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Plastic and cosmetic surgery abroad

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tanjhj
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Postby tanjhj » Sat, 11 Nov 2006 1:49 pm

drkid wrote:Thanks a lot for your explanation, Tanjhj. It's true that the main point of cosmetic surgery basic is that "perform the possible change that not against the availabilty of the original structures" "if in doubt of the risk after the surgery, don't touch!"
I have more patients that faced with the serious complications and already destroyed the main structures such as skin, bone, cartilages change with scar or extrusion from the implants that made too high too sharp and high pressure at some points especially at the tip from the need of the patients that want to make it projected more, sharp, round and against the tension of the tip. When the implant extrudes the scar will be seen and deep dimple at the tip is the most complicated and irreversible.
The thickness of the skin and the fat at the tip are also the points that cause the problem to the doctors who want to make it small. The patients must have more scar if they want to make it smaller. How they accept the scar that can't be guaranteed about the symmetry, the stiffness and some cause bulging more.
Just want to explain some of the limitation in Asian noses and share some experience.
I never blame the doctors who perform the nose of Micheal Jackson but I don't want to be the one who do it to my patients though it changed a lot but cause the disfigure in the long term that uncorrectable.
Cheers


my pleasure.
:oops:

certain patients need to be educated before they destroyed their face due to their own blindness, ignorance, ego and foolishness.
Ppl by nature, doesnt like to hear "no" or "cant" for an answer, even more when they are paying... however most of them dun realise that what they conceptualise in their mind may be attractive to them but not in others ' view. and when the result turn against what they expect, the poor doc got all the blames and poor reviews... Many patient expected too much unrealistically from the PS which is wrong. A PS cant make one become a cinderella but realistically, PS can be used to enhanced the original features to the best potiential possible.

I agree that, there is much limitation on the Asian nose as it doesnt have much material to start and work on, thus limiting the possible changes that can be done on it.
:roll:

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Postby gartheven2000 » Sat, 11 Nov 2006 3:24 pm

hi tanjhj,

It is hard for me to understand why u say that "For asian, L shape implant dun really suit the asian face due to the lack of brow to joint the high nasal bridge. " If i'm right, the difference between L and I shape would be the horizontal perpendicular part in the L, which is located at the nose bottom rather than the upper brow-nasal area.

Secondly, merely adding height to the nose along the bridge w/o a corresponding heightening of the tip and the brow-nasal joint would seem strange, cos the nose bridge is suddenly more defined than either the tip or the brow-nasal join area.

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Postby flymetothemoon » Sat, 11 Nov 2006 7:13 pm

vitamins wrote:i did rhino with dr sukit this afternoon... he dun suggest alar for me now.. unless im unhappy with the nose and maybe can go back in a few mths to do ... will go back for review 1 week ltr..


hi there, im a 19yr old student,& i intend to go thailand for a nose job next yr mid. i am considering yanhee, any advice u can share?

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Postby flymetothemoon » Sat, 11 Nov 2006 8:03 pm

hi, i am considering a nose job either in thailand or taiwan(if costs is not a problem) Mid-next yr.

Anyone has any suggestion or advice to share?

Also, i am baffled if i need an alaplasty and a chin augmentation or not...cos i need to work out on my budget n etc. so how am i suppose to know if i need more than jus a nose augmentation?> can i possibly send my pic for them to analyse n etc?---student19.

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Postby tanjhj » Sat, 11 Nov 2006 10:11 pm

gartheven2000 wrote:hi tanjhj,

It is hard for me to understand why u say that "For asian, L shape implant dun really suit the asian face due to the lack of brow to joint the high nasal bridge. " If i'm right, the difference between L and I shape would be the horizontal perpendicular part in the L, which is located at the nose bottom rather than the upper brow-nasal area.

Secondly, merely adding height to the nose along the bridge w/o a corresponding heightening of the tip and the brow-nasal joint would seem strange, cos the nose bridge is suddenly more defined than either the tip or the brow-nasal join area.


for qn 1, yes the L part is located at the bottom, i know. LOLz damn funny if the L is reversed :shock:

the reason i is that u can raise ur bridge slight w/o much the need to raise the height of the tip of the nose, also for I implant, the doc will shape the top part to be thinner than the bottom, thus it wont look weird. hmm, i having problem finding i implant pics which will make it seaier for all to see what i mean.
Last edited by tanjhj on Sat, 11 Nov 2006 10:18 pm, edited 1 time in total.

