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Comestic and Plastic surgery in Taiwan

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shinangel
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Joined: Sun, 30 Aug 2009
Location: Brussels Belgium

Postby shinangel » Mon, 31 Aug 2009 1:00 am

:D

Hi everybody! Sorry for not having introduced myself for starters! I have spent the whole day reading this thread, and it caused a tremendous headache, :???: !

So to make a long story short: I am Vietnamese and live in Belgium. I had a nose job on the 23rd of July 2008. The bridge and tip have been augmented with GORE-tex and the nostrils narrowed.

The implant has shifted so my nose is now crooked, the tip is hard, and the nostrils are a bit too narrow (one is smaller). The result looks unnatural: the front is too I-shaped, it should be more triangular like a button nose. Besides, the projection is exaggerated, while I prefer a slightly downturned tip.

I am looking for a revision rhinoplasty including removal of the GORE-tex implant, widening the bridge (the pre-op width) and nostrils slightly, making a rounder tip, and restoring the little hump (I loved my hump so much). I prefer my original profile (lower position of the radix which lends my face a juvenile look). I am very conservative and I think that the post-op nose looks to Westernized.

Click on the links below to have a look at my pictures.

http://picasaweb.google.be/elebatagaru/ ... directlink

http://picasaweb.google.be/elebatagaru/ ... directlink

I should probably have done an alar base reduction and a tip definition, but I have been to greedy wanting a bridge augmentation as well. This being said, I didn't know that I would end up with such a nose, as the explanation during the consultation was quite vague.

I am not aiming for the sharp Korean beauty, see below:

http://picasaweb.google.com/elebatagaru ... directlink

http://picasaweb.google.com/elebatagaru ... directlink

http://picasaweb.google.com/elebatagaru ... directlink

http://picasaweb.google.com/elebatagaru ... directlink

Do you think that my original height was high enough? Because I do think it was already quite high, for starters.

Oh, before I forget this: I had my primary nose job done by Dr. Lansangan from the Shimmian Manila Surgicenter. I don't recommend him. You can read other bad reviews about him on Purse Forum.

Also, below you will find the replies posted by Dr. Chang (2youngclinic), Dr. Kao and Dr. Hsu:

Dr. Chang: If you really have more practical expectation, I can give you further informations so that you can decide operation or not.

Actually I think " it should be more triangular, there is no clear division between tip and bridge" is not quite right in terms of beauty. Maybe I don't understand your meaning.
Because your nasal problems are multiple and complicated, such as: bridge and tip deviation, overprojected tip, too narrow and mildly asymmetric nostrils, it may be not very easy to very precisely achieve your purpose."I just want my nose to look a bit more like my original nose, but less garlic-ish." in one stage operation.

After careful evaluation of your photos, my suggestions to solve your nasal problems include:
1. Totally remove the previously implanted Gore-Tex
2. Check the exposed nasal dorsum. if there is any asymmetric depressed or uneven area, Gore-Tex will be used to efface it.
3. Insertion of two layes of Gore-Tex (each layer is of 1mm thick after compression) to the dorsum and tip.
4. Place additional one layer thick or less of Gore-Tex at the mid-portion of the bridge to mimic your original little nasal hump as you want.
5. Place curved ear (conchal) cartilage graft to tip so that tip can become rounder.
6. Regarding the the narrowed nostrils, I think that through intranasal incision, degloving the muscles around the pyriform aperture area (under the nasal grooves) can widen the alar base a bit.
7. The final procedure is regarding "more triangular,clear division between tip and bridge" that I am not sure. If you can show other people pictures and point it out or circle it to help me understand your meaning.
The total cost will be 3,300 USD including postoperative care.


Dr. Kao: You did the Korean type rhinoplasty which you went throught the removal of hump, osteotomy, higher radix, too projected tip and lengthening of the nose with septal cartilage, asymmetric nostrils due to the alar base reduction with suture.....

