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by Badboy » Fri, 30 Mar 2007 7:43 am
Hi everyone!
I'm new to contributing to this forum, but I have been keeping up with the information in this forum for the last couple months to help me with my research into finding the best surgeon to perform my rhinoplasty. I just came back from having my surgery in Korea with Dr. Jung, and wanted to share my experience with all of you to return the favor.
First, a little about me. I'm a Chinese male and have a typical wide, flat, asian nose. It's been the bane of my existence, and although us guys never want to admit that we're into our looks, it certainly hurt my self-confidence when it came to the opposite sex.
I considered Dr. Jung and BK Clinic. My research showed Dr. Jung was by far the best nose surgeon, and I have been in contact with quite a few people who have had surgery at both clinics. Although Dr. Jung was the most expensive ($4000 all inclusive), cost was not important to me. I was only concerned with quality. Since I'm messing with my face, I figure I've got one chance to do it right the first time. I flew to Seoul 2 weeks ago, scheduled a consultation with Dr. Jung the next day, and had surgery the day after. I've never been to Korea before, but had no problems getting around town. They have a very efficient subway system. Also, Dr. Jung sends a driver to pick you up from the airport when you arrive.
I had the following procedures done on my nose:
- Osteotomy to narrow my bridge
- Dorsal augmentation w/ goretex to raise my bridge
- Alar base reduction to reduce the width of my nostrils
- Tiplasty with septal cartilage (the cartilage that's already in my nose) to refine and define my tip
I had open rhinoplasty, so an incision was made in the columella (the area of your nose that separates your nostrils).
I must say that I am very, very pleased with my new nose, and how I was treated both before and after my surgery. It is 12 days post-op, and I have virtually no scars at all. I still have some faint bruising around the eyes, but no one can tell. My nose has a tall but natural looking bridge with a narrow, defined tip that doesn't look pinched at all.
Dr. Jung is not only the most skilled rhinoplasty surgeon in all of Asia in my opinion, but he is also a genuinely nice person. He is highly respected and sought after throughout Asia for his knowledge about Asian rhinoplasty. I never once felt that he was money-hungry, or that I was rushed. He only performs 2-3 surgeries a day unlike some of the larger clinics, so you will get the attention you deserve. He speaks passable English, but for those of you who speak Mandarin, his Chinese is very good, which explains why he was able to train a number of Taiwanese plastic surgeons on his techniques. He even works with another doctor from Taiwan (I think) who assists him during the surgery, so communication was not a problem for me.
During the consultation, I told him what I wanted - a higher, narrower, sharper nose that looks natural (isn't that what we all want?). He does take before pics, but he doesn't use any computer simulation to give you an idea of what you'll look like after surgery. I don't trust those simulations anyway - they are never realistic, and might even give you false expectations. He showed me numerous before and after pics that are much better than what he has on his Web site. Some changes are very dramatic, and some are not, but that's because of the patient's wishes. He explained the kinds of materials that can be used (goretex, your own rib, donated rib), but given what I wanted, I opted for goretex, which he recommended as well. The good thing is that he said that he would likely not need to use my ear cartilage for the tip, since I had ample septal (nose) cartilage. That was a relief, because it was one less thing to cut and heal. He told me that girls typically need ear cartilage for the tip because they need to lengthen the tip to make their noses look longer as well as sharper, but my honking nose was long enough. I just needed to reduce my bulbous tip and make it higher and more defined.
On the day of surgery, you are given a surgical gown and cap to wear. Girls - just so you know, you will not be able to wear your bra, and your chest will be exposed during surgery as they put a number of things on your chest to monitor your vitals. The cap will be taped tight over your head - I guess they don't want your hair exposed for some reason (maybe to prevent your nose from being exposed to germs?). The cap covers one of your ears with the other ear exposed in case they need ear cartilage for the tip. An IV will also be inserted into your arm which will be how that make you go to sleep. Dr. Jung does not use general anesthesia, because of the risks involved. But what he does give you through the IV drip knocks you out completely, and then he uses local anesthesia for your nose, so you will be in la-la land and won't feel a thing until after the surgery is over.
When you are all prepped for surgery, you then have a final consultation with Dr. Jung to confirm what he'll doing to your nose. Again, I told him what I wanted in general terms. I personally did not want to give him specific instructions on how tall or sharp I wanted my nose. He's the expert and I'm paying for his experience and artistic ability (he actually has an art background) to resculpt my nose. At the end, I told him that I trust him, and asked that he make me look as handsome and natural as possible.
After surgery, I woke up in the recovery room and noticed that I had a splint on with gauze taped to the opening of nostrils. I did not feel any significant pain from my nose, but I did feel a dull soreness all over my face. I could tell that my face was very swollen, and I could barely open my eyes. When I got up to look into the mirror, I could see that there was significant bruising around my eyes - I looked like a raccoon. My whole face - eye, cheeks, and chin - were completely swollen. You should all be mentally prepared for how you'll look immediately after surgery. I also could not breathe through my nose, as they packed the inside of your nose with gauze to absorb the blood and help retain the structure of your new nose. Be forewarned, there is A LOT of blood that drips out of your nose. They said that this could take 1-2 days before the bleeding stops, but for me, I only bled throughout night, and it stopped in the morning. I was very groggy from what I guess was the sedative that made me go to sleep and since the office was about to close (at 6 PM?), the nurse that took care of me offered to let me spend the night in a room above the clinic. They give you a little care package that includes a mask you can wear to protect your nose and hide it from public view, extra gauze and tape to change your dressing, a cold pack to help relieve the swelling, and some ointment you are to apply religiously to the incisions on the outside of your nose.
