Plastic and cosmetic surgery abroad

[kwelll]

KWELL...thnkas heaps for your info on your friend...quick qns..i;m not sure i understand what you mean by radix and the off line tangent?....think u can send us a phtos but cover his eyes?...that way his identity is unknown?... I might send you one privately - it speaks volume because with each surgery weakens the structurally support and in reduction cases setting it up for collapse and excessive narrowing over time as the skin over the cartilages contracts - I think is is what happened to my friend's case!!!
i didnt know that bridge augmentation could increase the height your radix..i thought it changes the height of ur bridge only?

\Now that you tell me about Dr.JUng im having second thoughts about going to him in dec...if you had the chance would u go back to him or would you rather choose another surgeon

Well, it is a question I have pondered since my return and I must tell you it is a tough one. Sometimes, it is not just monetary but what you want out of what you do - the final outcome and if it is not achieved, then what was the point to begin with? I will write you privately about my thoughts.

Nonetheless, do not be discouraged simply because of our experiences, your case might just be the lucky one that might change your destiny for the better. It is luck as well as reducing the negatives. Needless to say, results of all cosmetic surgery must be viewed in perspective and according to an individual's goal or objective set prior to surgery. Harbouring unrealistic expectations certainly is the doorstep to one's downfall.

My 2 cents worth as usual.

[fushiacotton]

where do most of you do your tummy liposuction. like 1 small tire thick of fats.

[Jang]

Hi candall,

He charge quite cheap for Vit C drip le, it took about 10mins to finish the whole pack ( this is what he told me ) He also tell me that there is alots of different grade but what he use is good one, but i forgot what brand liao

Do check it out men really sound so temping to me

where where?? "HE" is who?

He is Dr BC Ng at goldhill plaza #01-29, He charge $300 per session for Vit C drip.
This is the clinic no. 6352-8887

[Jang]

where do most of you do your tummy liposuction. like 1 small tire thick of fats.

I've done my vaser lipo wiz Dr BC Ng, very good result.

[keenose]

Hi ladies,

Glad you managed to read the report, it is a fairly recent one so I thought it must be of relevance to most of you, especially those who are thinking of having a rhinoplasty.

My Korean's friend (Handsome) last nose job was performed by Dr Jung using rib cartilage as graft on his bridge, there was no tiplasty as he had his tip scultped by a few other surgeons (he started off with a huge nose). He had removed his silicone pillars with Dr Jung and opted for his own rib as support thereof.

Before I left him, his nose was in good shape, although still swollen at 2 weeks. At 4 weeks he told me most of the swelling is gone because he takes pictures of his nose daily for record /comparison except his tip which is understandably still swollen but still not as much as before. What puzzled me is that his radix (highest point of his height) has dropped and followed by a curve instead what it used to be. I must confess the curve is way off tangent and alittle much for my acceptance,never mind his. LoL... it looks weak and very slopy - i wish i could post his photos to illustrate my point unfortunately I cant. I have also drawn an imaginary line beside his bridge just to show the degree of curvature - its shocking.

I suspect the cartilage is not big enough to augment his rather large nose bridge and his tip is not sufficiently projected with DEFINITION. Warping can happen at any time post operative and this must be rectified immediatey. From my experiences, I am reasonably certain his tip might get smaller by 10-15% top side in 1-2 mths time BUT .. the degree of projection and definition might not be there [deswells & settles, everything else loses volume] unless his cartilage work was made very strong with extra emphasis on his tip support and collumela strut. From my own reading and research, rhinoplasties fail because of a lifelong scar contracture affect that tends to narrow and collapse the nose, especially secondary cases.

In fact, his result is more disappointing than mine but he will revisit Dr Jung again. As for my case, it is now confirmed that it is slightly deviated and somewhat wider than it should - tip same as before. I really cannot imagine how cartilage can grow to 5-10 mm unless rib cartilage is used.
Without undue disrespect to Dr. Jung because I do like him as a person, I am sorry but this is a big NO-NO.

It is my opinion that whilst cartilage grafts can augment noses quite well with much less complications, the final outcome remains fairly uncertain as cartilage grafts do change in size and thickness once settles albeit not always the case. It is therefore common that the bridge of such augmentation may not be as smooth or uniform in appearance as those of silicone (doesnt change shape or size or thickness at all). However, autologous implantation does give patients a rather natural look to the nose viewed in totality. The question is how well you wish you nose to look.

It is therefore said that rhinoplasty remains the most skill demanding facial surgery of all time and he who masters tiplasty masters rhinoplasty.
Please take note that the above was written in good faith and the opinion of mine only.

