I was under the knife of Dr. Pat and I hate my face to this day, I have spent the equal amount trying to fix the scars he left with laser treatments. Sadly these laser treatments did not work as advertised..
I had a bulbous nose, low bridge. Wanted a more korean celebrity nose, and he said he could do it. I am pretty sure the silicone in my nose is L-Shaped. It definitely is not sharp, is very round since the surgery. It has been years already.
I told him I am not satisfied with my nose, it was not as sharp as I wanted it to be. He said if it was any sharper, the silicone will extrude throught the tip of the nose because of necrosis from the inside. So basically he knew that if the rhinoplasty was done WITHOUT AUTOLOGOUS MATERIAL (ear or rib cartilage) the implant will extrude. Are you getting the drift now?
So basically he knew he couldn't give me the results I want, he said he can do it. It just comes to show that "I will promise you anything as long as I get the money, then I will tell you it can't be done after the surgery.".
If you don't want a pointy nose, by all means visit Dr. Pat. Otherwise save enough and visit a much more reputable Doctor for Rhinoplasty (Autologous). Or you will face the agony of spending time, money with the bonus of regret and self-hate.
This is my 1-Dollar opinion which I suggest you to take. Take the opinion, not the dollar.
If you want another doctor in thailand, I recommend Dr. Nara. I have never used his service, but if he cannot do it, he will tell you. If you still want to to it, he will tell you not to regret.