An acquaintance had surgery here, and the problem areas improved well. The director’s surgical policy also matched what I pursue, so I had a consultation. (For reference, mine is a revision.) The overall feeling of the clinic was cozy and warm. -Consultation with the director I told him that my nasal obstruction became severe after nose surgery, and he said it seemed all the existing materials would need to be removed. He asked for photos of my original nose, so I showed him, and he said that if he had done my surgery, considering the patient’s original nose, he probably would not have used costal cartilage together with septal cartilage unnecessarily. He diagnosed that because the costal cartilage had been placed too thickly, the front septum was attached to the airway and was overall blocking the inside of the nose, so both sides were likely uncomfortable. Next, there was a visible step-off on the nasal bridge, and he said the hump may not have been shaved enough. It can be sufficiently corrected. Whether the cartilage can be reused will only be known after opening it. He would reuse it as much as possible, and use ear cartilage as a substitute for filling the hump area. For improving the bulbous nose, he said a slight nostril reduction would be good, and it’s possible because there is still enough skin laxity. The nasal bridge is already high enough now, so even raising it just a little more than now is likely to make only the nose stand out. The nasal tip has a drooping feel, so it seems it should be shortened. The overall nose shape will likely become a straight-to-slightly-curved line. All of the consultation was shown intuitively through a simulation program, so it was much easier to understand. The director kindly spent a lot of time in consultation and had an in-depth conversation with me, so it was a satisfying consultation.
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