trend. Usually, people in their 40s to 50s who have some seasoned judgment seem better for surgery.~ The way they handle patients and their attitude are also different, and I felt that somewhat through consultations too. And just as each clinic has its own style, there will definitely be a nose style that each clinic director pursues. There really is. When we look at clinic photos, the patients who had surgery there often have similar nose shapes or angles. Each director’s preferred style tends to come through to some extent. It’s important to figure that out. And if that style suits me, the results will naturally be good. And how honestly they explain things matters too. Sometimes there are clinics that pressure you into “do this too, do that too.” I don’t like those clinics because it feels like sales tactics. And they vaguely say your nose will look prettier or better, but then ask specifically. What exactly gets better, and what exactly becomes prettier? There are people who speak concretely, but not by looking only at the nose, and instead describe the whole face by comparison. That’s how you need to prepare for good results. Consultations should not end after one visit; at least three. It’s better to leave a two-week gap each time and take some time. Keep showing your face and keep emphasizing the parts you want. 3) And sometimes when we think about nose surgery, we focus too much only on the side profile. You have to consider the front view, side view, and 45-degree angle, every part. In my case, I take magazine pages or photos of myself on my phone and show them, and I hear detailed explanations about every triple point of change after surgery, from the glabella to the nasal bridge to the tip. You shouldn’t think only about the side view too much, but you also can’t make only the front view pretty. To find a stable angle from the front, side, and every angle, there’s really no choice haha 4) Once all of that is done, you move into the material-selection consultation. Honestly, a lot of directors just glance at you, decide the material roughly, and then say the consultation is over! but in fact, that is something to discuss at the very end. As for materials, the best thing is to choose according to your own tissue quality. If your skin is thin, silicone may show too much, so you might use Gore-Tex instead, or since Gore-Tex is absorbed to some extent, you might raise it a bit more at first, or because the tip skin is thin, autologous septal cartilage may be less suitable than ear cartilage, but over time it can droop, so raising it a little higher may also be fine, and so on.~ You just choose the material that suits you. 5) And aftercare. While consulting, see how friendly the managers are to patients. See whether aftercare is handled well. Observe the patients who come there, gather information from the clinic’s homepage and other sources, and find out whether aftercare is good. This is extremely important. Clinics that neglect aftercare are really so annoying! That’s why I’m wary if the managers are too young, even if the director is good. There are many clinics where the managers are rude. A lot of people have been hurt by people like that, right First, it’s good to ask whether the clinic’s aftercare is good, and also ask current patients a little. After surgery, does the assigned manager call directly to check a few times whether there is any discomfort? And what is the atmosphere like at the clinic? Communication between the nurses and the managers, and asking the manager things like, “What is the director’s schedule like these days?” and so on. Also, when I go for a clinic consultation, I tend to bring something small with me~ that’s what I do at the salon where I get care. I try not to go empty-handed if possible, and it’s good to become as close as possible with the manager in charge of me. Rather than just waiting for the clinic to treat me well automatically, it is also necessary for me to approach them a little differently first. Clinics are so overwhelmed with patients anyway, so being short-handed is only natural. Then after nose surgery, you visit regularly about three times, and it’s easier to ask for a time slot when the director is available and you can also have a post-op consultation, haha, and you should also ask in advance about the schedule at one month and three months, and if you are still dissatisfied after about six months, how revision surgery would be handled, and so on. And after nose surgery, you end up with so many questions. At that time, you become more sensitive and there are changes in your face, so you get stressed a lot! Manage your mindset well then~ I was very sensitive too, but with time it just ends up being energy wasted! Even if there are some shortcomings now, first help the nose recover quickly by doing appropriate exercise and eating plenty of fruit, and wait calmly day by day. I know that is hard, but that is the way!!! for the nose to stabilize quickly! hehe Also, after