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Re: nose job

Postby tanjhj » Sat, 11 Nov 2006 10:15 pm

yen2006 wrote:
tanjhj wrote:
yen2006 wrote:Hi,
anyone heard of KALO Cosmetic Surgery clinic in JB?

I have a friend went there for a Korean style nose job(Goretex)

cost only abt sin $2300.

Done by Dr Yap who does PS in KL & JB.

Consultation is abt sin $20+

:P


too expensive.. almot twice taiwan cost.. btw, other than goretex, what did the doc do for ur friend? got graft her ear to make her nose tip?



tanjhj,
I'm not sure as I just gave the consultant a call yesterday.Will go to JB for cosultation end of this month, the clinic is very next to Crystal Crown hotel which is abt 15mins from Singapore causeway if without jam.

rgds


someone just posted on KALO, she just did her double eyelid by a China surgeon.... abit put me off here.. thou there is a chance that the china surgeon is educated in a credible university or the "surgeon" is just a dematologist or something. i dun think msia surgery is as regulated as sg or taiwan.

for normal rhino, the cost is rm 2300, but for korean style it is rm4800. and yes there is many kalo clinic around msia
Last edited by tanjhj on Sun, 12 Nov 2006 10:56 pm, edited 1 time in total.

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nose job

Postby flymetothemoon » Sat, 11 Nov 2006 11:31 pm

tanjhj wrote:
aloha wrote:thks for all your contributions...ya i guess it makes sense to just go straight for the perm job. but i'm really skeptical about the condition of a foreign implant as yrs go by....your skin elasticity and everything else loosen and sag when you grow old so i'm just afraid there may be serious complications many years later to the extend it may require a huge op to remove that implant.

if costs is not an issue, would you guys rather have yr ps done in sg or overseas still? seems like nobody has such surgery done at sgh before! *worried*

for those who have done a nose implant - does the thing inside slide around or "drop" off the spine of the nose when you accidentally knock agst it?


actually the idea of implant lasting a "lifetime" is very misleading as "lifetime imprisonment" is not really lifetime but 20-30 years jail. Thus a lifetime implants may means 20-30 yrs lifetime.

It is common that a implant needed to be replaced after > 10 years as thus do bear in mind that u may need to go for a revision once every 10-20 years as there may be wear and tear from the implants. Unless the implants is organic as in Rib bone or soft bone from your own tissue, the manmade implant does suffer from wear and tear , movement and detachment as they dun stick and grow with the flesh and bones.

personally i dun like doing at local hospital. reviews has not been nice from there.



i want a permanent implant that doesnt require any revision thereafter my surgery. is using the organic implant the only option? is silicon implant safe? which method looks the MOST natural?

what are the side effect of such organic implant? will it be re-absorb by the body aft that? or aft couple of years or so?

someone pls PLS advice me on this pls...desperate~
so, which is better? thailand or taiwan for nose job?

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Re: hi

Postby flymetothemoon » Sat, 11 Nov 2006 11:52 pm

babyevil85 wrote:
tanjhj wrote:
babyevil85 wrote:
tanjhj wrote:
astar wrote:hey.. erm.. does anyone have the email address of han fong?? cos i tried calling and using the enquiry form.. but think there's something wrong with my internet connection or something.. jus can't get anything sent through.. even tried to use the forum but my registration keep backfiring.. -_-'' so can someone pls help?? cos i have some questions to ask them.. thanks! :)


i called them using SKpe, did u tried skpe? if yes maybe ur firewall is blocking it. also, u need to call by 7 pm sg time.

