Plastic and cosmetic surgery abroad

[foubelle]

but sillicon is not totally bound to the body right? so if careless, it will move?

actually, goretex has pores in the material. but will cells really grow into this materials and bind it to the nose? or will it encapsulate it like sillicon?

[who]

foubelle,

you are right goretex does have pores. BUT, BOTH your bone cells, and skin cells will grow into it... meaning if you need to remove it, you must separate it from the bone and the skin that have grown into it... which many doctors say is impossible over a long period of time.

Silicone, if place properly, SHOULD NOT be able to move. Mine most certainly doesn't! If it did, I would take it out immediately. Silicone will be encapsulated in your nose, and with a good doctor, it generally will not be mobile or shift.

After 2 weeks of sleeping on one's back, you can go back to side, etc... also it's not as fragile as everybody makes it sound to be.

[prettyface07]

foubelle,

you are right goretex does have pores. BUT, BOTH your bone cells, and skin cells will grow into it... meaning if you need to remove it, you must separate it from the bone and the skin that have grown into it... which many doctors say is impossible over a long period of time.

Silicone, if place properly, SHOULD NOT be able to move. Mine most certainly doesn't! If it did, I would take it out immediately. Silicone will be encapsulated in your nose, and with a good doctor, it generally will not be mobile or shift.

After 2 weeks of sleeping on one's back, you can go back to side, etc... also it's not as fragile as everybody makes it sound to be.

Hi who,

That means goretex is a better choice!
I have plan to do Rhinoplasty & Epi or double eyelid,Target place Korea.
Do you all know which doctor is better DR Jung or Kim.
Pls advise
I will be going for consultation to both doctors with my gal friends.
They also interested in plastic surgery.

Thanks
Faces

[prettyface07]

Hi all,

there is some info for those who is interested in rhinoplasty

rhinoplasty surgery techniques and grafts

anesthesia : Various anesthetic techniques can be used for rhinoplasty, ranging from only local anesthesia to local with IV sedation to general anesthesia. The choice of anesthesia is made by the surgeon and the anesthesiologist, with the input of the patient.

duration of rhinoplasty: The surgery can take anywhere form 45 minutes to 4 hours, depending on the complexity of the operation.


open vs. closed rhinoplasty : There are two approaches to working on the inside of the nose, referred to as "open" and "closed". In the external or "open" rhinoplasty, most of the incisions are inside the nose with the exception of an incision across the columella (the skin between the nostrils). With endonasal or "closed" rhinoplasty, all the incisions are hidden inside the nose.

There is no "right way" when it comes to deciding between an open or closed approach. It really depends on which way the surgeon feels will give you the best result, which technique your surgeon prefers, and what you are comfortable with. Excellent results can be obtained with either method.

grafts & implants: Often times, primary rhinoplasty (the first time your nose is operated on) involves removal of tissue to create the desired effect. In secondary, or revision, nose surgery, the procedure frequently requires replacing or adding tissue or grafts to compensate for the unwanted results of the prior surgery.

Grafts are used to rebuild the nose and fill in the areas that lack enough tissue in the bridge of the nose (known as the dorsum) as well as in the base. In cosmetic nose surgery, a graft is often times placed on the dorsum or spine of the nose in asian or african american rhinoplasty. They can be made from the body's own tissue, such as cartilage or from a synthetic material.

Cartilage Grafts: Cartilage grafts can be taken from the septum deep within the nose, from the ear, or from a rib. It is easiest for the patient if it is taken from the nose; however, if not enough tissue is present, the ear cartilage is a good alternative. Cartilage grafts tend to look and feel more natural than synthetic grafts, but in rare instances, they can deteriorate or be absorbed by the body.

Synthetic Implants: Types of synthetic implants include silicone (Implantech and Inamed Aesthetics are two popular manufacturers), expanded polytetrafluoroethylene (ePTFE) implants (SoftForm® and Gore-Tex® are the two most popular) and Polyethylene Implants (MEDPOR®) and Hydroxyapatite Implants. There are many different types and materials to choose from which offers some flexibility and options for the surgeon, but synthetic implants are sometimes more easily felt and seen than cartilage grafts if they are not placed correctly


Thanks
Faces

[prettyface07]

continue.....