OH I see! So its using rib cartilege? I was under the impression that its goretex since you were talking about this material.

Rib cartiledge is the one that has a risk of being reabsorbed or warping right?

[WAsadeha]

hey just to clarify, rib cartilage can be used to replace silicone?

Also will it shrink or expand?.......im under the impression that using cartilage is for minor refinement?

I think Silicone is still the best result visually but i dun like the stone like hardness?

IS GORTEX the solution?.... some says it is too soft for the tip projection

Also some says its hard to remove once installed


Can someone comment?

[keenose]

hey just to clarify, rib cartilage can be used to replace silicone?

Also will it shrink or expand?.......im under the impression that using cartilage is for minor refinement?

I think Silicone is still the best result visually but i dun like the stone like hardness?

IS GORTEX the solution?.... some says it is too soft for the tip projection

Also some says its hard to remove once installed

Can someone comment?

Hi there,

From what I gathered... yes rib can be used. but there's a risk of warping or reabsorbed by the body.

You are a guy? Dont mind the scar where they extract the rib?

Usually tip projection, they would use cartiledge from nose, ear etc... not goretex or silicon.

Yes, goretex binds with your flesh.. so after years, it would be hard to remove... have to find a good doctor.

[kwelll]

Hi ladies,

Glad you managed to read the report, it is a fairly recent one so I thought it must be of relevance to most of you, especially those who are thinking of having a rhinoplasty.

My Korean's friend (Handsome) last nose job was performed by Dr Jung using rib cartilage as graft on his bridge, there was no tiplasty as he had his tip scultped by a few other surgeons (he started off with a huge nose). He had removed his silicone pillars with Dr Jung and opted for his own rib as support thereof.

Before I left him, his nose was in good shape, although still swollen at 2 weeks. At 4 weeks he told me most of the swelling is gone because he takes pictures of his nose daily for record /comparison except his tip which is understandably still swollen but still not as much as before. What puzzled me is that his radix (highest point of his height) has dropped and followed by a curve instead what it used to be. I must confess the curve is way off tangent and alittle much for my acceptance,never mind his. LoL... it looks weak and very slopy - i wish i could post his photos to illustrate my point unfortunately I cant. I have also drawn an imaginary line beside his bridge just to show the degree of curvature - its shocking.

I suspect the cartilage is not big enough to augment his rather large nose bridge and his tip is not sufficiently projected with DEFINITION. Warping can happen at any time post operative and this must be rectified immediatey. From my experiences, I am reasonably certain his tip might get smaller by 10-15% top side in 1-2 mths time BUT .. the degree of projection and definition might not be there [deswells & settles, everything else loses volume] unless his cartilage work was made very strong with extra emphasis on his tip support and collumela strut. From my own reading and research, rhinoplasties fail because of a lifelong scar contracture affect that tends to narrow and collapse the nose, especially secondary cases.

In fact, his result is more disappointing than mine but he will revisit Dr Jung again. As for my case, it is now confirmed that it is slightly deviated and somewhat wider than it should - tip same as before. I really cannot imagine how cartilage can grow to 5-10 mm unless rib cartilage is used.
Without undue disrespect to Dr. Jung because I do like him as a person, I am sorry but this is a big NO-NO.

It is my opinion that whilst cartilage grafts can augment noses quite well with much less complications, the final outcome remains fairly uncertain as cartilage grafts do change in size and thickness once settles albeit not always the case. It is therefore common that the bridge of such augmentation may not be as smooth or uniform in appearance as those of silicone (doesnt change shape or size or thickness at all). However, autologous implantation does give patients a rather natural look to the nose viewed in totality. The question is how well you wish you nose to look.

It is therefore said that rhinoplasty remains the most skill demanding facial surgery of all time and he who masters tiplasty masters rhinoplasty.
Please take note that the above was written in good faith and the opinion of mine only.

OH I see! So its using rib cartilege? I was under the impression that its goretex since you were talking about this material.

Rib cartiledge is the one that has a risk of being reabsorbed or warping right?

Not just rib, any cartilage including those harvested from the ear or septal (inner nose) if not handled and prepared properly prior to surgery. Plus the result varies from person to person depending on thickness of one's skin, how well your skin drapes over the new cartilage support etc. This is the reason why many surgeons only use ear and septal for the tip(small augmentation work) - it still does not give the abundance and strength of rib cartilage because the former two are relatively weak and irregular in shape so the aesthetic result may not be that dramatic.

Top rhinoplasty surgeons worldwide inlcuding Dean Toriumi, Geoffrey W. Tobias, Jack Hunter, Eugene Tardy etc have used rib cartilage with great success and continue to do so.

