18 years ago, I had my first surgery (L-shaped silicone/ear cartilage/temporalis fascia), and contracture gradually developed. I felt like I couldn’t put it off any longer, so after going around to clinics for several years and getting recommendations from acquaintances, I decided to have surgery this Saturday. Revision surgery materials Nasal bridge: silicone (the existing one is over 4 mm, but I’m planning to lower it to around 2 mm) Nasal tip: autologous costal cartilage They said the contracture isn’t severe, about stage 2, and that it could lift more in the future. I was told that silicone for the nasal bridge isn’t recommended once contracture occurs, but with MegaDerm, there are a lot of reviews saying absorption is an issue and that it’s difficult to remove during revision surgery.. After really thinking it over a hundred times, I decided on silicone What I’m most worried about now is the alar rims. The clinic said that if the alar rims are lifted, the nostrils will show less, so they recommended doing alar rim lifting together through an external incision. But when I looked up reviews, it seemed like scarring is an issue, and the chance of uneven nostrils also seems high. So I messaged the clinic today, and they said something like it would be fine to consult with the director on the day of surgery and decide then. What does everyone think? I uploaded photos of my nose before contracture and my current nose. Even during my first surgery, I thought my nose was too high, so I’d like the nasal bridge to be a bit lower and the upturned nose to come down. I don’t have big ambitions; I just hope it looks as natural as possible. Would it be okay to leave the alar rims alone and only do the nasal bridge and nasal tip?
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