N□D (ㅔㅣㅡ) Plastic Surgery (consultation time: about 50 minutes, consultation fee: X) Director ㅇㅂㅈ
My nose condition and goals - Male. I have a pronounced hump, and I wanted it improved naturally. Even if a little hump remained, I wanted the surgery to be done safely. My nose photo - https://sungyesa.com/new/bbs/board.php?bo_table=free&wr_id=3055706
First impression - Even though I was about 10 minutes late because the subway was crowded, they responded kindly, and I personally thought the clinic atmosphere was fine.
CT and facial photos: O
Consultation with the manager - I first met with the manager, and then had another consultation after speaking with the surgeon. She was much, much kinder than I expected. She explained the condition of my nose in basic terms and asked which parts I wanted improved, so I said hump correction. From there, she gave an overall explanation of nose surgery and suggested the methods I would need. She asked about the rough surgery schedule, but there was absolutely no pressure to make a reservation.
Consultation with the surgeon - I had a very in-depth, professional consultation for almost 50 minutes. For readability, I will post my questions and the surgeon's answers alternately.
1. Basic condition of my nose - Slightly hooked nose, long nose. Surgery is a bit difficult. My nose is much higher than average, the bridge is thin, and the nose is large. Compared with the size of the nose, the amount of usable septal cartilage is average, the skin stretches well, so the conditions are good, and the hump is severe (high). 2. Need for osteotomy - Since the bridge is thin and high, he said my nose is not the type that should undergo osteotomy. Basically, nasal bones are only 1 mm thin, so they cannot just be shaved down the way people usually imagine. 3. Surgical method for my nose - He said he would use ear cartilage and septal cartilage to raise the tip as much as possible without overstraining it, and slightly refine the hump. I absolutely prefer a natural style and even hoped that a little hump would remain, so I liked that a lot. 4. Whether an implant would be used - Because the bridge is already high, unless I wanted the nose to be made very smooth, he said it would probably be better not to use silicone. For someone like me who really dislikes implants, that was very welcome news. 5. Number of surgeries per day - 3 first-time surgeries, 2 revision surgeries. 6. Regarding tip collapse - Usually, whether rhinoplasty was successful can be checked at the point 6 months after surgery. If the tip is still holding well by then, it should not collapse. 7. He seemed very safety-oriented and confident in the surgery itself. He did not push implants at all unless they were truly necessary. 8. He did a simple nose-tip surgery simulation with a cotton swab, and once the tip was lifted, the difference was obvious, which was really fascinating. 9. When the whole nose settles or collapses - If too much septal cartilage is used and the remaining septum is insufficient, the support can weaken and that can happen, but he said that if the surgery is done at a normal level, that kind of thing should not happen in the first place. 10. He showed me actual noses he had operated on and demonstrated how the hump was corrected.
Surgery cost - XXXXXX 1 year of AS Inflammation management has no time limit No follow-up manager, and I heard the surgeon would handle all of the aftercare directly. Both the surgeon and the manager seemed to place great importance on responsibility after surgery. I confirmed that CCTV is installed in all areas. I could not ask whether viewing access is available.
----------------------------------------------------------------------------------------------------------------------------------------------------------------------
Plastic Surgery (consultation time: about 40 minutes) Director ㄱㄴㅅ (Consultation fee: 10,000 KRW)
First impression - As soon as I got off the elevator, I could see the clinic's main desk and waiting sofas. The staff were kind. It seemed like a clinic that does not actively advertise, but there were quite a few consultations booked before and after my slot as well.
According to the surgeon, my nose condition - My face is a little long, and my bridge is thin, high, and narrow. The tip is low. More than the hump itself, the bigger issue seemed to be that the tip is drooping.
