Plastic and cosmetic surgery abroad

[kwelll]

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!

I dont claim to know alot of the two but from what I understand, it is about reducing the humps on the bridge (like extra cartilage) etc. Medial osteotomy is defined as the separation of the nasal bones and the bony septum (the wall separating the sides of the nostril). A lateral osteotomy is often used by ENT surgeons to narrow a wide nasal base, or to close open roof deformity. I dont think its about building a higher dorsum but rather to correct nasal wall deformities, smoothening of the bridge etc. For greater detail, I think its best to consult your surgeons, especially ENT ones.

If you prefer not to have a foreign implant in your nose, then you should simply use your own tissues. BUT... it really depends on what you have to begin with. As I have said on another forum, PERFECTION IS THE ENEMY OF GOOD, however, knowing realistically what can be improved and achieved is just as important - it is after all a COSMETIC procedure.

[kwelll]

Hi forummers,

Just as I was typing today, I realised that there might have been postage of 'before & after" photos of actual members on this forum where some of us have missed. (Bummer)

Would it be more interesting/helpful to have them posted on say a page so everyone could appreciate them easily? I would also be a useful tool for educational purposes more so because its performed by different surgeons (?) They say pictures speak a thousand words so let it be shown (if you do not mind of course).

Just my thoughts and I do welcome views.

[mayamomi]

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!

Hi there, i did not really follow the thread but was curious to read the latest page only ...

our bodies are separated left and right by an imaginery midline ... medial means the area towards this midline or nearer to this midline ... while lateral means the area away from the midline...
and osteotomy means cutting of the bone ...

hope that helps u... are u planning to do a rhinoplasty (augmentation of ur nose..)

[mynose!]

mayamomi and kwells...thanks guys for that

Yes i am planning to have rihinplasty with Dr Jung in korea this december...dont know if he is appropriate dr for my tho... a little worried.

But Yea Kwell, like i know a lot of surgeons use lateral osteotomy to increase the hieght of the nasal bridge/dorsum which is why i was asking about...but yea i thnking seeing as the u have had many nose jobs and werent too ahppy with esp Dr jUng why not go to Cr torumi?....do you know how much he charges, i would love to go to him but atm Dr jung...is sorta who i have to go for considering my options...

[mayamomi]

mayamomi and kwells...thanks guys for that

Yes i am planning to have rihinplasty with Dr Jung in korea this december...dont know if he is appropriate dr for my tho... a little worried.

But Yea Kwell, like i know a lot of surgeons use lateral osteotomy to increase the hieght of the nasal bridge/dorsum which is why i was asking about...but yea i thnking seeing as the u have had many nose jobs and werent too ahppy with esp Dr jUng why not go to Cr torumi?....do you know how much he charges, i would love to go to him but atm Dr jung...is sorta who i have to go for considering my options...

how about increasing the height using the rib graft?? did u ask ur dr??
it taking some bone from one of ur ribs and put it on ur nose as implant??
it reported to have good results and its not a foreign object...

[kwelll]

mayamomi and kwells...thanks guys for that

Yes i am planning to have rihinplasty with Dr Jung in korea this december...dont know if he is appropriate dr for my tho... a little worried.

But Yea Kwell, like i know a lot of surgeons use lateral osteotomy to increase the hieght of the nasal bridge/dorsum which is why i was asking about...but yea i thnking seeing as the u have had many nose jobs and werent too ahppy with esp Dr jUng why not go to Cr torumi?....do you know how much he charges, i would love to go to him but atm Dr jung...is sorta who i have to go for considering my options...

Well, am not sure about that for augmentation but if it is similar (or just another term) to those already mentioned, then it is quite apparent what is it all about.

As I have mentioned in another forum, my first choice is and was Dr. Dean Toriumi. Before going to Dr. Jung, I did try to enquire and fix an appointment, however, the waiting list is far too long and I have to get in the Q!! ( I was not prepared to spend Christmas and New Years in bed looking the worst of me !!!) Yes, i know his fees and its not the cheapest for sure hint (one can have 3 surgeries in the US for 1 of Toriumi's)

i dont quite get what you were saying about Dr. Toriumi and Jung?? BTW, iF all [color=blue]you need is bridge augmentation, I think Dr. Jung is more than qualified unless yours is as complicated as mine. [/b][/color]

[tothemax]

how is your nose a complicated one Kwell? and exactly what weren't u happy about your new nose now or about Dr. Jung? I am considering him but after hearing complain from you, i start to have 2nd thoughts. My nose is not a complicated one however, it's not a revision or anything.