In almost all cases of rhinoplasty incisions are made inside the nose, thus there is no visible scar. An exception is the surgery for reducing the size of nostrils. Here small incisions are made outside. These incisions are so made that they are least visible later on. Over a period of time they become nearly invisible.

In some selected case the doctor decides to do an external rhinoplasty. This operation involves making a small incision in the area of nose between the nostrils. This incision becomes invisible as the time passes off.

To reduce a big nose, the projection of the cartilage and bony part of the nose is reduced.

To augment a depressed nose, extra tissue or substance is added. Generally there are three varieties of such augmentation materials.


Artifcial Materials: Silicone, Porex and Goretex are the commonly used materials for augmenting the nose. Silicone is a rubber like synthetic material used to augment various parts of the body. The augmentation of the nose with the silicone gives the best result. However, sometimes a patient’s body is not able to tolerate silicone as after all it is a ‘foreign’ material. If it so happens, the silicone can be removed and the nose then returns to what it was before. The nose then can be augmented by other two methods. Medpor or Porex and Goretex offer marginal benefits over the silicone. These implants incorporate well in the tissuen hence are less likely to be rejected and moving around.


Bone: Here the person’s own bone is used. The bone is obtained from the skull, pelvic bone or the rib. Removal of bone from these area does not leave any defect or functional deficit. The disadvantage of putting the bone is that it gets smaller because of absorption. Hence after some time the augmentation is lost in variable degrees. If bone from skull is used, it gives the best result and the absorption is either absent or minimal. Taking the bone from skull is however technically more demanding for the surgeon.


Cartilage: To explain a layman, the cartilage can be defined as a soft bone, bone without calcium. It is found in lower half of the nose, the septum of nose (the curtain that separates two sides of the nose), ear and ribs. The cartilage can be taken from all these areas. Augmentation with the cartilage is good for minor augmentation. If a major augmentation is desired, the cartilage is not a good material as it has a tendency to bend.

Some cases require correction of a deviation of the septum of the nose and improvement of the tip of the nose.

Thanks
Faces

[FlyingMice]

Thanks for the great infor prettyface. Do u have any information on alarplasty and nose tip refining? Pls share

[prettyface07]

Hi all,

some ppl experience said that:
Some surgeons make do with silicon insertion and alarplasty,”

[who]

faces,
I just wanted to point something out. Did you copy some of your stuff from a site? Because two of the things that you said don't coincide together. In fact, they say the opposite. Thanks

faces:

The augmentation of the nose with the silicone gives the best result. However, sometimes a patient’s body is not able to tolerate silicone as after all it is a ‘foreign’ material. If it so happens, the silicone can be removed and the nose then returns to what it was before. The nose then can be augmented by other two methods. Medpor or Porex and Goretex offer marginal benefits over the silicone.

The absence or lack of structural work gives the nose an unnatural or surgical look.

From most medical reports that I have read it states that silicone is not tolerated well in Caucasian skin but has shown high success amongst Asians. But, silicone has to be put in correctly!!!!

[Jang]

foubelle,

you are right goretex does have pores. BUT, BOTH your bone cells, and skin cells will grow into it... meaning if you need to remove it, you must separate it from the bone and the skin that have grown into it... which many doctors say is impossible over a long period of time.

Silicone, if place properly, SHOULD NOT be able to move. Mine most certainly doesn't! If it did, I would take it out immediately. Silicone will be encapsulated in your nose, and with a good doctor, it generally will not be mobile or shift.

After 2 weeks of sleeping on one's back, you can go back to side, etc... also it's not as fragile as everybody makes it sound to be.

Hi who,

That means goretex is a better choice!
I have plan to do Rhinoplasty & Epi or double eyelid,Target place Korea.
Do you all know which doctor is better DR Jung or Kim.
Pls advise
I will be going for consultation to both doctors with my gal friends.
They also interested in plastic surgery.

Thanks
Faces

Hi Face,

When you will be going to korea?
Me & my PS buddies also will be going there this winter.

