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Has any of you ever had any cosmetic-surgery-related experience in HCMC? The cosmetic industry is growing unprecedentedly in Vietnam and within this city alone I've found no less than 100 clinics specializing in cosmetic procedures. Prices are considerably high for locals but not for those with foreign passports. I'm thinking of getting a nose job here but having difficulty selecting a clinic given so many choices. If you know any good place to recommend, please share.

Thanks..

 

Hello, is there a surgery that reduces the thickness of the eyelids?

 

Hi guys, do you know whether it's possible to do full facial fat graft shortly after jaw surgery (extending the jaw) or do I have to wait for a few months?

 

Is there any reputable clinic in Korea that specializes in treatments of skin conditions like acnes, scars, visible pores, blackheads etc., improving skin tone and texture.

 

Hi. I'm interesting in facial fat grafting too. Do you guys know whether doctor Seul from JW is good and reliable in this field?

 

Yes, that's the disadvantage of dermis fat. It has about 20% rate of resorption. So the surgeons have to take that into account and use more transplant that needed. Another advantage that I've read is that it's difficult to impossible to shape. But it's well vascularized once in your nose and since it's from your own body rejection and infection don't occur.

I think this girl uses dermis fat to augment her nose bridge and she turns out nice


Since dermis fat is often harvest from your buttocks, my concern now is whether it will leave any big scar on your behind.

 

I see. Thanks. I don't want to use rib cartilage either as I've heard some complications with it and it leaves scar on your chest area. I'm considering dermis fat graft though. Did they mention it to you?

 

Have you had surgeries done at Shimmian? Would you mind telling me your experience there?

 

Oh no worries Bella. I would love to hear everyone's comments and input.

I thought of fillers before but I have read on a few sites that fillers can make rhinoplasty more difficult later as the fillers may not dissolve completely and leave some damages in your tissues.

I'm thinking diced cartilage wrapped in fascia and dermal fat, but I'm concerned about scars in donor sites (wouldn't want a big scar on my butt) as well as the long-term outcome of these methods.

I've found a website with some very useful information about materials and methods for asian rhinoplasty
http://www.rhinoplastyarchive.com/articles/asian-rhinoplasty

Dorsal augmentation

General consideration
Dorsal augmentation is the most commonly addressed issue in Asian rhinoplasty and also the most common reason for revision surgery. When performing augmentation rhinoplasty on Asians, it is preferable or mandatory to first perform tip surgery using autologous cartilage, followed by dorsal augmentation using available implant material. The thickness of the patient's skin must be taken into consideration. If excessive dorsal augmentation is performed on a patient whose skin is too thin, there is a risk of implant visibility through the skin or an extrusion of the implant. Conversely, too thick skin can decrease the effect of nasal augmentation. Therefore, in patients with thin skin, it is preferable to use soft implants such as Gore-Tex or autologous tissues such as morselized cartilage or fascia rather than silicone. In patients with thick skin, a relatively solid material such as silicone, reinforced Gore-Tex, or costal cartilage can be used without significant problems. In particular, when using implants with a certain level of hardness, such as silicone or costal cartilage, the base of the implant should be trimmed well so that it conforms to the contour of the nasal dorsum. Otherwise, an up and down motion by palpation or deviation of the implant can occur, leading to implant visibility through the skin.


Selection of implant material

1) Autologous Tissue
The advantage of autologous material for the dorsal augmentation of the nose cannot be questioned as these implants are well tolerated and carry the least risk of infection. However, if any autologous tissue other than septal cartilage is selected, the additional operative time required to harvest the graft and donor site morbidity become limiting factors. Common autologous tissues used for dorsal augmentation include septal cartilage, conchal cartilage, costal cartilage, fascia, and dermofat. As it is easy to harvest and shape the septal cartilage, it can be used to moderately elevate the nasal dorsum, to camouflage a partial concavity on the dorsum, and for nasal tip surgery. Since Asian patients have relatively small septal cartilage, it is practically difficult to harvest enough amount of septal cartilage, leaving at least 1cm width of the L-strut, suitable for a full length dorsal graft. In author's study, dorsal onlay grafts with a width of 8 mm and preferred length of 30 mm could only be harvestable only in 9.1% of patients.1 To reduce the visibility and migration of the septal cartilages, and to overcome the limitation in the size, the author prefers to place the septal cartilage onto the nasal dorsum after gentle crushing using a cartilage crusher. Unlike septal cartilage, conchal cartilage has an intrinsic curvature that hampers its routine use as a dorsal augmentation in its original shape. In addition, the conchal cartilage is frequently too small to yield a cartilage piece suitable for one piece dorsal augmentation. When using conchal cartilage, it may be necessary to overlap pieces of cartilage in their opposite directions of curvature to neutralize their intrinsic curvature. Although costal cartilage is difficult to harvest and is associated with more serious donor site morbidity such as pneumothorax, as well as the problem of warping, it is the most useful autologous cartilage for substantial augmentation or in patients who have experienced complications with alloplastic implants.3 Although strongly advocated by some surgeons of its routine use for Asian rhinoplasty during the primary rhinoplasty, 4 however, it is very difficult to persuade Asian women to use costal cartilage because the harvesting procedure leaves scars on the chest. One other critically important limitation of autologous costal cartilage is that, except for only a few highly-experienced surgeons, most rhinoplasty surgeons have difficulty using these implants to create an aesthetically pleasing nose. Warping, graft visibility, and unnatural looking noses are common complications of augmentation using costal cartilage. (Fig.1)