I just found another clinic that does full package of Korean style PS. also the website pretty detailed with pics except it is in mandarin

http://www.wishclinic.com.tw/service_a3-1.htm


tanjhj , Can u help me something pls .. Can u help me and call hanfong whether Double eye lid can be redo ? And Btw I got mic so i can talk to u on the msn , maybe around 10aM to 4pm i can use the net to talk to u . Btw i wanna ask u when u are going to taiwan for the surgery .. Can we go in next year June ??? I will be saving enough money on june ( just nice) for the whole trip .. I guess following u is the best idea i ever maded .. Cos i am young and without exp .(helpless)


and Btw We can book air ticket on may in order to go on june :D .. How about it ?? June We go together :D and Btw are u a guy ??


reconstructive surgery for double eyelid isit? to tell u the truth, double eyelid surgery is irreversible and hard to repair. i suggest u go for reconstructive surgeon rather than normal PS, else they may make it worst..

i remember ur case is that u have done ur eyelid long ago at sg by the famous Dr Woo, but the skills of the local doc cmi, even the famous ones, and resulted in a thick/deep and unnatural looking double eyelid for u.. have u seen a PS for revision and what does the doc say?

well, this is the reason why i dun go to local doc for double eyelid surgery. Singapore eyelid surgery techniques is outdated and they lack the volume of customers to practise and improve this delicate surgery, resulting in substandard job. even those so called "successful" one who posted their pics on the net still look "unnatural" to me as compared to those u see on TAiwan or Korea website/forums.

for ur case,u would recommend u go to Dr Su, taiwan's eyelid specialist. i believe she only does surgery on the eye and i believe she is the best coz she ONLY do eye. http://www.dr-su.com/index0.asp
contact her or email her, send her ur pics for her advise.



tanjhj i thinking of Going to Dr su for Revision , becuase she is specialise in Eye So i will feel safe Letting her Redo my eyelid . And Btw planning to go on June ?? I will have enough money on 05-06-2007 . U okie with it ? And btw CAn i contact u to talk better on phone ? Pls ?


hi, babyevil, can i join u? but 1st, i nd to work out the sums...
i nd ur advice on the nose job...thailand or taiwan? which method is better? erm...does it sit well with u if u mail me or sth? at funtogether86@gmail.com

BIG thank u!:)

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Re: GORTEX.

Postby flymetothemoon » Sun, 12 Nov 2006 12:05 am

NIptuckk wrote:Hi jovlin, i assume u have done your nose with Gortex. Does it feel very hard?.. Also, i emailed Dr somsak and asked abt gortex and mentioned that gortex is susceptible to infections much easier than silicone.. anyone care to comment?


can any1 tell e more abt this?

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Re: bigger eyes

Postby flymetothemoon » Sun, 12 Nov 2006 12:25 am

tanjhj wrote:
gartheven2000 wrote:btw hor a nose brige implant confirm can pull the inner eye fold out and make it look bigger too. Nose bridge and eyebrow ridge is what that does it for peepz wif naturally big eyes.


i was thinking abt that too when after i saw the pictures. so that is kai yan tou. i believe when a person does rhino with implant high enough and the bridge protruding enough, will pull the skin can give a effect something like what kai yan tou does. nevertheless, it is still useful for those that wana enlarge their eyes w/o going for nose job.


some1 tell me more abt ---kai yan tou. or send some pics over??
is ear cartilage better/? can tell more more abt that? using ur body tissue for nose job, does it mean tt it doesnt nd any revision in future?

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Re: nose job

Postby tanjhj » Sun, 12 Nov 2006 6:51 am

flymetothemoon wrote:
tanjhj wrote:
aloha wrote:thks for all your contributions...ya i guess it makes sense to just go straight for the perm job. but i'm really skeptical about the condition of a foreign implant as yrs go by....your skin elasticity and everything else loosen and sag when you grow old so i'm just afraid there may be serious complications many years later to the extend it may require a huge op to remove that implant.

if costs is not an issue, would you guys rather have yr ps done in sg or overseas still? seems like nobody has such surgery done at sgh before! *worried*

for those who have done a nose implant - does the thing inside slide around or "drop" off the spine of the nose when you accidentally knock agst it?


actually the idea of implant lasting a "lifetime" is very misleading as "lifetime imprisonment" is not really lifetime but 20-30 years jail. Thus a lifetime implants may means 20-30 yrs lifetime.

