Plastic and cosmetic surgery abroad

[candall]

thanks everyone for sharing all this important information
really appreciate it

kwell
will u be doing revision?
are u sticking to I silicon for revision?
dr jung ask u to wait till post op 6 mths?

i m quite sure singapore have many silicone noses around us
maybe they are 'I'..?
guess i can start trying to collect data

anyone know their PS incline to which material for nose in general?
thanks!

[candall]

hey Jang

ya the vit C drip really very tempting! especially seeing those who had it before! the skin look so baby soft!
but i guess i have to prioritise haha
money money!

[who]

kwell,

I'm the same person as in the other forum. That's why it sounded like that.

Btw, aardvark, I don't think you should worry. Dr. Chuang has done nose jobs for many many years... since he was very young. Actually, he told me that my L implant will be placed under cartilage... not really sure what he meant by this.
But, anyway, there are MANY medical reports that claim that the L implant is still the best for Asians, generally. However, the L implant can be dangerous if the doctor makes mistakes such as wrong size and style choice, or incorrect trimming of the strut, bad placement, etc.
But, with a good doctor, there are FAR more successful cases with the L implant than bad cases.

If someone has opposing views or experiences, I welcome them... because afterall, many medical reports claim goretex over silicone, and many L over I or vice versa... not everyone agrees. However, I do think that going to a skilled doctor to do rib cartilage is the safest! And, hardly any doctor ever disagrees with that!

Good luck to everyone!

[kwelll]

kwell,

I'm the same person as in the other forum. That's why it sounded like that.

Btw, aardvark, I don't think you should worry. Dr. Chuang has done nose jobs for many many years... since he was very young. Actually, he told me that my L implant will be placed under cartilage... not really sure what he meant by this.
But, anyway, there are MANY medical reports that claim that the L implant is still the best for Asians, generally. However, the L implant can be dangerous if the doctor makes mistakes such as wrong size and style choice, or incorrect trimming of the strut, bad placement, etc.
But, with a good doctor, there are FAR more successful cases with the L implant than bad cases.

If someone has opposing views or experiences, I welcome them... because afterall, many medical reports claim goretex over silicone, and many L over I or vice versa... not everyone agrees. However, I do think that going to a skilled doctor to do rib cartilage is the safest! And, hardly any doctor ever disagrees with that!

Good luck to everyone!

Okay, thanks for your clarification. Personally, i don`t think its about whether everyone agrees or not, thats not important because as I have said many times and will say it again, education is most important and once you have made your choice, you live with it or change it -as simple as that. What I find appalling is self deceipt because it is the widest doorstep to future problems if one only thinks from one perspective. Personally, I have used silicone and gortex and so am in a position to comment based on my own findings and observations and certainly many others worldwide.

I have made a brief list of my own observations in another forum for which I will post it here just in case it interest some of you as follows:

Silicone:

1. Readily Available
2. Cheap
3. Easy to shape and insert
4. Does not change shape and density
5. Gives very good definition and contouring for a more apparent augmented look i.e. as sharp as you wish or vice versa
6. Looks like own bone if shaped properly
7. Long lifespan
8. Easy to remove with minimum injury to surrounding tissues
9. Tends to shift or displace with time
10. Thins out tip skin if placed incorrectly

Gortex:

1. Soft
2. 30 Times more expensive
3. Difficult to shape, needs to open nose to slap on layer by layer, sheet by sheet ...
4. Changes thickness, density and ultimately shape over first few months (hence surgeons tend to over-correct)
5. Does not give very good definition and strength to the nose
6. May be uneven and bumpy along the bridge
7. Looks natural
8. Great for volume filling especially those with extreme saddle noses
9. Risk of infection is still higher than silicone based on published medical reports by Asian surgeons
10. Difficult to remove with time (above 5-6 mths based on opinions of surgeons - think layers as opposed to a block & it binds with tissues)
11. Not readily available or used in some countries


You mention there are "many medical reports claim gortex over silicone..." - do you have any of these to share with the forum? I think this is more beneficial so we could read and evaluate for ourselves?

