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.
.. 