About 15 years ago, I only had tip surgery with the septum, and I left the slightly humped bridge alone. But as time went by, the tip lowered more and the hump became more prominent. So I started looking into revision surgery, and once I began entering my 40s, I became more sensitive about safety. That is why I decided on a place recommended by people around me that had an otolaryngology specialist director. They had a lot of revision experience, and above all, the fact that the director was an otolaryngology specialist gave me peace of mind, and the credentials were excellent. Even at the consultation, other hospitals usually finish most of the talk with the coordinator, the doctor only checks briefly, and then the coordinator wraps things up again, right? That is the usual process, but this place was the opposite. I met the coordinator briefly, and most of the consultation was with the director. At other hospitals, they said the nasal septum was already used, so the surgery should be done with ear cartilage and donor rib cartilage. But honestly, my ears are set back, so using ear cartilage felt a bit not ideal to me. If cartilage is taken from ears that are already hard to see, how much less visible would they become? But Director Hyun looked at my ears and immediately said ear cartilage could not be used. He said my ears were small, so there was not enough cartilage. That was exactly what I had been thinking! So I decided to use autologous costal cartilage. I know implant materials like silicone have a higher chance of causing inflammation. I did not want to use an implant, so autologous rib surgery was a little scary, but I decided to trust the director and go ahead. Usually, autologous rib surgery is done under general anesthesia. But general anesthesia was also too scary for me, so I changed it to sedation anesthesia. The director said he was confident with sedation anesthesia too! Being able to do autologous rib surgery under sedation anesthesia really means the surgeon has to be highly skilled. On the day of surgery: It was done under propofol sedation, and when I opened my eyes, I was in the recovery room. It hurt less than my first surgery and I did not swell much. The next day: the day to remove the packing from my nose. I was worried it would hurt, but there was no pain at all. They removed it smoothly. Days 2 to 3 after surgery are usually when swelling and pain are worst, but my nose had almost no pain at all, and only the autologous rib surgery area felt a little sore when I lay down and got back up. One week later: splint and stitches removal. That did not hurt either. People say stitch removal hurts the most, but the nurse was also incredibly skilled, so it did not hurt at all. The director also suctioned out foreign material from the nose, and that seemed like it would hurt too, but it did not, which was amazing. Two weeks later: stitches removed from the autologous rib surgery site. Again, no pain. The biggest advantage, first of all, is that there is almost no pain. Both the doctors and the nurses are unbelievably skilled at keeping pain away. One month later: the major swelling had gone down, but there was still residual swelling, so they said it would take about 6 months for everything to fully settle. My nostrils look a little asymmetrical, but that is something to check again after 6 months, so it is hard to judge right now. The irregular bridge I had before was smoothed out like it had been ironed flat, so my impression looks much neater. Especially the side profile got prettier, so I feel more confident about my side view. For the columella scar to fade, it will take more than a year, so I need to take good care of it. More than anything, the result of changing my nose naturally, the way I wanted, was a success. If you overdo nose surgery, you end up looking like Pinocchio. No matter how pretty it is, I do not want it to look obviously operated on. Right now, I look like someone who was born with this nose. I am satisfied, but satisfaction can differ from person to person, so please use this as reference.
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