I’m someone who has had rhinoplasty several times. Know properly before getting surgery

Please listen carefully to my story You can just ignore me, thinking, “What kind of person is that?” I’m giving one piece of advice as someone who has suffered because of my nose, tried things and not tried things, gathered information, and looked into this in many ways as much as possible. These days there are many surgical materials, such as costal cartilage / septal cartilage / ear cartilage / dermis / AlloDerm / Medpor, etc. Around the 1970s-80s, before Korea’s plastic surgery society became established, some doctors used to build up noses with costal cartilage / septal cartilage. And from the 1990s, surgery was done with simple L-shaped silicone (from the nasal bridge to the nasal tip), and in the late 1990s to early 2000s, a new material called Gore-Tex appeared. In 2005, rhinoplasty using costal cartilage became a huge trend. Is there anyone who has had no problems for 10 years after rhinoplasty? There are a few people like that around me too. Do you think those people had surgery using materials like costal cartilage, ear cartilage, septal cartilage, Medpor, etc., with methods such as nasal tip augmentation / columellar strut? If you look at people who had surgery in the past, they had surgery with a simple method, using one connected 1/3 (silicone) L-shaped silicone implant (nasal bridge / nasal tip / strut). Costal cartilage? It has only been used for cosmetic purposes for a little over 6 years. In 2008, there was a lot of nonsense saying costal cartilage is the best material in cosmetic plastic surgery, and septal cartilage is the best material. Costal cartilage warps. And it is hard. Removal is difficult too. Doctors use all kinds of crazy things like mouth-line correction and cat surgery just to make money. Some famous hospital specializes in costal cartilage. That hospital’s advertising effect really seems tremendous. Costal cartilage is something that can only be considered in the most aggressive cases, at the very end, in other words noses that have gone as far as they can go, only in serious cases such as a collapsed nose / no septum / no nasal bone / contracture, etc. With costal cartilage, you can raise or lower the nasal tip. That means using the force of costal cartilage between the columella to pull upward and downward with forced force. It is a surgery that absolutely should not be done for cosmetic purposes. There are many people whose lives were ruined after having surgery with costal cartilage. It absolutely should not be done for cosmetic purposes. Removal is difficult, and later there is no answer. If it holds up for more than 5 years, you are really lucky. Problems will occur within 5 years. I guarantee it. Doctors with real conscience say this surgery is insane and must absolutely not be done for cosmetic purposes. And using only septal cartilage for nasal tip extension / nasal tip augmentation / strut is easy for it to play those roles. It is less burdensome than costal cartilage and easy to harvest. Doctors say this: With septal cartilage, extension / augmentation / strut. That requires a certain amount of material. Doctors say, if they take it from the upper part, there is no problem. That is nonsense. After septal cartilage is taken, problems such as a deviated septum, rhinitis, and functional issues can occur, and it becomes a mess. Septal cartilage should only be used at times like this: in patients with a deviated septum (that is, removing a small portion for treatment purposes). Rhinoplasty should be done only with a small amount of unnecessary septal cartilage. If there is no functional problem but the septal cartilage is used for multiple manipulations such as the nasal tip, right now, because silicone is placed on top and the nasal tip is built up with septal cartilage, the outer appearance may be prevented from collapsing, but the inside has collapsed. Later, if it is removed, the middle becomes sunken and turns into a mess. As time passes, the nose gradually droops. The nasal dorsum also sinks. When I see people here, if a doctor suggests a simple surgery with ear cartilage and silicone, they think that doctor has no skill and is only doing that because it is bothersome. That is absolutely not true. Just because surgery is done with various things such as septal cartilage, costal cartilage, Medpor, AlloDerm, etc., it is absolutely not better. The material is not what matters. A nose operated on with ear cartilage. A nose operated on with costal cartilage. Wouldn’t any doctor find it easier to shape with costal cartilage? If surgery is done with a good material, anyone can make a shape. Real technique is when a doctor operates as safely and reasonably as possible using the minimum amount of material. That is what it means to be truly good at surgery. Some people called masters of rhinoplasty lower everything with ear cartilage. They lower all upturned noses. Some do not even use ear cartilage. Someone truly skilled operates with technique, not just good materials, without putting anything in, using silicone or dermis / alar cartilage repositioning / nasal tip structural change, a 2-layer ear cartilage strut. Especially for a bulbous nose, costal cartilage must absolutely not be used. Without putting anything in (alar cartilage repositioning / nasal tip cartilage structural change /), if you want to raise the height more, you should use about 1 layer of ear cartilage after crushing it. That is the best surgery for a bulbous nose. Each person’s nasal condition has limits, and if surgery is done aggressively and excessively beyond those limits, problems will occur 100%. You just have to live according to how you were born, within your own limits. No matter how much Korea’s plastic surgery technology has advanced, a nose with no answer can absolutely not be made safely into a doll-like nose. It may be possible if costal cartilage, septal cartilage, or Medpor is used, but problems will occur within 5 years. Do you want to have a doll-like nose for 5 years and then, 5 years later, end up with a disastrous nose worse than before surgery? That is reality. If your nasal condition is just decent, then with silicone/dermis on the nasal bridge and ear cartilage / alar cartilage repositioning / a small amount of septal cartilage on the nasal tip, it may be possible to make a doll-like nose. When getting rhinoplasty, if you do not have a deviated septum, absolutely do not touch the septal cartilage. Costal cartilage must absolutely not be used cosmetically unless the nose is smashed and collapsed. Absolutely not. Surgery should be done with safe methods such as ear cartilage / dermis / AlloDerm / nasal tip cartilage repositioning and structural change, methods that do not exceed your own limits. Medpor / costal cartilage / septal cartilage / Gore-Tex, absolutely do not use them. You’ll be in serious trouble.