Mind you, Gortex and Silicone are not used by many top surgeons worldwide and remains highly controversial - read the report with care.

[foubelle]

but wouldnt it leave a scar on your rib area? for guys maybe it's still ok but for girls, imagine the shock! no more bikinis )):

i have a question, since, girls(like me) are reluctant to use their own rib cartilege because we really dont want any more scars than necesary and our own cartilege might not be enough, is donor's cartilege a safe choice? will in get absorbed by the body like our own cartilege? what are the pros and cons on this donor ctilege. and when they say donor's catilege, do the mean the ear, the inner nose or the ribs?

thanks so much.

[WAsadeha]

hi thanks for the response. I am really confused now.

SILICONE and GOrtex is deemed unsafe?

CAn you elaborate?

Top PS uses Rib cartilage only?

I always thought that in order to achieve the projection in the nose some sort of implant mus be used?

Cartilage only Sharpens the tip?

Also are implant and catilage used together?

I am thinking once an implant is used any mods to the?

[kwelll]

[quote="WAsadeha"]hi thanks for the response. I am really confused now.

SILICONE and GOrtex is deemed unsafe?

Silicone has been used for over 40 years now in humans with much success although it comes with some complications or side effects like in the case of rhinoplasty - shifting of implant, tip protrusion (if placed all the way to the very end of tip), skin thinning over the implant, obvious operated look because of stiftness, contraction etc...

Gortex has been used as artificial vascular , suture, sheet etc for a few years.... I think you should spend some time researching the material for your own education.
CAn you elaborate?

Top PS uses Rib cartilage only?
Most of them - yes because it is safe with low incidence of complications if handled and executed properly. Silastic implants are foreign materials after all that the body may reject with time.I always thought that in order to achieve the projection in the nose some sort of implant mus be used?

Cartilage only Sharpens the tip?
NO-NO ! Cartilage is used on the tip because it does not cause protrusion as opposed to using silastic implants. - Again, please go read up.

Also are implant and catilage used together?
Huh??? ..............

[kwelll]

[quote="foubelle"]but wouldnt it leave a scar on your rib area? for guys maybe it's still ok but for girls, imagine the shock! no more bikinis )):

i have a question, since, girls(like me) are reluctant to use their own rib cartilege because we really dont want any more scars than necesary and our own cartilege might not be enough, is donor's cartilege a safe choice? will in get absorbed by the body like our own cartilege? what are the pros and cons on this donor ctilege. and when they say donor's catilege, do the mean the ear, the inner nose or the ribs?

In short, most (if not all) donar cartilage are harvested from the rib because the cartilage there is the MOST ABUNDANT, REGULAR IN SHAPE (unlike ear & septal), STRONG that resists the forces of contracture in rhinoplasty. However, how well it is prepared and stored remains to be known and there are few surgeons who use them. Risk of infection? Compatibility? Are these taken from the dead or living people who sells them ? Alot of questions unanswered and I guess only surgeons who have and use them will be able to answer in great detail.

[FallenShanny]

Other than hello84, who else is interested to do rhinoplasty with Dr. Hsu?
IS he famous in Taiwan? hello84, how do you get to know this doc?

[WAsadeha]

Thanks Kweel for your reply...

1)

I am doing my read up on Gortex. However there are mixed opionions on this topic.....

-Based on the report above, it seems that gortex has its negatives.

+However, some clinics offer this and have said that they offer a more natural/soft feel compared to silicone-> which i favor since the tip of the nose suppose to feel soft?

-Some say Silicone is better as they offer a more solid look while gortex is too soft for the tip area?

Anyway jus curious have you heard about this clinic called KALO in Johor Bahru?

They offer Korean Man-made cartilage/gortex.... Any idea what this is ?

not to mention, its about 1000RM more than the Silicone? implant



What is your view/knowledge on gortex?

2)


I just like to know if Rib cartilage is a direct alternative to impants?

Meaning i can opt for this method instead of using impant and the results would be similar if not better?

3)

When people use ear cartilage to reshape the tip, do they still add on an implant ?

i appreciate your response thanks and sorrie for any qns are deemed stupid.

[foubelle]

thank you kwell for answering.

i was thinking abuot the same questions as you. as for compatibility, i think even if it's not compatible, at most it's like sillicon, treated like a foreign object. i will ask more about this when i see dr jung(if everything goes well, i'll be metting the man this dec)

i'm very scared of warping cos i saw the pic and it's very very scary.

btw, does dr hsu use donor's catilege or does he stresses on autologus transplants only. as in everything must be from your own body, no extra material no nothing? can i have is email. i think i might want a second opinion.

thank pple/