It is common that a implant needed to be replaced after > 10 years as thus do bear in mind that u may need to go for a revision once every 10-20 years as there may be wear and tear from the implants. Unless the implants is organic as in Rib bone or soft bone from your own tissue, the manmade implant does suffer from wear and tear , movement and detachment as they dun stick and grow with the flesh and bones.

personally i dun like doing at local hospital. reviews has not been nice from there.



i want a permanent implant that doesnt require any revision thereafter my surgery. is using the organic implant the only option? is silicon implant safe? which method looks the MOST natural?

what are the side effect of such organic implant? will it be re-absorb by the body aft that? or aft couple of years or so?

someone pls PLS advice me on this pls...desperate~
so, which is better? thailand or taiwan for nose job?


only organic implant can last forever which is ur rib bone, ear grafting etc. for a nose implant. the only option is the rib bone and the tip can be from the ear. however there is problem as normal PS wont do such procedure which only doc like Dr Jung or certain taiwan PS does it. However rib one has its own problem, namely

1) rib bone may warp over the years if the PS did not do a good job,

2nd) the rib bone may be reabsorbed back into the body resulting in reducing size of nose implants. in some case it may be reduced by as much as half (some people doesnt get reabsorbed so much or little absortion rate) because it turns into fibrotic tissues

3rd)good doctor who does rib grafting is limited and more expensive 4th) slightly more painful after op

4th)scaring at the place where the ribs is extracted.

saw a failed case of rib implant at dr jung website last time before his current website revamp.

anyway, there are gore-tex, dermofat, calvarial bone, autologous rib, and irradiated rib and autologous cartilage as nose implants
Last edited by tanjhj on Sun, 12 Nov 2006 7:10 am, edited 2 times in total.

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Re: bigger eyes

Postby tanjhj » Sun, 12 Nov 2006 6:53 am

flymetothemoon wrote:
tanjhj wrote:
gartheven2000 wrote:btw hor a nose brige implant confirm can pull the inner eye fold out and make it look bigger too. Nose bridge and eyebrow ridge is what that does it for peepz wif naturally big eyes.


i was thinking abt that too when after i saw the pictures. so that is kai yan tou. i believe when a person does rhino with implant high enough and the bridge protruding enough, will pull the skin can give a effect something like what kai yan tou does. nevertheless, it is still useful for those that wana enlarge their eyes w/o going for nose job.


some1 tell me more abt ---kai yan tou. or send some pics over??
is ear cartilage better/? can tell more more abt that? using ur body tissue for nose job, does it mean tt it doesnt nd any revision in future?


i have posted the link before. read frompage 200 onwards.... :cool:

http://korea.nose.co.kr/china/other/rea ... LangType=2

side effect of silicone
Last edited by tanjhj on Sun, 12 Nov 2006 7:36 am, edited 1 time in total.

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Postby tanjhj » Sun, 12 Nov 2006 7:18 am

FRom Dr Jung WEbsite:

Operation Methods and Materials
Preparation before operation

There is a brief pre-operation examination. It is necessary to take pictures both before and after operation. The pictures of before operation is necessary to have a good result through various analysis, and that of after operation is for reviewing the result in the points of what a patient expected and what a doctor recommended.
Operation methods
There are two operation methods: one is to perform the operation through inside of nose and the other is to perform the operation through opening nose from outside. There are pros and cons in both methods. Inside approach is quite simple but it is difficult to achieve complete correction. Out side approach takes longer time and may leave scars but complete correction can be possible. It is the most critical for patients to be beautiful. Therefore it is global trend to perform the operation through opening nose from outside. In the US, the inside approach used to be a major operation method for many years ago but currently outside approach takes 80% of nasal cosmetic surgery. I would like to recommend outside approach for complete correction for oriental people whose skin is thick.
Operation material
Two materials have been commonly used to raise nose: one is artificial material and the other is self-tissue. Silicon, Gore-tex, and Mersilliene are the typical artificial material. Silicon is the most popular in Korea. Silicon is less expensive, easy to handle, but high possibility of side effects and escapement. Gore-tex used to be used for mitral disease and blood vessel reconstruction. Its price is 30 times higher than silicon. It is smooth and natural. But it is difficult to handle by doctors during operations so doctors are not willing to use Gore-tex. It is relatively simple and takes short time but has more side effects if artificial materials are used.
Nose cartilage and muscular membrane of subcutaneous fat can be used as self-tissue. The transformation of self-born transformation is not normally used but it can be used for too flat nose and seriously distracted nose by accidents. The skull, 엉치뼈, rib can also be used as self-bone. Self-cartilage transformation is the most popular. It is relatively easy to harvest tissues without damaging other tissues. It is also less absorbed into tissue than marrow transformation.