nose surgery, you get flaking skin and blood circulation is temporarily poor, or the sebaceous glands get irritated, so acne comes up. Take care of it! hehe, definitely~ Ah, and I get a lot of messages asking what the refund process is like for me.. but each person’s surgical purpose and situation are different, so it doesn’t all apply. But above all, the most important thing is persuasion. It’s not just, “I don’t like it, please do revision,” or “Please refund me” there is a lot of preparation needed even for saying that. And when swelling hasn’t even gone down yet, asking for a refund or revision sounds absurd to them. Please wait until the contour of the nose becomes visible, around 2 to 3 months. And think about your shortcomings and the reasons you deserve a refund, while also remembering the promises and conversations you had with the director before surgery. If you need evidence, go to a university hospital and get a CT scan, visit another plastic surgery clinic and hear what they say, and understand the condition of your own nose. Anyway, wait 2 to 3 months. There are more options after that, but most of the people who message me are very recent cases.. Even when I got a refund from a large hospital/clinic where it was supposedly truly difficult to get one, I prepared a lot and went in~ There are exactly two types of nose refunds. Did a functional problem occur? Or does it simply not meet my subjective standard? If a functional problem has occurred, you can get a refund by going to a university hospital and presenting evidence only ~ and even compensation. But if the request comes from a subjective attitude like, “I just don’t like it, I’ll go somewhere else and get it done,” then honestly, it has to be considered difficult. But if that subjective standard is so severe that even others would say it is too much, then at that point there is nothing but persuading the director. Why I need a refund, what promise they made with me before surgery, and above all, persuading the director is the most important thing. I think I went to the clinic about four times? I never raised my voice once, just calmly argued in conversation, then went back and argued again, and in the end the director also said no, but eventually the clinic itself strongly requested to accept it, acknowledge it, and issue the refund, so I got it. That place was truly somewhere you could never expect a refund from. It was an unbelievably large hospital/clinic, and even now there are many people messaging me saying they want a refund there. It’s unfortunate. Anyway, if you need more detailed information, I can send it by message. My first surgery was also too rushed, and I didn’t know much, so after one failure I ended up posting this as a lesson from experience. Anyway, the nose is!!!!!!!!!!!!!!!!!!!!!! about finding the angle. The angle and shape you need for yourself! Just a 1% difference can change your impression, and just as the eye shape changes with only 1 mm of inner canthoplasty, find the angle that suits you and become prettier hehe I hope this was helpful ^^ And all the many questions posted here: 1) I had nose surgery but my eyes look too close together That is temporary because the tissue has been pulled tight. Right now the skin is very tight and elastic, you know. With time it loosens up and settles down and everything returns. 2) What about swelling or bruising? There are medicines for reducing bruising at the pharmacy, and then it goes down faster. And some people’s swelling lasts a long time, or in particular cases it lingers and leads to edema, and if I were that type, I would go straight to a Korean medicine clinic. I know a Korean medicine clinic that is good at reducing swelling. They need to open up the circulation. If circulation isn’t good, it gets worse, so if you get treatment 2 to 3 times, it goes down fast. 3) When does tip swelling go away? Please wait a very long time for tip swelling or glabellar swelling. Up to 6 months. And the nose shape changes at 3 months, again at 6 months, and at 1 year. It changes very slightly. 4) What about contracture or scar tissue? Surgically, contracture and scar tissue are considered part of the recovery process. It is absolutely not a bad thing... but in our perception, It’s absolutely not a bad thing; think of it as part of the healing process and manage it calmly. Contracture is a problem if it comes after a very long time, of course, but otherwise it can appear during recovery, and scar tissue, even if there is a lot now, will soften over time, then loosen, fade, and so on. Don’t worry. If you are too worried, get a prescription! If it’s very severe, maybe get an injection but that is very bad for the body ~ there is a risk of necrosis, haha That’s how steroid injections are. 5) What if there is inflammation? If there is inflammation, it shows on the outside of the nose. It turns red, hurts, becomes very swollen, and various reactions appear. So don’t worry! That’s all... right? Done!