I also wonder if the "L" shape implant has it strut trimmed, then it all does it to hold the entire implant together to prevent displacement, what use does it have then on the tip? I doubt this sort of implant can give any decent augmentation to the nasal tip which in my opinion, is the most difficult to augment and shape. It certainly looks artificial to me before and many others I have seen as the edges can be felt and seen.

I also think its not a question of which shape of implant is better rather what type of nose you have and what you wish corrected or enhanced. eg. if you have a saddle nose with no or little cartilage at tip, then even an "L" shape implant cannot do justic to your tip (maybe the bridge) because it is not meant to project your tip with a silastic FOREIGN material. I believe any honest and careful surgeon would refrain from using it. Unfortunately, we do not live in the ideal world where everything is being told frankly until something (bad) happens or might claim its the problem with your immune system, poor skin texture and the rest of it.

Thus, instead of relying heavily and entirely on surgeon's opinion, why not educate oneself, seek opinion of others who have actually HAD the surgery (never mind what material), and evaluate the findings judiciously. Ultimately, you will realise that only what suits you BEST is deemed 'good' or appropriate for YOUR nose as no two noses are the same.

My 2 cents worth as usual.

[mbk]

kwell, isn't there warping risks involved from rib cartilage? Just wondering, does septal cartilage dissolve over time or are the risks of reabsorption only in the healing stage.

[244522]

hi

I had friend who did silicon implant for more than 10 years, and she is looking good.

There are different grades of silicon, and I think getting a good doctor is important. Because if the doctor insert it well, it will last really really long. Maybe you only need to do once.

I think XiaXiu is a good case to say, look at her nose, its been about more than 1 year, no thinning, extrusion and etc. Looking great. Maia Lee is another good example too, her silicon nose look really nice despite many years.

[who]

please start reading at page 46.

http://books.google.com/books?id=gaAjvC ... w#PPA46,M1

it pretty much explains everything for the L implant.

[WAsadeha]

hi

I had friend who did silicon implant for more than 10 years, and she is looking good.

There are different grades of silicon, and I think getting a good doctor is important. Because if the doctor insert it well, it will last really really long. Maybe you only need to do once.

I think XiaXiu is a good case to say, look at her nose, its been about more than 1 year, no thinning, extrusion and etc. Looking great. Maia Lee is another good example too, her silicon nose look really nice despite many years.

hey wad are the different grades of silicone?

i find them very hard esp at tip area.

wow din know Maia Lee had implanrt/.; seems like bloggers have all undergone the knife.

Whats your say on gortex?

[WAsadeha]

Anyone familiar with this?.. its non-surgical face-lift.

Whats your say on this?

There seem to be so many kinds now so confusing?; woffles lift to Aptos lift

anyone knows which is the best and not more expensive?

Prices i have seen so far is 3k++ in sg and msia

Would like more comment on this thanks,

[FlyingMice]

hi keenose,flying mice

i have been told by the PS to go for the botox and face lipo first
cos he have seen very good lasting results
he said the trend is non-invasive first if does not work
then shave jaw if its a jaw bone issue especially for tose with round face n the jaw bone are not very obvious
btw i remember i read tat fats dont grow back the same place where it had been taken out, they just grow somewhere else
i think from those people i came across so far, this seems to be true
i want to do it also but the feng shui man advice against it
he ask me do my nose!
i think again i guess he's quite smart cos after my nose filler my face look a bit smaller,
now like flyingmice waiting for botox to happen on my jaw

flyingmice, is your face slimmer, mine like same

But what if the face shape is is quite squarish? Lipo and botox will still help to slim it down? I think we do have ppl in the forum did jaw shaving before right?