[kwelll]

how is your nose a complicated one Kwell? and exactly what weren't u happy about your new nose now or about Dr. Jung? I am considering him but after hearing complain from you, i start to have 2nd thoughts. My nose is not a complicated one however, it's not a revision or anything.

Hi,

Welcome to the list. I will write to you privately which is more appropriate.

Cheers

Kwell

[mynose!]

mayamomi...hey yea i know about rib caritliage....but i also know that its cost more too!! hahah i atm i dont even have enouugh money for that...besides u know if i could get a bigher bridge without adding anyhting thus decreasing chances of warping or infection then i think thats what i would prefer...

kwell...yea like i cxan see why he would havve a waiting list!...but u know seeing as that u have been to dr jung who i consider one of the best in asia...perhaps dr torumi will be worth the wait! and cost...for me i want to have a nose job knowing that i wont have to come back for any revision!..which is why im a lil iffy about dr jung right now with costal cartilage..coz didnt u say ur friend had an unven bridge...seee i cant afford that to happen to me becuase i simply wont have the time to go back to kroea for revision....or the funds!...btw could you send me that photo...in private please thanks! i wrote u a seperate pm hope u got it..

[kwelll]

mayamomi...hey yea i know about rib caritliage....but i also know that its cost more too!! hahah i atm i dont even have enouugh money for that...besides u know if i could get a bigher bridge without adding anyhting thus decreasing chances of warping or infection then i think thats what i would prefer...

kwell...yea like i cxan see why he would havve a waiting list!...but u know seeing as that u have been to dr jung who i consider one of the best in asia...perhaps dr torumi will be worth the wait! and cost...for me i want to have a nose job knowing that i wont have to come back for any revision!..which is why im a lil iffy about dr jung right now with costal cartilage..coz didnt u say ur friend had an unven bridge...seee i cant afford that to happen to me becuase i simply wont have the time to go back to kroea for revision....or the funds!...btw could you send me that photo...in private please thanks! i wrote u a seperate pm hope u got it..

Hi Darling....

I know exactly what you mean and can understand your concerns. As we are not Koreans, we certainly cannot afford the time amongst others to return for revisions after revisions.... I don`t think this is right to begin with because any serious surgeon should be careful in his/her execution based on the intial consultation unless of course things happen beyond one's control e.g. warping of natural tissues that needs to be rectified etc.. As far as I know, I am NOT the first and the last person who is "unlucky" as I said, there are already more than one of us on this forum that requires a 'revision' - am like wad the heck? Why must we (foreigners) be the ones ? My korean mate has to travel 5 hours by road just for another round of 'talk" again next week - now how about taking a plane there for a revision, eh? (No guarantee BTW) I wish i could say I am too fuzzy, but am sorry .... thus, this is the downside to having your surgery overseas should you require a revision, so people better wake up and smell the coffee ....

PS: No, I did not get your private message.

[tothemax]

hi kwell, i got your private message and thanks a lot for replying me. I can't reply you privately because I am new to this forum and need more posts. As to ur question, I am from U.S. I've been having the thought of having a rhinoplasty for so long but never really consider to actually carry it out and never have a gut to. Recently, I start to really consider about it, so I start to do more research on it and happen to come across this thread. What a fantastic thread and I've learned a whole lot from everyone. What scares me the most is the thought of flying to a whole different country all by myself to have the surgery done. And U.S is so far away from Asia . I am considered Dr. Toriumi (excuse the spelling) but somehow, I sill have the thought that Asian Doctors are still the best in doing Asian noses or at least, have the skills equal to Dr. in the U.S with the fraction of the cost. What do you think? Can you tell me more about Dr. Toriumi? I checked out his webiste but then I don't see anywhere that it says that he is the best nose surgeon in the world.

[keenose]

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?

Yeah only one that we know. But he hasnt been here for a long time.

