Debating between revision method 1 and 2 for implant removal

I had silicone in the bridge with ear cartilage support and tip surgery, and even long ago the support column (columella) was bent and there had been cartilage show-through at the tip, but I lived with it with blurred vision. Recently, a bluish bruise-like change appeared on the bridge, so I went for a removal consultation, but the surgical methods at the two hospitals are different, so I am torn. Hospital 1. Remove the silicone and reposition my alar cartilage. This is possible, but it feels like they recommend leaving some of the support in place? If the ear cartilage used in the first surgery can be reused, they would rebuild the support with that and, if possible, reuse the tip cartilage too. If it seems unusable, they said they could harvest from the other ear cartilage instead. They said that if the support and tip are matched to the bridge height after removing the silicone, the overall height will go down, so I do not need to worry about the current cartilage show-through or the bent columella -> My worry is that since I already have cartilage show-through and the support has bent, I want to remove all the ear cartilage that is inside, so leaving some of it behind feels unsettling. Since my nose and philtrum line were subtly crooked even before surgery, I know the columella can bend too, but then is there really any point in leaving cartilage and repositioning it again? There is also the possibility it could bend again, so is it really necessary to reposition the cartilage or insert new cartilage? If I really just do silicone removal + my own alar cartilage repositioning, will the tip sink too much or will the columella collapse? I wonder if that is why they recommend this method. Hospital 2. They also seem to do silicone removal + my own alar cartilage repositioning as the default. And they said that if the columella support and the ear cartilage placed in the tip are removed, the tip tissue will cave in, so something needs to be filled there. The doctor recommends hip dermis, saying that since ear cartilage was already used and there is show-through, why use ear cartilage again, so dermis was recommended. But I am a bit worried about problems like absorption or spreading. And since they said the cartilage columella support can either be removed or left in place, I asked whether, if it were left in place, the surgeon would center it during surgery, but would not it just bend again like now? Then if the hip dermis placed over it also shifts with the columella toward the bent side, what happens? I did not feel like I got a clear answer. If that is the case, would not it be right to just remove the columella support? The two hospitals' methods are very different and my head is spinning.. Honestly, I want to remove everything, even the hip dermis, and just do my own alar cartilage repositioning, but when the second hospital mentioned the tip collapsing, I got scared.. If anyone has similar consultation or case experience, please share your thoughts