To avoid warping, it is best to soak the cartilage in saline solution to let the maximal warping occur, and perform careful carving after a certain time elapsed. To reduce the risk of warping, the author prefers to use costal cartilage in a laminated form. (Fig.2,3)

Although autologous cartilage has the lowest risk of infection among graft materials, autologous cartilage including costal cartilage is associated with a significant risk of revision surgery, with rates as high as 15.5 %.5 The primary reasons for this high revision rate is that autologous tissue is usually used to treat more difficult cases and use of these implants is associated with unpredictable scarring, warping, and at times visible graft contours. Although, harvesting autologous fascia requires an additional incision and hence is associated with additional morbidity, autologous fascia, including temporalis fascia and fascia lata, can be used in rhinoplasty as radix graft or dorsal onlay grafts. Fascia can be used alone or can be used as a form of fascia wrapped diced cartilage, which can maximize the full use of the small pieces of autologlous tissues remained after other procedures, can nicely camouflage dorsal irregularity or, could serve as an alternative method of dorsal augmentation.6 Studies have shown that diced cartilage-fascia wrapped grafts survived and demonstrated normal cartilage survival.7 Dermofat, harvested from various locations, can also be used in dorsal augmentation. Although dermofat can be harvested in great quantities, its absorption is difficult to predict, making it unsuitable for substantial dorsal augmentation. However, dermofat can be useful for patients with thin skin or contracture of the nose due to complicated primary rhinoplasty.

 

Thanks Bella! I'll definitely look into Regen now.

I saw the quote on the following page and Regen prices were way above others, so that kind of made me marked them off
#

 

Thank you a lot for your review on JW. Now JW is top on my list of clinics in Korea.

I have some questions, I read from others on this forum that they had their noses done by Dr. Suh from JW and that he's a nose specialist. Did you know about him prior to visiting JW? If so, why didn't you choose him? Is Dr. Woo as good as Dr. Suh? Did you request for autologous material for nose bridge and they rejected?

 

I heard regen did many celebrities but they're expensive. I haven't searched on Cinderella but heard they're expensive as well.

I have limited budget so I tend to focus clinics with reasonable prices.

 

Hi, for any of you interested. I've also just done a quick search on JW and they seem to have good reviews as well. I've only seen one complaint about JW on purseblog so far and that is about wrinkle removal.

Lacryssa also has her nose done recently at JW and it looks amazing.
Post #6351 # Reviews from kkim and chloegirly who had their noses done at JW
# href="#" class="internalLink"># I'm really big on postop care so the stories of kkim and chloegirly make huge pluses. Their price seems good too.

Another review from pororopiggy. Yumi seems like a nice lady.
# According to Jungilwoofan, JW is one of those more ethical ethnic and only recommend what you need
# kikichan also did hers there and said they have wonderful service
# Post #1679 # Kisskissbang also did her nose at JW. From what she and others wrote, it seems like Dr. Suh is a nice man and caters in to his patient's need and can create natural looking nose. From her post and several others, it also seems that JW really give foreign patients priorities. Though they're often fully booked (as I've been reading from this forum), they can cancel surgery dates for local patients to squeeze foreign patients in.
# Pham did her nose at JW too and loved it
# Dr. Suh at JW seems to be a nose specialist according to these members
Post #5824 # Post #2031 # href="#" class="internalLink"># According to izora's research, JW is known for handling difficult revision cases, so pei pei may want to consider them too. This is only word of mouth though.
# This is the bad review on wrinkle removal at JW. It also talks about bad service but kkim later defended JW
#

 

Wow. Your result is amazing Lacryssa.

