I’m not a doctor, so I can’t say this is 100% certain, but it’s definitely a helpful post, so please use it as a reference!! I’ve already had nose surgery.. and after I did, I went into an online cosmetic-surgery community. I’m not someone who had any complication from the surgery. After the operation, my face looked better and I was satisfied, but I happened to go in there and now I’m regretting it after reading the posts there. I had thought about keeping it to myself, but after reading the posts there, I roughly organized the things that came to mind.. There were so many people there who had already had cosmetic surgery and were suffering because of complications.. From what I read there, there were a lot of comments saying that if possible, it’s better not to have nose surgery.. Anyway, cosmetic surgery is best avoided if possible, but if you have a severe complex about your nose or really have to have it done, please take this as a reference.. For implants inserted into the nose, use silicone without exception.. The reason is that if a complication occurs, it is the easiest to remove, they say. Also, never use L-shaped silicone. They say the skin at the tip of the nose can become thin and there is a risk of it breaking through the skin. There is also an implant called Gore-Tex Silitex, which is used for people with thin skin. But because the implant has many holes, if inflammation develops later between the holes, problems can occur, and if it needs to be removed, it adheres to the skin and has to be removed together with the skin. And unlike silicone, it does not keep its shape; instead, it gets absorbed and becomes deformed.. If you have thin skin, use autologous fat, but autologous fat should not be used for the tip of the nose.. I heard it can be used for the bridge of the nose. Also, since fat is suctioned from the abdomen or thighs, bruising or scars can remain where it was taken from. Because it is absorbed by the body, additional grafting may be needed. And there are also people who use autologous dermis; the important point here is that autologous dermis leaves a scar of about 5 cm on the buttock.. Hospitals only mention that there are no complications because it uses your own tissue, without explaining the scar, but later when you use a public bath , you may feel reluctant because of the buttock scar, so please keep that in mind.. And they say that although the shape is good at first, a lot of it gets absorbed. Also, it is harvested from the buttock crease area, so after surgery you also need to be careful about sitting. The wound can open, so the scar may become even larger. If even sitting has to be carefully considered, that would be stressful too, right? For the tip of the nose, they use autologous cartilage such as septal cartilage, ear cartilage, and costal cartilage.. Here, costal cartilage is used as a last resort when there is no more cartilage left to use!! If the first surgery uses costal cartilage, it’s better to avoid it. And it leaves a scar on the chest, too.. Among autologous cartilages, it is said to be the hardest and may bend later. It is also said to be expensive.. And for people who do not want costal cartilage taken from them, they also use cadaveric costal cartilage (costal cartilage taken from a cadaver). Because it is hard, they say a pig nose shape is impossible.. And there is septal cartilage, which is cartilage located in the partition dividing the nostrils into two, and it is mainly used as support when lengthening the nose. But the important point is this!! If there is a complication or if it is removed, if the support is removed, the nose collapses. Of course, that is not the case if only an appropriate amount was harvested and kept in place, but usually, among people who are unhappy after nose surgery and ask for removal, doctors generally do not remove the support that was built with septal cartilage. That’s because they are worried the nose will collapse.. So, if possible, I recommend not touching the septal cartilage.. If the skin at the tip of the nose becomes weak, a complication can occur where the cartilage shows through. Lastly, there is ear cartilage. In my case, the cartilage was taken from the inner part of the ear, not behind the ear. I had no pain, but they say there is pain if the cartilage is taken from behind the ear. And if too much is taken, the ear can become deformed, so be careful.. And among autologous cartilages, it is said to be the softest. That’s why it is the cartilage doctors use the most.. Skilled doctors can even raise and lengthen the nose using ear cartilage alone, they say.. And ear cartilage can also show through the skin. It’s said that over time it sags.. The most important point when using cartilage at the tip of the nose is this: just as each person’s nose shape is different, the amount of cartilage that can be harvested is also different. For some people, surgery is possible with only a small amount of cartilage harvested, but for others, surgery may require harvesting a large amount of cartilage. Naturally, the more cartilage is harvested, the bigger the problem if deformation or a complication occurs, which is obvious, right? That’s why some people have surgery using only ear cartilage, while others undergo surgery using ear cartilage + septal cartilage, or costal cartilage osteotomy, and so on. Doctors don’t explain these things, and from the patient’s point of view, you might think using more things is better, but it’s actually the opposite. The less is used, the better for our body; conversely, the more is used, the more strain is placed on our body, and if a complication occurs, it becomes harder to remove or operate on. On the other hand, the doctors’ wallets get even fatter ㅡㅡ;; What kind of surgery do you think earns money at famous hospitals? You can think of nose surgery alone as almost enough to make money.. The most dangerous thing of all is the septum. If an incompetent doctor harvests too much septal cartilage, the septum collapses, and in the end the nose collapses, so it is the most dangerous. And even if only a small amount of septal cartilage is harvested, that does not mean it is safe. Because tissue is harvested a little at a time from where it originally should be, the nose becomes weaker than it originally was, so the chance that it will collapse when it receives impact is also higher. That is why people who have had nose surgery multiple times use costal cartilage as support to hold it up.. And there are open and closed surgical methods, but if possible, please do not choose the open method.. I’ve already had the open method done, so that’s why I’m saying this.. I was only worried about the scar issue, but in the case of the open method, arteries and blood vessels are cut as well. So the skin of the nose changes. My nasal skin also became worse after surgery. Of course there is also the scar issue.. If it is sutured precisely, it may not open easily, but it takes some time. If an inexperienced doctor performs the suturing, a scar will definitely remain, and the scar tissue will be very severe. And the nostrils can become uneven.. Of course, compared with the closed method, visibility is easier and the surgical result is better, but if possible, I recommend having the surgery with the closed method. Also, eating becomes difficult. When eating, you move your lips, and there is pain in the philtrum area, so be careful, and if you purse your lips too much or do anything similar, the wound may open.. In conclusion, if I had to summarize, the best option is not to have nose surgery at all, but if you absolutely must have it done, I recommend having silicone inserted only in the bridge of the nose.. If you dislike silicone, I recommend autologous fat grafting.. However, since fat must be harvested from your body, you have to accept scars on the abdomen or thighs. And because one session is usually not enough to satisfy you, you should expect additional injections.. It also has the downside that it can become lumpy. If you think you also need the tip of the nose done, do only a cartilage-binding procedure at the tip.. If you really feel you must insert cartilage, I recommend surgery using ear cartilage only.. You should also not have osteotomy done.. The reason osteotomy should not be done is that when an implant or cartilage is removed later, contracture occurs, and even a nose that has not had osteotomy done is in an uncertain situation, so if osteotomy is done, the situation will get worse, right?? If possible, have the closed method.. And there is an artificial dermis called AlloDerm, which is dermis obtained from a cadaver. It is placed on top of the implant for people with a thin tip of the nose or thin skin, but if you try to remove it later, it gets absorbed, so they say even the skin has to be peeled off. Since it is not your own tissue but someone else’s skin, please do not use it. The above is a rough summary of what I read in an online cosmetic-surgery community and posted here.. It is definitely a helpful post.. Please take it as a reference. I’m a man, but I’m putting this up while overcoming my embarrassment. If I had studied with this kind of dedication... sigh..
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