Hello everyone! I started working hard to get surgery on the tip of my nose during my summer vacation! This week, I received counseling from two places, and I plan to receive counseling from three more places! I have summarized it in detail by looking at the reviews of artists, and I am leaving it in the hope that it will help others as much as it helped me! Let’s make our nose surgery a success! (˶ ̇ ̮ ̇˶) ◆ My problem - From the front, the nose is full (round and blunt), the nostrils are visible, the nostrils are flared, the nostrils have deep valleys - The skin seems to be thick - The tip of the nose is blunt from the side - No columella (slumped) ◆ Desired surgical method - I don’t want to touch the bridge of the nose, but I want to make more changes to the shape of the nose tip, columella and nostrils! - Willing to use donor rib silicone ↓ - Willing to use autologous ribs ○ - I don't have a columella so I want to make one, but I prefer a short nose and I'm concerned that the philtrum is not too short - I'm also considering alar reduction (I'm negative about scarring) ﹌﹌﹌﹌﹌﹌﹌﹌﹌﹌﹌﹌﹌﹌ ◈ ㄱㅅ 3 years since establishment, 1 medical staff ㄱㄴㅅ Director Plastic Surgery Specialist / Chung-Ang University Hospital Plastic Surgery Specialist Hospital facilities are very quiet and clean, I waited and immediately received consultation from the director. It was good. There was one other person waiting besides me. Since it was my first consultation after my first surgery, I asked a lot of questions and it seemed like he was a little tired. I think the consultation with the director lasted about 30 minutes! As it got longer, the manager came in. No forced reservation fee - Condition of my nose, surgical method, and materials ① Tip of the nose: The shape of the ear cartilage nostrils is prone to being pinched during surgery, so it won't be able to raise it much. (She said this is because the nostrils are usually visible from the front like mine, so she showed me before and after surgery photos) It would be nice to make the tip of the nose a little sharper. (Only the tip of the nose is enlarged in the side photo using Photoshop.) One side of the ear cartilage will be used, but if it is not enough, both sides can be used. Q. I have had a piercing (inner contact) inside my ear. Will there be any problems with using the cartilage? A: None! (I said this twice, but I didn't look at it closely... I guess that's because it really doesn't matter) ② Bridge of the nose: No need to do anything ③ Lowering the columella: Ear cartilage Since the face is long, lowering the columella a lot will make it look longer, natural. Get off at a level that doesn't drop too much (show photos before and after surgery) Q. I heard that ear cartilage is softer and weaker than other cartilages. Would it be okay to use it on the tip of the nose and columella? A. The advantage is that it is soft. Regardless of the type of cartilage used, the limit to how much the skin can stretch is the same, so we prefer to use materials that allow movement. The patient's nasal septum is weak and I don't think I can use it well. People with columella depression usually have a weak nasal septum. ④ Nose cheek reduction: I think we should do it together. Incision on both the outside and inside, nostril reduction scar will remain, but it will be advantageous as the nose bone is deep (showing before and after surgery photos), I should have asked if it would be difficult to improve if only the inside was incised... - Anesthesia method: Local anesthesia after sedation, you may wake up during the surgery. But you won't feel it. - A before and after review similar to my nose. He looked at the parts of my nose and showed me several before and after photos of similar surgeries! (It was really detailed and nice.) Perhaps because it is a place where many people come for revision surgery, there were many photos of over-corrected noses that had been changed back to their original, natural shape. Overall, it feels very natural, feels like your own nose? Wouldn't it be too natural...? I wanted to, but it seemed like it matched the direction I was pursuing, so I nodded and watched it! In most cases, it felt like a 10-15% improvement from the original nose. - Notice about limitations and side effects: The side effects that you mentioned that I may experience: 1) When using ear cartilage, some people are unable to wear earphones after surgery. (About 1 in 10 people) 2) Nostril reduction scars may remain. They showed a photo of a 2-month-old patient, and it looked like there was some red line left. 3) When reducing the nostril, the thickest part under the nostril is cut off, so when viewed from under the nostril, it may look a bit cut off. - The recovery period is about 10 days to 2 weeks, but I would say 2-3 weeks. - We are told that there is no after-sales service period . Requests for the desired shape, such as nostril asymmetry or “I wish the columella would come down a little more,” can change at any time and cannot be accommodated. You have to pay extra for those parts - if there is a serious problem, they provide after-sales service, but there is nothing special in that case. - Additional questions Q. Aside from what to keep in mind after surgery until it heals, what are some things to keep in mind while living with the operated nose for a long period of time? A. There is nothing major about not touching or anything like that. Q. After surgery (before discharge), can the surgeon check my condition and explain the surgery? A. That's right. (Wasn't this a question to ask the director? It seemed like I was asking an unnecessary question) - Aftercare [Director] I tend to have patients visit the hospital frequently, 5-6 times during the 10-14 days of treatment. Every time I come, I usually go after seeing the director. - Is it possible to view CCTV? - How many surgeries are performed per day? They said they