The first night is the toughest. You have to breathe through your mouth, so it's difficult to sleep. I had to get up many times to change the dressing under my nose because it was soaked from the blood that's constantly dripping out of your nostrils. When I first changed my dressing, I saw how my nostrils and tip looked. My nostrils were much more narrow, and my tip was higher and more defined. Even with all the swelling and bruising - which, by the way, peaks at 2 days post-op, so it does get worse before it gets better - I was thrilled with what I saw so far. Even though it was a significant change, the tip looked very natural and not pinched at all, which was my worst fear.
The next morning, I came down to the clinic, and the same nurse that took care of me after my surgery, took out the packed gauze from each of my nostrils. Be prepared, this does hurt a bit. They really stuff that gauze way up your nose, so when they pull it out, it's rubs against some pretty sensitive flesh creating a sort of burning sensation, but it's pretty quick. I was told to come back in 3 days to check for any signs of infection, and then in 5 days to remove the splint and the stitches. Note that there are 2 kinds of stitches that are used. Inside the nose they use absorbable stitches that I was told dissolves or drops out in 3 weeks. The stitches on the outside of your nose (on your columella and alar base), which look like eyelash hair, have to be manually removed. I think those stitches are for those areas where you want to minimize scarring.
At 5 days, when that same nice nurse removed the splint, I could see that I now had a real nose bridge! It was certainly very swollen, especially between the eyes. I thought I looked like a Klingon. Then, the nurse removed the eyelash-like stitches on the outside of my nose. This did hurt, as I think some of my stitches had already started fusing with my flesh. This will be the last painful thing that happens to you. Dr. Jung then came in to examine my nose. The first thing he did was push my implant really hard to the right as I guess it was a little crooked - ouch! He said that the implant could shift in the next two weeks, so if I see that it's crooked, he told me to adjust it myself. He said that after two weeks, the implant would be set, and couldn't be adjusted any more. Although my swelling and bruising had gone down considerably, Dr. Jung said that in 2 weeks no one could tell I had surgery, in 1 month all the swelling would be gone, and then through the 6th month, my nose would be gradually refined even further. I was given a moldable splint (it becomes soft in hot water), and was told to wear it when I'm not outside for the next 2 weeks. I was also given a different kind of ointment to help minimize the scarring.
I came back for one more check-up on day 8, before I flew back to the US the next day. When I first walked into the clinic, I saw that same sweet nurse again, but this time, it seemed she couldn't recognize me. She then realized who I was, and kept smiling at me. One of the consultants insisted on taking after pictures of me, and said that I looked very handsome. Needless to say, I was very flattered. When I finally saw Dr. Jung, he was very impressed with how fast I was healing. He said that I look in 8 days what his average patient looks in 14 days. There was still some residual bruising and swelling, but it was minimal. Dr. Jung seemed pretty happy with how my nose turned out. He told me that if I ever had any problems with my nose, or didn't like any features, I was welcome to come back any time, and he would fix it for me. Dr. Jung even pulled out his personal camera, and asked one of his assistants to take a picture of me and him together, and emailed it to me.
The post-op care is top notch in my book. As a guy, I hate to admit that TLC after my surgery is important, but it was. They are very attentive to any discomfort you may feel after surgery and take great care of you throughout your recovery and post-op checkups. I really liked that nice, sweet, cute nurse that took care of me. In fact, if you can't tell, I sort of became attracted to her, and wanted to buy her something to show my appreciation (and affection). Well, maybe on my next visit to Korea...
Just a little about how high Dr. Jung can make your bridge. A lot of people seem to think that in order to make your nose high and sharp, you need a silicone L-shaped implant. Even Taiwanese doctors who studied under Dr. Jung still offer L-shaped silicone implants and recommend it over I-shaped goretex implants if the patient wants a high profile. That's because only highly skilled surgeons like Dr. Jung can successfully create a high profile nose with I-shaped goretex implants. I'm living proof that you can get as high a profile as you want with an I-shaped goretex implant. My glabella (the area between my eyes) was virtually flat. Dr. Jung was able to raise it by 5mm, and it looks completely natural after only 12 days post-op. My tip went from being very wide, flat, and bulbous to being narrow, high, and quite defined. And it's only going to get better in the coming months. Whatever you guys do, do not, I repeat, do not go for the L-shaped silicone implants - just my personal opinion. There's no reason to accept the significant risks associated with silicone and L-shaped implants when you can achieve the same look with I-shaped goretex implants. I know a number of you would not agree with this statement, so take it as you will.
I hope this information was useful to all of you considering rhinoplasty. Thank you for the information you shared in this forum - it was very helpful to me. I hope this now makes us even. Good luck!
Last edited by
Badboy on Sun, 01 Apr 2007 1:17 pm, edited 1 time in total.