I understood you want a small change but natural nose. The hump you like is difficult to come back.
The GoreTex implant is too thick/hight for you now. The crooked nose, deviation of the bridge may be due to the wrong position of the GoreTex implant or the deviction of septum and bridge due to the osteotomies or over excision of the septum which traumatize the bridge support.

The problem I may need to overcome is the correction of the bridge. Since you did the septal cartilage removal, I may need to harvest cartialge from your rib or I can use the previous septal cartilage (I am not sure if the septal cartialge is enough).
I need to harvest the ear cartialge for refining your tip. If we can do the surgery under local anesthesia, you can take a look during thte surgery and right after finish of the surgery.
A new GoreTex might be used for the nasal bridge or use the rib cartialge.

When will you visit Taipei? We need to make an appointment beforehand.

Let me know if you have any other concern,


Dr. Hsu: If the doctor cut your nostril to narrow your nostril
There is no much help to widen your nostril just by loosening your tip
Because the meat been cut will never grow back

I can remove Goretex, make your tip slight round
restore orinigal hump is not guarantee, Because man-made nose is impossible the same with God-made nose

Did you know the thickness of your Goretex implant?
From lateral view, your columella is slight retracted. the doctor just make your tip

I check your photo album
It seems the doctor make a cut at your nostril base
Unfortunately, this is irreversible

From lateral view, your bridge looks a bit too high, higher than your upper eyelash
you have a slight asymmetry face, left eye and eyebrow is higher than right side
(right eye is a bit lower)
So when look at your right face, the bridge is too high and unnatural
(the bridge extend beyond the upper eyelash)

your simulation photo use the left face
However, I suggest you use right face to simulation because that left eye is higher
Use the lower eye to simulation will have more natural result


Gosh, I intended to make a short post, and I ended up writing a book. The reason why I mention these doctors, is that they were the only ones who replied quite promptly and gave the most detailed answers.

shinangel
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Posts: 39
Joined: Sun, 30 Aug 2009
Location: Brussels Belgium

Postby shinangel » Mon, 31 Aug 2009 1:07 am

Oh dear, I am monopolizing this thread. Sorry once again for being rude! But I forgot to say: big up to everybody who has contributed to this thread!

I was so desperate about finding a skilled surgeon, but I think I have finally found what I was looking for! Thanks to ya'll! Keep up the good work!

NB: pardon my broken English! It's not my mother language.

Pinkyice
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Postby Pinkyice » Mon, 31 Aug 2009 1:39 am

Gbaby wrote:Hi Pinkyice, how are you alrdy? Hope you are recovering well.

How long does all these procedures last? If i remember is this ur second trip to Dr Jong?

I will be going to see Dr Jong this year end for revision, can u advise me what i should bring or do before surgery (Pictures?)? Is he very serious in person?

Btw, since u had a no. of surgery for the eyelid alrdy, does the skin of the eyelid enough to close up the eyes? Does your eyes have like "kai fang shi" eyelid? Meaning the crease at the inner going outwards not taperd.

Sorry for asking so much questions. I abit kiasu. hee...


I don't remember how long the procedures took...and yes, this is my second visit to Dr Jong.
Dr Jong is a serious doctor...in fact, he looks quite stern and can be a bit loud but he's actually very kindhearted.
Don't really understand what you mean by "kai fang shi" eyelids...but I don't have parallel eyelids.

shoppingirl82
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Joined: Tue, 01 Sep 2009

Postby shoppingirl82 » Tue, 01 Sep 2009 12:58 pm

hello, i've been following up this thread for quite some time but this is the first time i'm posting! i've been trying to make an appointment with Dr Su, but i can't seem to get through her number.

-Dr Su
http://www.dr-su.com

Reputed to be one of the best Blepharoplasty surgeon in Taiwan but only does primary and does not do any revision work.

I've tried to dial 001-886-02-2778-9600 but the operator says this is a invalid number. Anyone can advise if I did any steps incorrectly?

Have anybody managed to make an appointment with Dr Su before? How did you managed to contact her? Please advise.. Thanks alot!

shoppingirl82
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Postby shoppingirl82 » Tue, 01 Sep 2009 2:11 pm

Ms Juice wrote:I am back! wanna share my experience with you guys.