Breast cartilage, ear cartilage, and inner nose cartilage have been used as self-cartilage. Breast cartilage is used to raise nose very high, but it can leave scar in breast. Nose cartilage and inner nose cartilage can be used to make the nose line sharp but it may be absorbed. There may be scar from cartilage harvest. There is no ideal material but silicon is getting disappeared in nasal cosmetic surgery in the developed countries such as US and European countries.



Thread will be taken out after 5 days of operation and swelling will almost go down in 3-4 days but it will take about two weeks to subside completely. You may go back to work right away if the operation has been performed by inside nose method but it is recommended to take more than 3 days of vacation in case of outside approaching operation.
There may cause a blood bruise in case of curved or hooked nose and it takes about 2 weeks to disappear. It is recommended to avoid any physical forces to the nose and even your glasses. Exposing sun ray may cause the changes of face color if there is a blood bruise. You need to get examinations on your nose in the first week, the second week, the fourth week, the third months, the sixth month, and the first year after operation sequentially.


The side effects may be caused by infection, the movement of inserted materials, and insufficient correction on curved and hooked nose. Inserted materials have to be removed due to any infections, it is recommended to take an antibiotic pills for one week at minimum. In case of insertion of an artificial material, if the color of the tip of nose changes or it can be felt by hand you need to visit a doctor because it may cause big troubles.
It is required re-operation if both sides of nose look different shape. Skin has been damaged and nasal congestion continues, it is recommended that reconstruction should be performed after six months of the original operation. It is statistically announced that 10% of operations requires re-operation. There can be an anesthesia incident even it is rare. Abnormal function of nose sometimes causes irreversible changes of nose, so it is necessary to discuss it with doctors.


There are so many people who have negative opinion on the nasal cosmetic surgery. If the person who has normal and beautiful nose wants to have a nasal cosmetic surgery in order to become even more beautiful, the person should be blamed. However it will be blessing if the person who has abnormal nose can live with self- confidence on the nose through nasal cosmetic surgery.

The Korea nasal cosmetic surgery has not been developed because of some negative attitude while the other developed countries such as America and European countries have developed the nasal cosmetic surgery. Recent survey result shows that 5.1% would like to have nasal cosmetic surgery and 1.5% already had the surgery among 20-30 ages in Incheon area. This rate is higher than the number of ozena and allergy patients of ENT.

There were so many side effects because artificial materials have been used in the nasal cosmetic surgery without academic proof. Highest portion of surveyors responded the main reason to make them hesitate to have operation is the side effects and the fear of unsuccessful operation. Like other cosmetic surgery, nasal cosmetic surgery requires specialty on nose. The seminar for nasal cosmetic surgery has been held by Inha Medical Center. This seminar contributes to the development nasal cosmetic surgery academically. Many people who have been suffering from their nose can have benefits from the development of nasal cosmetic surgery. Please do not hesitate to contact us if you are not satisfied with your nose.

katy
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Postby katy » Sun, 12 Nov 2006 12:25 pm

[quote="drkid"]Thanks a lot for your explanation, Tanjhj. It's true that the main point of cosmetic surgery basic is that "perform the possible change that not against the availabilty of the original structures" "if in doubt of the risk after the surgery, don't touch!"
I have more patients that faced with the serious complications and already destroyed the main structures such as skin, bone, cartilages change with scar or extrusion from the implants that made too high too sharp and high pressure at some points especially at the tip from the need of the patients that want to make it projected more, sharp, round and against the tension of the tip. When the implant extrudes the scar will be seen and deep dimple at the tip is the most complicated and irreversible.
The thickness of the skin and the fat at the tip are also the points that cause the problem to the doctors who want to make it small. The patients must have more scar if they want to make it smaller. How they accept the scar that can't be guaranteed about the symmetry, the stiffness and some cause bulging more.
Just want to explain some of the limitation in Asian noses and share some experience.
I never blame the doctors who perform the nose of Micheal Jackson but I don't want to be the one who do it to my patients though it changed a lot but cause the disfigure in the long term that uncorrectable.
Cheers[/quote]

Do you think silicon implants are bad for rhinoplasty ??