Consultation with the surgeon - As soon as I entered the treatment room, the surgeon personally took a few photos of my nose with a DSLR. After that, I was taken straight to the X-ray room and laid down on my back. He carefully looked at and touched my bridge and tip, and also felt my ears. Then he asked basic questions such as whether I had previous nose surgery, and he asked about the width of the bridge. Since I did not understand, I asked again, and he was actually asking whether I wanted the hump removed completely. I could not answer clearly, so he displayed the photos on a monitor and showed me what it would look like with only the tip lifted in Photoshop. He said that, like in the photo, leaving a little hump was still natural and looked very good. According to the surgeon, it would be better to shave the hump, but the key to the nose is the frontal view, so if this narrow, high bridge is carelessly reduced, the clear three-dimensional impression from the front could be lost significantly. Still, since I was hesitating, the surgeon asked, "If this looked like your original nose with only the tip lifted like this, would you still be considering hump surgery?" It felt like I had been hit hard on the head. I felt it was not a nose I would even think about operating on. From that point on, I resolved that I should absolutely not touch the bridge. In general, the surgeon gave me the choice, but said that for a safe and natural result, it would be better to raise only the tip. He said that once the hump is shaved, it cannot be undone, and if it still bothers me after surgery, I can think about it then. Of course, he also said that overcorrection of the tip should be avoided. He said that if the tip is raised too much, the nostrils can become smaller and the frontal three-dimensional effect may decrease. I felt that the surgeon's motto was not "too much," but "naturally and safely." He said that if you try to get 100 points in every aspect, side effects are guaranteed, and emphasized that finding a compromise is very important. I asked whether the risk of collapse existed since he said he would use only ear cartilage. The surgeon said that collapse is not caused by the material itself. He had even seen cases where people used costal cartilage and still collapsed within a year and needed revision surgery. He said 10% of patients collapse within a year regardless of what material is used. He did not seem to think of it as that serious, and I could feel his confidence in the surgery itself. He said that tip drooping usually does not happen. He also said stiff tips are not good for daily life, so he would use only ear cartilage. For someone like me who was quite skeptical about using septal and costal cartilage, that was extremely welcome news. Next I asked about contracture nose, and he said inflammatory contracture caused by autologous tissue is unlikely. Signs of inflammation are almost gone after 3 to 4 weeks, and signs appear within 1 to 2 weeks (the autologous tissue failing to settle properly). He said that if action is taken properly at that time, a contracture nose will not develop. Seeing photos of contracture noses was really scary.. Finally, the surgical methods he proposed were broadly three types.
1. Raise only the tip moderately with ear cartilage. 2. Raise the tip + shave the hump. 3. Raise the tip + osteotomy of the bridge.
Both he and I were thinking about option 1. Since my skin is somewhat thin, he said that if he thought cartilage might show through during surgery, he would use autologous dermis or Alloderm?
Consultation with the manager Surgery cost - xxxxx CCTV installation - Installed, but since it is not mandatory, it is not operating. She said they cannot keep the patient under continuous sleep anesthesia, so it would be asleep, awake, asleep, awake, and that I would be able to hear the surgeon's voice. AS - There is no separate concept of AS. Subtle changes are observed for about 1 year. If it seems to drop too much compared with the early stage, they seem to take care of it. Inflammation management - Inflammation caused by poor graft take is managed. However, if it is not a surgical problem, revision surgery for shape-related reasons would involve some cost.
Personally, if you are thinking about getting nose surgery, I recommend going for a consultation at ㄱㅅ at least once. I went there because someone from this community recommended it to me, and the surgeon seemed to have a very broad knowledge in related fields. The words about needing to find a compromise are still stuck in my head.
----------------------------------------------------------------------------------------------------------------------------------------------------------------------
Sorry that the post got long, so some parts are written in a casual style! It was my first nose consultation, and I was surprised that both places were more detailed and kinder than I expected. I was honestly satisfied with everything, but the cost was really, really high even though it would be my first surgery,, I still have 6 months left before I need to start working, so I was really sad that I do not have that kind of money right now I am thinking about saving hard and maybe getting some support from my parents to do it at the end of the year! Even so, I can understand why the cost is high to some extent! I think I will visit 1 to 2 more places and then decide, but even after only going to two places, I already had one place that gave me the feeling of "this is it!", so I was really happy.
The additional photo I am posting is the result simulation the surgeon at ㄱㅅ showed me after lifting only the tip!
Can I post the surgery cost?? If possible, I will post it, and if not, I will share it in a private comment! I will take additional questions in the comments!
If I go again! If I only do the tip, I want to ask whether a step can form, and how much of the nostrils will be visible (I think the step would be fine since ear cartilage is stacked, and the doctor will probably handle the nostrils well on their own) haha