If the timing you gal are going same like ours, maybe we can meet up there after our surgery
We hv 6 of us in total to get our surgery done by Dr Kim

[aadvark]

I'm intending to go thailand on nov/dec for alarplasty with Dr Nara. Does anyone did ps with him before?

yup, flying mice, me did there, see the thread i started for more info

Hi aadvark,

Long time no see u in forum also. hehe.. so hows ur nose now? Everthing is in good condition i believe?

hi appletree

yup, everything well and fine. though my body damn retarded, took a while to recover... now nose, chin, eyes all look normal le

giving my body 1 full year to recover, b4 i start again in dec, keke

[grumpy99]

Hi, I have a silicone implant but I don't think Goretex would be a better choice for me. Simply because if I really don't like my nose after the surgery, I can easily have the silicone implant removed. If I had Goretex and I don't like it, that's it and I'll be stuck with it.

About the silicone implant "shifting", I don't think you have to worry if your surgery is done by a good doctor. My implant is straight as an arrow, and after 5 days, I started to sleep on one side and now, on 13th day, it's still very straight and tight. Shifting, I think, is quite uncommon.

About the silicone implant looking fake, I think that's untrue. Those who have seen my new nose say it looks really natural. Asian skin can take silicone very well, so it's unlikely the nose will look fake.

Hi who,

That means goretex is a better choice!
I have plan to do Rhinoplasty & Epi or double eyelid,Target place Korea.
Do you all know which doctor is better DR Jung or Kim.
Pls advise
I will be going for consultation to both doctors with my gal friends.
They also interested in plastic surgery.

Thanks
Faces

[who]

grumpy,

totally agreed!

[keenose]

hey flyingmice

u did botox for jaw right?
how is it now? it is exactly 22 day for me, same for u?
wow i feel very numb at the jaw sumtimes
but seeing the change gradually; less round lor
my cheeks also look like slightly lifted

u know wat i think we can forget about local PS doing major sawing n shaving
i went to a PS asking for info on brow lift
he said can solved by botox
so boring wats new huh?

if ask them shave jaw think they freak out!

Hi girls, it has been 2 weeks+ since my second jab of botox for jaw. It has no effect on me. In fact, I think my face looks squarer. What I mean is really squarer and not rounder. So instead of long, i get square? I don't know if it's my own negative thoughts, which I hope!! I'm planning to go back similar doctor in another 2 weeks to assess again. Can anyone tell me if I should go to another doctor this time or should I go back to the same one? Thankss.

Hey kalyn,

I've actually read somewhere that botox on the jaw MAY actually make some people's faces look BIGGER! You may not be freaking out or imagining things.. I do remember reading something about that before.

If thats really the case, then botox might not be suitable for you lor...

[keenose]

hi kwell

ya i m skeptical at first
i know the body doesnt store vit c n it's excreted
but the whitening drip is more than vit c
also has multivitamins
i guess the whitening comes from detoxing of the liver?
its a big pack like u would see in hospital drip
takes 10-20mins to finish

er pls don misunderstand
i m not debating here
or work for pharmaceutical firm
or get commissions
but i really see very nice results
serious after multiple drip the skin glows like a beacon man!

for some of us here,
this drip maybe the only hope to have glowing baby soft skin
compared painful n more costly IPLs
hmm...having hope is better than no hope
sounds silly but tats how some gals function

btw i m a careful customer too
this whitening or vit drip really delivers
but one must prepare to spend money and time lor

don angry k
cos i jus dont want to break hearts over whitening drip
cos this whitening drip is almighty in mine haha

wahhh very tempting leh!! can share picture or not? hehe no need see any feature.. just skin?

How much is the treatment ?

[keenose]

Hi everyone,

I just came back from Taipei from a nose and chin surgery with Dr Chuang of Wish Clinic, and I have to say I'm extremely happy with my results.

I didn't go to him with any photos or tell him exactly what I wanted (cos I don't really know), but just told him to do whatever he has to do to give me a more refined, elegant but natural nose and profile that suits my face.