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Re: hi

Postby babyevil85 » Sun, 12 Nov 2006 1:43 pm

flymetothemoon wrote:
babyevil85 wrote:
tanjhj wrote:
babyevil85 wrote:
tanjhj wrote:
astar wrote:hey.. erm.. does anyone have the email address of han fong?? cos i tried calling and using the enquiry form.. but think there's something wrong with my internet connection or something.. jus can't get anything sent through.. even tried to use the forum but my registration keep backfiring.. -_-'' so can someone pls help?? cos i have some questions to ask them.. thanks! :)


i called them using SKpe, did u tried skpe? if yes maybe ur firewall is blocking it. also, u need to call by 7 pm sg time.

I just found another clinic that does full package of Korean style PS. also the website pretty detailed with pics except it is in mandarin

http://www.wishclinic.com.tw/service_a3-1.htm


tanjhj , Can u help me something pls .. Can u help me and call hanfong whether Double eye lid can be redo ? And Btw I got mic so i can talk to u on the msn , maybe around 10aM to 4pm i can use the net to talk to u . Btw i wanna ask u when u are going to taiwan for the surgery .. Can we go in next year June ??? I will be saving enough money on june ( just nice) for the whole trip .. I guess following u is the best idea i ever maded .. Cos i am young and without exp .(helpless)


and Btw We can book air ticket on may in order to go on june :D .. How about it ?? June We go together :D and Btw are u a guy ??


reconstructive surgery for double eyelid isit? to tell u the truth, double eyelid surgery is irreversible and hard to repair. i suggest u go for reconstructive surgeon rather than normal PS, else they may make it worst..

i remember ur case is that u have done ur eyelid long ago at sg by the famous Dr Woo, but the skills of the local doc cmi, even the famous ones, and resulted in a thick/deep and unnatural looking double eyelid for u.. have u seen a PS for revision and what does the doc say?

well, this is the reason why i dun go to local doc for double eyelid surgery. Singapore eyelid surgery techniques is outdated and they lack the volume of customers to practise and improve this delicate surgery, resulting in substandard job. even those so called "successful" one who posted their pics on the net still look "unnatural" to me as compared to those u see on TAiwan or Korea website/forums.

for ur case,u would recommend u go to Dr Su, taiwan's eyelid specialist. i believe she only does surgery on the eye and i believe she is the best coz she ONLY do eye. http://www.dr-su.com/index0.asp
contact her or email her, send her ur pics for her advise.



tanjhj i thinking of Going to Dr su for Revision , becuase she is specialise in Eye So i will feel safe Letting her Redo my eyelid . And Btw planning to go on June ?? I will have enough money on 05-06-2007 . U okie with it ? And btw CAn i contact u to talk better on phone ? Pls ?


hi, babyevil, can i join u? but 1st, i nd to work out the sums...
i nd ur advice on the nose job...thailand or taiwan? which method is better? erm...does it sit well with u if u mail me or sth? at funtogether86@gmail.com

BIG thank u!:)




hi flymetothemoon, Sure u can join me at june for Nose and eye surgery , Of course i choose Taiwan becuase it has many good review from there so i choose taiwan rather than thailand becuase of the doctor from there given excuses like cannot do this or that with no confident and inscure feeling from Thailand .


When u are free for meet up or Phone Conf ? if possible i would like you to share more about ur self voice to voice with me Rather then typing lol

becuase i dun really like to type much on the net :D So pm ur number ba :D


Btw Tanji , may i ask u which is the best implant for nose surgery ? what kinda Product can last life time in the nose ?and if its okie when u think i should go to for nose surgery in taiwan ? pls share more okie :D


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