Consultation Record 2 for Nose Removal Surgery

Consultation record 2 for nose removal surgery I’m leaving this as a record to look back on later. It’s mostly subjective, and there are so many individual differences, so please don’t take it to heart; I hope you’ll just use it as a reference. ㄱㅇㅅ Consultation fee: 30,000 won paid in advance Parking: used the paid parking lot behind the building Estimate: the most expensive of the three, high 8 million won range The description that the director is like a vice principal is exactly right. The conversation was uncomfortable, so I wasn’t going to ask additional questions, but I did, and I only ended up feeling offended. For example, if only the nasal tip is operated on, will a step-off occur? “We just need to make sure a step-off doesn’t occur.” Up to that point was fine. From my second question, “How much will the depressed area improve?” I was out. “Your question is~~” “A question-like ~” “Do you not understand?” “Are my words difficult?” He did speak in a composed way, but hearing things like that made me feel like I had made some mistake, like I had done something wrong lol It seemed like he wanted a proper, clear question, but these were the same questions I had asked at other hospitals and gotten answers to. I came out still not knowing what was wrong with my question. The uncomfortable feeling I had while leaving the hospital after the consultation would not go away. The consultation manager was kind. Notable point after surgery: You have to wear an ear mold that looks like a hearing aid in your ear for 8 hours a day. It’s nice that they don’t use cotton packing. Suture removal: nose after 7 days / ear after 14 days The content in parentheses below is about my nose, so it’s just a record of the surgical method and current nasal diagnosis. It probably won’t be helpful. (My nose estimate was the highest of the three; if the additional surgical costs that may be added after opening the nose are included, it goes over 8.5 million won. The condition of my nose: upturning and nasal tip contracture have occurred. The donated costal cartilage in the columella has contracted as donated costal cartilage. Columellar deviation. Surgical plan: Remove the donated costal cartilage and reposition. Release the contracture and normalize the nasal tip. Rotation concept, which seems to mean overall correction and repositioning of the nasal tip + support strut + alar material. Costal cartilage is not recommended because my skin is thin, so it would show through. For the overall cartilage, they will use only the right ear, but if needed, supplement with what remains on the left side (left ear cartilage was used in the previous surgery). ) ㅅㅅㅇ Consultation fee: 10,000 won Parking: one hospital-designated spot under the building available (they said it would be difficult for an SUV, and it was difficult; I got in and out while wiping my car and the car next to me with my clothes, but still, at least it existed) Estimate: reasonable level The director was kind, spoke gently, listened well, and carefully wrote down what he said and heard in the chart. He seemed like a specialist. The staff and consultation manager were kind. They were kind on the phone too. But the consultation manager openly told me that I may not, or might not, be satisfied aesthetically. In cases like mine, even when patients’ surgeries go normally and improve a lot, many later undergo revision surgery because they are disappointed with the shape. She frankly told me she thought I would be like that, so I was actually more grateful. Her style is so honest that people will probably either like or dislike it. (Estimate was reasonable, high 5 million won range. Nasal condition: Not an inflammatory state, but severe deformity; the nasal tip has collapsed. The mid-nasal dorsum is on the high side, and there is a big difference in skin thinness between the middle and lower part of the nose. There is a lot of scar tissue, and even after removal, the scarred area will not be smooth. Plan: Remove the costal cartilage. Check the septal cartilage first; if it is small or weak, use ear cartilage (reuse and additional harvesting). If a support strut is placed, the nasal tip will be hard and a piggy nose cannot be made. A step-off may occur. Not to the extent of nostril correction. Looking at it now, no donated material. ) ㅍㄹㅁ Consultation fee: 10,000 won Parking: Apgujeong public parking lot (the hospital is right across the street, so you only have to cross one traffic light. On a weekday, there were plenty of spaces in the parking lot. I had an early morning consultation and came over, so I think I was there for over 6 hours, and I comfortably went out to buy coffee in between. The fee was also a public parking rate, so it was okay.) Estimate: reasonable The director was witty and seemed like the head of a specialized clinic. He examined the nose carefully and explained things well. Ultrasound check. He was kind, and it felt comfortable, like seeing the director at a hospital I go to often. A useful consultation time. The consultation manager counseled me kindly, with a delicate-feminine style. (Nasal condition: contracture, upturning, compression/depression, scar tissue, costal cartilage deviation. After checking the projection, he said it seemed the septal cartilage had been used.. Huh? It’s okay, there is enough ear cartilage. Plan: remove costal cartilage + reposition + cartilage graft if needed + focus on dissection, remove scar tissue in adhesed areas. Use minimal material; putting in all kinds of things is not always good. He said he would touch as little as possible, use as little as possible, and do his best with dissection, which all sounded really okay, but he said artificial dermis, MegaDerm, would need to be used (costal cartilage not recommended, wouldn’t be useful; autologous dermis gets absorbed). Will a nasal step-off occur? Contracture recur? --> If dissection is done well, it won’t happen. How much will the depressed area improve? ---> It will be more than expected. For skin color or wound-healing recovery, oxygen treatment equipment can be used if needed; this is a place with oxygen treatment equipment.) I still haven’t found a hospital I want to go with and am still doing this. Since it’s the nose, it’s not something I can just rush into. I’ll have to do more in-person and online research.