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Nose Re-Surgery

Just got a consultation, and I have a question

I thought it was silicone + ear cartilage, but when I got the medical certificate from the original clinic, it said the nasal tip had also been extended with septal cartilage. I guess that was because my original nose was short, but from the reviews I read, it seems hard to find cases where only septal cartilage removal is listed and the remaining septal cartilage is left in placeI'm not very knowledgeable, so there were parts I couldn't ask properly during today's consultation, and I want to get advice from everyoneI don't currently have any signs of contracture, and I only suffered inflammatory reactions last week, but I was told it might be chronic inflammation?The point I emphasized was: “No upturned tip + my original nose is on the shorter side, so I'm scared it might get shorter if they remove it.”<A Hospital>Option 1: possible to remove everything with a non-open approach + adjust the height difference with ear cartilage (I can't remember whether they mentioned the nose getting shorter in this case...)Option 2: possible to remove everything with an open approach + do nasal tip revision? so the most accurate method to prevent the tip from turning up (but then the nasal tip would become hard and not turn up)At A Hospital, they said since it was extended, the nose can become piggy-like. Honestly, I’m not really drawn to option 2, so I’m leaning toward option 1.<B Hospital>They said they can remove the silicone and ear cartilage non-open, and leave the septal extension in place. (Because it was taken from inside my own nose and attached, there is absolutely no chance of inflammation.)When I consulted at B Hospital, I wasn’t thinking of removing the septal extension, but after looking around on this community I saw people talking about side effects, so I’m wondering if full removal and tip repositioning is the right choice?I don't care if I can't make a piggy nose, but I'm scared it might turn up if I remove it... Please give me advice....

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