Here's a short report:

Pre-surgery: Went to see Dr Chuang and he looked at my face and said he'll give me a slightly higher bridge (I don't really have any) with a silicone implant, decrease the roundness and bulk of my nose, and give my chin a Medpor implant to make it sharper.
Day 1: Underwent general anaesthesia then surgery at 4pm. Woke up near midnight and went back to hotel in a taxi. My nose and chin were taped up but there's no nasal packing.
Day 2 to 3: Head feels heavy, nose stuffy but very little bleeding. The bleeding is more like a teeny weeny bit of blood in my nasal mucus. Chin tender and swollen, but on the whole, you feel some discomfort and puffiness but no pain.
Day 4: Already feeling normal and went back to clinic for check-up and to pull off tape. Can wash my face already.
Day 5 to 6: Stitches on the alar groove of my nose started falling off already. Healing very well and drank lots of water. Did not take any Sinecch, only vitamin C.
Day 7: Went back clinic to remove stitches on inside of nose. Nose still stuffy but clearing up day by day.
Day 8 to Day 10: High and swollen nose bridge kept going down, but shape of nose tip already quite defined already. Chin a bit swollen but can see the sharpness very clearly already. No more stuffy nose.
Day 12 (today): Nose bridge still very high, but swell going down more already. Still can't smile a broad smile or laugh too hard cos skin and muscles around the nose and chin still a bit tight. But it's getting better day by day.

In general, my impression of Dr Chuang is:
- He has excellent bedside manners. Very gentle, friendly, cares to explain what he's going to do.
- His nurses are wonderful. Very attentive, reassuring and careful with their needles and even drawing of blood and putting in the IV drip are almost painless.
- His clinic is bright, modern and well equipped. Does not lose out to the best Singapore clinics in any way.
- His skill is excellent. Even on the first day after surgery, I can't see the stitches on my alar groove, can only see a thin line of stitches at the bottom (in the centre) of my nose. The incision on the sides of my nose is so close to the skin and the stitching is so fine and meticulous that you can't tell I've had my nose operated on. That's why I healed so fast.
- He said my surgery will take about 4.5 hours. But he actually spent 5.5 to 6 hours on me – a very long time. It shows he doesn't do a quick, chop-chop job.
- Today, the 12th day, the scar on the bottom of my nose is almost invisible. There is NO scar on the two sides of my nose, looks like my normal facial groove. My nose has a gentle ski-slope curve down to a slightly round but delicate tip. My chin is sharper, making my originally broad and round face longer and more refined. A friend even said because of the more delicate nose and sharp chin, I now look younger. I'm very impressed and surprised, cos I always hear that a sharper nose will make you look older. I think it's really about the balance of your face, and if plastic surgery is done correctly, you can look your best and it may mean making you look younger and fresher.

If you're going for plastic surgery soon, I recommend:
- Going with someone who can take care of you. After you wake up, you'll be groggy and can't really walk properly. Even back in the hotel on the 1st and 2nd days, you'll feel in a daze and it's really important to have someone there to feed you, give you water and cold pack.
- Prepare lots of soft, cold foods like jellies and yoghurts. You can barely open your mouth after chin surgery, and will need to be on this semi-liquid diet for at least 2 to 3 days. Have lots of small spoons and straws.
- I bathed on the 3rd night, cos I couldn't stand it. You can wash your body first, then put your head upside down into the bathtub and run the shower over it. This way, you avoid getting your face wet. Believe me, you'll feel much, much better after a quick bath. And in a way, feeling good will help you heal fast and well. Bathing will not affect your healing or cause scarring as long as the doctor says it's okay to wash your face already. You really need to keep your skin clean for it to heal nicely.
- Everybody heals differently, so don't worry too much. You can ask Dr Chuang all the "what if" and "what will happen" questions but it'll not be possible to know exactly how you'll feel and what will happen after the surgery. If you've chosen to see Dr Chuang, I say you'll be in very good hands.

That's all! PM me if you want to ask more questions!

Grumpy

WOW Grumpy! Thanks for your input!

Congrats on your successful procedures!
So initially you had almost no nose bridge and very round face? I seem to have similar situation as you leh..