I did my eyes with Dr Chuang and i can say he is really a very good doctor.
I did epi, levator and revision of my dbl eyelid.
My eyes are still swelling and the dbl eyelid are stil thick thou its already 16 days post surgery. I guess its bcos of the levator surgery that i did.
Dr Chuang did tell me that i would probably need to wait for at least 3 mths before i can see results.
Abit impatient now cos my eyes are making me look so tranny :( ..
I really hope the swelling will do down fast and soon.
My epi scars are still there but however it is coverable with make up.


I did my nose n chin with Dr Kao.
To begin with, my orginal nose was those bulbous kind, like Jacky Chan that kind. Even thou i alreadi had an implate which i did in Thai, it didnt make it any better.
Thanks to Dr Kao, now i have a 'new' nose using solely my rib bones and i am very happy with it.
Its about 14 days post surgery and althou my nose is still swelling, i can say i am quite lucky cos i didnt experience any pain around the rib after the surgery. ( My chin was the painful one)
I could get up without any help after the surgery and walk around. The nurses were quite shock too, i, myself was pretty shock too... hahahah
The nurses at Tri Hospital were very helpful cos when my GA wear off, i puke so many times and had to keep callin the nurse to clear it.
There was no meals served, so i actually asked one of the staff to help me get porridge from the canteen. So anyone who is going for surgery soon, you may want to prepare some food before the surgery.
I had a total of about 18 stitches for my nose and now i cant really see the scars for the nose.

As for my chin, it was really painful.
I remembered immediately after the surgery, they woke me up to tell me the surgery was over.
The first thing i said was: My chin is very very very vey painful.
I couldnt really have much movement with my jaw and i had difficulty eating cos i couldnt open my mouth..
Even till today, it stil hurts a little but it is getting better and i can already see the shape of the implate.

I was under GA for my nose n chin surgery and i was told by Dr Kao that GA is injected into our body and not through the mask that was being placed over the face. That mask is actually oxygen. lol

There are reviews that Dr Kao is impatient and did consultation very fast but that is no really true.
He is very patient, patient enough to hear what you want and he will give opinion on whether the kind of nose you want is achieveable or not.
My consultation with him wasnt really a fast one, cos he showed me photos of many noses and also showed me my 'after photos'.
Dr kao is really 1 nice doctor. Thumbs up!

And now i am waiting patiently for e swelling to go down.
I hope, i pray my current tranny look will go away soon... lol


hello ms juice, I'm considering of doing levator & double eyelid surgery with Dr Chuang also..However, there are many things that I'm unclear of.. Hence, I would like to seek your advice.. Can you email/add me to your msn? My email add is shoppingirl82@hotmail.com. Thanks alot!

UglyPiglet
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Posts: 45
Joined: Sat, 18 Oct 2008
Location: Singapore

Postby UglyPiglet » Wed, 02 Sep 2009 1:55 pm

Hi Everyone~!!! How is everybody doing? It's been so long after my PS was done all the way bck in Dec2008 and recent one on Jun2009. Well Dr Su you have to call her direct to make arrangement of appointment and Dr Chung from Wish Clinic as well as Dr Chung very slow in reply.Erm I think Dr Chung skill on the the face is not that good as he is famous in breast implants. Well I hope my opinions helps alittle in everyone's decision :D Now I mark my end of PS chapter in my life till near future, Cheers~!!! Anyway those who need info can still pms me :)

shoppingirl82
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Postby shoppingirl82 » Wed, 02 Sep 2009 4:17 pm

UglyPiglet wrote:Hi Everyone~!!! How is everybody doing? It's been so long after my PS was done all the way bck in Dec2008 and recent one on Jun2009. Well Dr Su you have to call her direct to make arrangement of appointment and Dr Chung from Wish Clinic as well as Dr Chung very slow in reply.Erm I think Dr Chung skill on the the face is not that good as he is famous in breast implants. Well I hope my opinions helps alittle in everyone's decision :D Now I mark my end of PS chapter in my life till near future, Cheers~!!! Anyway those who need info can still pms me :)


Hello UglyPiget, you should prob rename yourself as I'm sure you're far from being ugly now.. =) Anyway, I would like to seek your advice on some PS issues but i do not have enough posts to PM you. Can you email/add me to your msn? My email add is shoppingirl82@hotmail.com. Thanks!