would only do 1 case - Price 400 for tip of nose + 150 for nose reduction = 550 ﹌﹌﹌﹌﹌﹌﹌﹌﹌﹌﹌﹌﹌﹌ ◈ ㅋㅂㅈ 2 years since establishment, 1 medical staff ㅅㅁ Director ENT specialist hospital was clean and nice, let’s go Immediately, I had a brief consultation with the manager and after waiting for 2-3 minutes, I consulted with the director. The number of people waiting is not me, but a mother waiting for her daughter in counseling? There was one person. While I was waiting, this person came out after finishing the consultation (I think he came to see the results, and his nose was very natural and pretty). I was impressed that the director came out to the lobby and talked to me in a friendly way about how my nose had improved. The director was kind and warm. The consultation was good overall, but it was a shame that I couldn't ask about side effects or other things... It took a while because he was an otolaryngologist, but I liked the content of the consultation and the pictures I saw, so I'm thinking of going to the remaining hospitals and having another consultation. Discount when paying a reservation fee of 10 won (including treatment fee of 10,000 won), review discount I have a good nose. No need to touch it. It doesn't seem to be enough to reduce the bridge of the nose (I was surprised here), and the angle of the tip of the nose is also not bad. It's a nose that would look good enough if you raised the tip of the nose a little and lowered the columella. Since the bridge of the nose is very low, I think it would be better if I had surgery to raise the nasal bridge, but I am worried about whether I should do it because the philtrum is long. - Surgical method and materials ① Lowering the tip of the nose/columella: mainly used on the nasal septum, if not enough, ear cartilage can be used (shown before and after surgery photos) ) I took a picture of my nose from the side and showed it before and after in Photoshop. Q. I heard that noses like mine with a collapsed columella have a weak nasal septum. Is this okay to use? Won't it be enough? A. (Looking into the nostrils with the instrument and light) It’s okay. If there is not enough, ear cartilage can be used. ② He showed me several pictures of the nose wing (showing pictures before and after surgery), and surprisingly, there was not much of a scar left. They said it was not a surgery that would leave a lot of scars. The surgical incision area was shown in color on the photo. Rather than cutting the outside of the nostril (cheek side) like a nostril reduction, the incision is made in the middle of the nostril line as seen from below. As you said, I was thinking about raising the nostril or reducing the nostril because I didn't like the nose wing (nose bridge) hanging down. After thinking about it, he said that if it were him, he wouldn't recommend it right away. (This will be explained later) - Anesthesia method: sedative anesthesia for the tip of the nose; the patient can decide on local/sleeping alar surgery to be performed after surgery - A before and after review similar to my nose showed a similar review in which the alar wing was lowered and the columella was depressed. There were pre- and post-surgery photos for each case, and overall it looked natural. Do you feel like your nose has improved by 15-20%? They showed me pictures of only the tip of the nose being improved, and it looked good because the line improvement was as pretty as I wanted - Notice on limitations and side effects Since alar augmentation surgery is a surgery that cuts off the skin and cannot be reversed, I would not recommend the surgery right away. He said he would try the columella and the tip of the nose first, and then if I wanted more, he would do the surgery (he said he would only charge the anesthesia fee). He also told me that there was a similar surgery case a few days ago. Q. If I use the ear cartilage because I can't use my septum, wouldn't the tip of my nose droop because of my weak strength? A. The nasal septum will not be insufficient, and even if ear cartilage is used, it will be ok to fold and use. Q. Aside from what to keep in mind until it heals after the surgery, what are some things to keep in mind while living with the operated nose for a long period of time? A. Usually, there are many inflammatory side effects in surgeries using implants, but since it is a surgery without implants, the patient will not have to worry too much. All you need to do is manage inflammation well for a month after surgery (drinking, smoking, and excessive exercise are absolutely prohibited). I had a lot of questions to ask, such as a sore nose, but I was so busy that I couldn't ask... I plan to visit the remaining hospitals and get another consultation. - Recovery period 2 It usually takes about a week to find out. - After-sales service period is 3 years, we can provide only cosmetic after-sales service anesthesia fee. - Aftercare [Director] You must come for a blood test at least 3 days before surgery. Q. Can I be unable to have surgery during the blood test stage? A: Yes. Young people these days who drink a lot or take diet pills often have very high liver levels, so the director does not perform surgery on them. Take care of your health. Will you come back the day after surgery to disinfect and remove cotton, and will you need to manage swelling for 2 weeks afterward? (I don't remember well) Every time I come to see the doctor, I will definitely go see the director. - Is it possible to view CCTV? - How many surgeries a day [Director] Only 3 surgeries are performed (they let you know before you ask) - Price [Director] 440, 370 when depositing 10 deposits (reservation fee includes medical expenses) 90,000 won minus medical expenses can be refunded at any time! However, refunds are not possible if surgery is scheduled or a blood test is performed before surgery.
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