[foubelle]

does anyone knows doctor hsus email and/or website? i cant seem to find it anymore though i saw it once in the previous pages.

[tothemax]

@kwell, hehe i just read my post again and yes, i did sound stupid/funny. I didn't really read what I posted and wasn't being clear. What I meant is that I googled Dr Toriumi but couldn't find much information about him or any magazines, fellow surgeons...mentioning that he is the best. I didn't mean that I don't see anywhere in his website that he says he is the best. OF course a surgeon wouldn't claim himself to be the best. Anyway, I just thought for a doctor as famous as he is, I would be able to google a lot more info about him than his website. As for the fee, I've seen from some forums that he charged ppl average around 9k to 14k/surgery. I think 25k is an exaggeration or an exception for a very complicated case. But I think, although the cost/charge of one doctor correlates somewhat with his skills, it could still in no way serve as a good indication/reflection of that doctor's skills. That is because in the U.S., medical cost is usually very high. Anything that has to do with surgeries, the cost is usually in the 5k range. And for specialists, they usually charge twice as much as the regular docs. And their charges usually depend on the location where their practice are at too. Doctors that are in Beverly Hills and NYC or Chicago tend to charge a lot more expensive than doctors elsewhere just because their overheads are a lot higher. That's why I think best U.S doctors/specialists who charge 15k/surgery are not necessary better than best doctors/specialists in Asia who charged a lot less. But I just speak in general anyway, I dont' mean to target Dr. Toriumi as I haven't had a chance to do more research on him. Anyway, just a little discussion with you. I can't PM you yet so I have to use this thread to reply and I am sorry if whatever I post is irrelevant to this thread. By the way, how many posts one need to get before he/she could do PM?

[DMN]

Hello everyone!

HAPPY National Day to all Singaporeans, incl. myself!

Been M.I.A. cos I am too busy with my biz venture. Anyway, during this time I rcvd an S.O.S. pm from Coby pre-op with Dr. Jung at the height of Kwell's dissatifaction from same doc. I sincerely HOPE she does not mind I m quoting my own response to her (but not hers, in case she does not like it....). Kwell, I too hope you do not mind that I mentioned you in my pm to Coby cos I think you are definitely entitled to your well-research opinion and high standards. Anyway, posting below pm to Coby is just to highlight most of our plights.

At the end of the day, we all have DIFFERENT expectations and DIFFERENT eye for beauty, and, even DIFFERENT budget limits for surgery. For that, we have DIFFERENT risk appetite and thus, good luck to those who are still considering Rhinoplasty, please make your OWN conclusion and do not sway or reply on others opinion. Whichever way, I guess this is one of the most supportive forum you can come back to for pre & post surgery support and information. Best of luck!


QUOTE
Hi Coby,

I can understand your anxiety as I went thru the same drill cos I wanted to use 100% autologous materials but settled for goretex and donor's cartilage.

Just to share my thought process at that time

You REALLY need to weigh how much risk you can stomach in case of infection or rejection.

I dun think goretex is any worse then silicon. They r both foreign implants and the rate of infection/rejection/problems may differ - depending on what studies/research. Personally, between goretex and silicon I prefer goretex for its natural effect. I am fully aware of more complications for goretex in terms of rejection - difficult extraction n loss of tissues etc etc.

Why did I go ahead? Becos I am confident of dr. Jung's skill as I am convinced of his skills and experience. By that token, I am willing to accept whatever failure from his work.

Coby, thus you need to weigh all these and decide for yourselves.

I know Kwell is feeling the dissatifaction from his op. I can understanding Kwell's view cos Kwell has set high standard for his op - to achieve the SAME look he had before with silicon (which is anyway giving way). Also, Kwell from his post does not want to use rib cartilage to create the high bridge. Thus, he has less options.

What about you? I know if you insist Dr. Jung will have to use rib cartilage. On that, have you done enuf research to accept warping and revison?

At the end of the day, ALL implants have their risk. We need to decide which is the lesser devil for ourselves.

Last but not lest, PLEASE if you are not sure, you still have the option of not going for Rhinoplasty even if it is the 11th hour.

Hope above helps and VERY BEST OF LUCK to you!!!!

cheers,
dmn