Then maybe i should not take Dr Chung after all..Have anybody done any eye surgeries with Dr Yang from Artwood?

http://www.artwood.com.tw/eyes.php

He is one of the options that I'm considering but I'm abit skeptical as none in the forum had done any surgeries with him yet.. Not sure if his work will be as good as those displayed in his webbie.. Any kind souls can advise? Thanks alot!

omega
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Postby omega » Wed, 02 Sep 2009 8:16 pm

Hi Shoppinggal

Im a guy
Have done eye surgery with Artwood before
I would say there are better alternatives out there
Check your mail

shinangel
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Joined: Sun, 30 Aug 2009
Location: Brussels Belgium

Postby shinangel » Sat, 05 Sep 2009 3:29 pm

Appeal to the potential rhinoplasty patients considering Dr. Hsu during the second half of November: who would like to join me? I will be coming all the way from Belgium.

UglyPiglet
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Location: Singapore

Postby UglyPiglet » Sat, 05 Sep 2009 5:11 pm

Anyway, just to share a piece of info with you all. I've done epi and youthlities not long ago in June with Dr Chung frm Wish Clinic. I really some how regretted doing surgery with him. Bcos I recently found out there is fine stitches still intact with my eye at the epic areas where opening of the eyes towards the nose bridge. I'm worried now trying to make appointment with eye specialist to have that remove as all GP cannot removed it, bcos it was so fine and small. After doing the epi (by Dr Chung)notice that my left tappered double eyelid (Done by Dr Su) becomes mild parallel double eyelid. If look more closely can easily spotted but from far it looks like normal tappered dbl eyelid. Therefore, in my own opinions, Dr Chung is not very good in eyes area but boobs. I may think of doing revision or just leave it as it is But my overall looks still not badly affected by this big issues. Just want to share with you all here.

littlestitchgirl
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Postby littlestitchgirl » Wed, 09 Sep 2009 4:18 pm

Anyone going to Taiwan to see Dr Kao or Dr Hsu in mid Oct - Nov?
Please PM me. Thanks!

~meme~
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Postby ~meme~ » Sat, 12 Sep 2009 9:08 pm

Can someone tell me whether if the rib / ear cartilage are permanent and not removable? I'm new to rhinoplasty, pls adv me, thanks.

schatzie414
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Postby schatzie414 » Mon, 14 Sep 2009 2:01 pm

Last edited by schatzie414 on Thu, 25 Mar 2010 4:29 pm, edited 1 time in total.

Gbaby
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Postby Gbaby » Wed, 16 Sep 2009 12:00 pm

Blissful09 wrote:Hi guys


My question is

Has anyone ever done double eyelid surgury when you ALREADY had double eyelids?

Did u like it better before or better after surgury?
Im worried cuz i read alot of ppl dislike it after and regret doing it cuz it looks "hollow" now?


Hi Blissful, i use to be a single eyelid but turn out to have dble but again my dble eyelid disappear over the yrs so i did dbl eyelid surgery the open method. i can say i regret doing the cutting one becos it does not turn out to be the way i want. so i would advise ppl to do 3 pt, remove the fat and stitch or via stitching, tat somehow will not affect the skin and its reversible and you can later decide wthr u need revision again. But of cos u need to find a gd dr to discuss how it will be done. mine did not talk much and go ahead with the surgery which i totally dont like, so i hope this time the revision will be the done properly via cutting method....

Do u plan to have eyelid surgery?

Gbaby
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Postby Gbaby » Wed, 16 Sep 2009 12:01 pm

omega wrote:Hi Shoppinggal

Im a guy
Have done eye surgery with Artwood before
I would say there are better alternatives out there
Check your mail


Hi omega, what did u do for the surgery?


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