First of all, I had surgery with no implants, but I had a step, and the tip of my nose was too sharp. This is the case I consulted for. The skin was very thin, so I was worried about using silicone, but they suggested fixing the saddle-like nose on one side first by placing a cartilage wedge in one place, and one area was made 1-2mm thinner. I'm thinking of putting silicone on the left side of the nose and just tightening the cartilage at the tip of my nose, but I'm worried because they both say so different things.