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Nose Re-Surgery

For my revision rhinoplasty, should I go to a highly experienced director or a younger director…

First, I had consultations at 5 places. I have a short nose, the area between my eyebrows is a bit high, and there is some scar tissue in the middle of my nasal bridge. Three places said to remove the silicone (they said the silicone is too thin and not doing its job) and use autologous costal cartilage.. Two places recommended silicone plus autologous costal cartilage. I’m deciding between 2 places now, and I have to tell them by today One place suggested silicone plus autologous costal cartilage (a highly experienced director). The reason for using silicone is that there is a lot of scar tissue in my nose, so if they make the nasal bridge with autologous dermis or ear cartilage, it could become uneven, so they said let’s make it clean with silicone!!! (This place only explained the features of my nose, and the design will be decided on the day of surgery.) The other place has a younger director, and because I would use autologous costal cartilage and the area between my eyebrows is wide, they said to go without an implant, scrape out the area where the silicone was removed and the scar tissue, and fill the empty space with autologous costal cartilage, and make it smooth with fascia or something like that. They said silicone is used to build more height, but with my current nose, the problem is that it is short; if we raise the height more, it could look like an Avatar nose. Right now I’m more drawn to the younger director, but it bothers me a bit that he got his specialist certification in 2021. But when I look at the post-op photos, the area between the eyebrows looks okay at both places.

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