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Nose Re-Surgery

Every revision rhinoplasty clinic says something different, and it’s driving me crazy. What is right...

I went to about 9 consultations, and at first I knew nothing and went around to large hospitals, but after finding out about this community, I started going to smaller clinics. For now, I’m thinking I won’t go to a large hospital... I had silicone + septal cartilage done 10 years ago, and currently, because the silicone inside my nose has caused bone erosion, I’m in a contracted-nose state.

1. Never get plastic surgery. Remove the silicone and just live with the contracted nose. Your nose carries too much risk for revision surgery. If you were my family, I would absolutely not let you get revision surgery. Even if you do get revision surgery, avoid any hospital that says they will operate right away after silicone removal without a resting period. (contracture/inflammation removal cost: mid-3 million KRW) Couldn’t ask about CCTV. Has an anesthesiologist.

2. It’s not an extremely hardened nose, but it is chronic inflammation, so remove the silicone and get revision surgery 6 months later. The nasal bridge is too low, so at least 7 mm needs to be inserted. They said they understand my aversion to silicone because it’s chronic inflammation. For the material, I would choose among silicone, dermis, and autologous costal cartilage, but because the bridge is too low and the nose itself is in very poor condition, it’s hard to recommend any one of the three since each has major pros and cons. They said it’s right for me to choose the material myself. They said my nose will be very difficult to make pretty, so I should avoid large hospitals and cheap hospitals. They said I should go to a clinic that focuses only on me. (dermis 9.8 million KRW, autologous costal cartilage 11.2 million KRW, removal fee 2.5 million KRW) No CCTV. Has an anesthesiologist.

3. Since they specialize in contracture/inflammation reconstruction, there’s no need to wait 6 months. Because my case is considered a fairly manageable contracted nose. They said they have harvested autologous costal cartilage many times, so they’re confident they can leave only a small scar. The nasal bridge is too low, so it would be difficult to use shaved autologous costal cartilage, and they would need to use it as a solid piece. When I said I was worried about warping, they said if I only pay the anesthesia fee (200,000 KRW), they’ll provide lifetime aftercare/revision. Autologous costal cartilage for both the bridge and tip. (cost 8.8 million KRW) CCTV can be watched by a guardian even during surgery. No anesthesiologist. Single-doctor clinic; only one surgery per day in the afternoon.

What do you think...? My heart is leaning toward 3 > 2 > 1 (partly because of the cost)...

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