[aadvark]

hi keenose,flying mice

i have been told by the PS to go for the botox and face lipo first
cos he have seen very good lasting results
he said the trend is non-invasive first if does not work
then shave jaw if its a jaw bone issue especially for tose with round face n the jaw bone are not very obvious
btw i remember i read tat fats dont grow back the same place where it had been taken out, they just grow somewhere else
i think from those people i came across so far, this seems to be true
i want to do it also but the feng shui man advice against it
he ask me do my nose!
i think again i guess he's quite smart cos after my nose filler my face look a bit smaller,
now like flyingmice waiting for botox to happen on my jaw

flyingmice, is your face slimmer, mine like same

But what if the face shape is is quite squarish? Lipo and botox will still help to slim it down? I think we do have ppl in the forum did jaw shaving before right?

botox acts on muscles, not bones, it shrinks muscles.
Some people have square face because of overdeveloped muscles around jaw area; some are born with a naturally squarish bone structure.

if yours is due to muscles then botox will help; if due to bone structure then jaw shaving will be a better alternative.

how to tell? clench ur jaws and touch ur jaw hinge below ur ear. when u clench u can feel the muscle movement, from there can determine how much muscle there is. if a lot of muslce, then u r good candidate for botox, if not then dun waste money.

went with fren who did botox, heard all these from the doc...

[244522]

Hi WAsadeha

I advice you to seek different doctor consultants to know more about the different grades of silicon. I think they would give you the best advice and tell you more, as different doctor have different perference of silicon too.

Like say maybe you try seeking dr seah, M.H and email an overseas doctor to compare and contrast.

I think is pretty obvious that Maia did her nose, click the link to see:

http://www.flickr.com/photos/lav/21805585/

http://www.flickr.com/photos/maialee/378730718/

http://www.flickr.com/photos/maialee/378730703/

http://www.flickr.com/photos/maialee/378730709/

I think she did many times of nose job, its a bit differernt from now.

[kwelll]

Hi WAsadeha

I advice you to seek different doctor consultants to know more about the different grades of silicon. I think they would give you the best advice and tell you more, as different doctor have different perference of silicon too.

Like say maybe you try seeking dr seah, M.H and email an overseas doctor to compare and contrast.

I think is pretty obvious that Maia did her nose, click the link to see:

http://www.flickr.com/photos/lav/21805585/

http://www.flickr.com/photos/maialee/378730718/

http://www.flickr.com/photos/maialee/378730703/

http://www.flickr.com/photos/maialee/378730709/

I think she did many times of nose job, its a bit differernt from now.

[b[b]]Thanks for the pics - I know Mia has had her nose augmented because it looks like it. However, I must confess her nose is very passable, some of her "older" noses are so wide in width compared to her face that its distracting. Personally, I find she would look better if a less fleshy tip to match her width silicone implant.
I am of the opinion that classically, the nose is meant for breathing not be seen so it should be realistically small but not so small as to cause breathing problems (derr!!!). We adorn the eyes (most attractive) and the lips to increase their beauty, but the nose is not considered a center of beauty although the size and shape do have a significant impact on your overall facial appearance! (oh tell me about my nose now !!!)[/b][/b]

[kwelll]

kwell, isn't there warping risks involved from rib cartilage? Just wondering, does septal cartilage dissolve over time or are the risks of reabsorption only in the healing stage.

Hi mbk!

With any cartilage whether own tissue or tissue bank, there is the risk of warping (resorption) with time albeit no surgeon would freely admit how many of their patients suffer from this. It may take a few days to months to years.. but from what I gathered, it USUALLY happens during the first 3-6 months post operative. This is the reason why most people do not use self tissues although it does give them the initial sense of confidence and security (oh.. its all mine, nothing foreign up my nose.....) but then again, the degree of resorption varies from person to person, if at all. In case of silicone, you can rest and sleep assured it will stay the same for good (almost life) athough you might need to shift it left or right (cos it tends to get bored at one position after awhile) !!

No one doctor would be able to accurately tell you the risk because they based their findings on their own patients (if they are honest and transparent), but I can safely say that honourable surgeons would have a low incidence of warping if it is prepared and handled with extreme care during implantation. Dr. Toriumi (Dean) would be one such example. I just love this man and he is so assuring one could almost leave your life to him!

[mynose!]

Hi kwelll....

do you know the difference between lateral and medial osteotomy? DOES ANYONE???...like pshycially if your were to do the procedure what would it look like on the face?....also u know if people wanted a higher dorsum...why dont ppl just do that procudure that way you dont have to have an implant which could cause infection...sorry with all the questions!!!
thanks heaps!