I think your nose looks a bit like mine. Do you mind telling me what materials they used for your rhinoplasty and tip plasty? Did they use septal cartilage, ear cartilage or implant? How much did they charge for your nose?

 

What did they do to your nose and what complications are you currently having?

 

Thank you for the warning. I was thinking of Dr. Wang initially too but after hearing about too many botched jobs from China, I probably won't take the risk.

 

Hi pei pei,

I'm sorry. I've just quickly checked again and it seems like VIP doesn't have many negative comments from purseblog, but someone from naver posted a bad review of VIP
# That said, quite a number of people from purseblog had their surgeries done at VIP and they didn't have any complaint.

But I probably took it off my list due to its high price.

 

I forgot what the bad things are specifically. I was researching it along with other clinics and I didn't have a favorable view of it, but then again I might have just crossed it off my list because of the overly expensive price. Let me search for it again and I'll get back to you later

Btw pei pei, I've heard that if your lips have been over augmented with fillers, you can correct it by injecting some HA acid to dissolve it. I've also heard something called lipodissolve to dissolve fat. Though I'm not clear on the nature of these methods yet. You may want to look it up. I have kinda thick lips too, but I'm not sure whether I should reduce it.

Edit: Oh nvm. Lipodissolve is not FDA approved and it seems risky, though Otsuka clinic Japan offer it.

 

I am sorry to hear about that pei pei. This time we should do careful research before making our decision. This is something that will affect our life almost forever, so we should take our time.

May I ask what makes you choose VIP this time? In skimming through the plastic surgeries thread I've read a couple of bad things about VIP, though I don't really remember what those things are.


Pei pei and saphireeni, are you considering Banobagi too? I've heard of this clinic for awhile, but only read up about it today.

What I did was entering "banobagi siteurseblog.com" in Google http://www.google.com/#sclient=psy-ab&q=banobagi+siteurseblog.com&oq=banobagi+siteurseblog.com&gs_l=hp.3...16.6302.1.6745.29.22.5.2.2.0.132.2352.6j16.22.0...0.0.0..1c.1j4.15.psy-ab.RlIUBn7hsE0&pbx=1&bav=on.2,or.r_qf.&bvm=bv.47380653,d.dmg&fp=ab3b3a915fa5c3e2&biw=1309&bih=631 (I did the same thing for other clinics) to read what people on this forum has to say about banobagi without going through hundreds pages of posts. And so far, out of all the korean clinics that I've looked up, it has the least negative comments from people in this forum. So it seems like they have a low rate of botched jobs.

I looked at their websites and they seem very professional, providing very detail information about the procedures, the advantage and disadvantage. They offer cartilage for tip surgery, but I'm not sure about bridge augmentation. Their B&A pics on facebook look natural and amazing. They also seem to have very good postop care. So I'm now considering banobagi. The only downside is that I've heard they're quite pricey. But a comparative chart from a member here last year also showed that it's cheaper than VIP and other clinics for nose.
https://docs.google.com/spreadsheet/ccc?key=0AkZ9doHypbLedEtzZ3VVSTVYck9LOC1FTjVsS0NyclE#gid=0
(The chart was posted on this forum but I forgot from which thread and which page)

This is just preliminary research.

I've just emailed them with my pictures and asked about the procedures as well as the price.


Btw what is this paranasal procedure that you two are talking about?

 

Pei pei, do you mind if I ask which clinics you went to the last time?

The more I read about people needing revision surgeries, the more I'm scared that mine won't turn out as I want. But I really really want a slimmer and taller nose!

 

Hi saphireeni,

Plaza clinic said my case would cost at about $3000-5000. But that was before I asked about using your own cartilage.

Otsuka didn't give me a specific price. They just list the same prices shown on their website.
http://www.otsuka-biyo.co.jp/en/price/index.html

I haven't heard much about plastic surgery in Japan so I don't know if these two clinics specialize in rhinoplasty, but I heard Otsuka is the top plastic surgery clinics in Japan. They have many branches and have appeared on some TV show about turning ugly girls into pretty girls or something like that. It's quite pricey though.

I'm feeling mixed about Korea right now. I understand that they are cheaper and more specialized in this field, I have seen people who turned out beautiful going to Wonjin and other Korean clinics but I have also heard bad stories about them, like bad postop care and the doctors avoid responsibility. I could enter these clinics and come out looking prettier than ever or having my face ruined. I'm not sure if I want to take the risks especially when I don't have that many opportunities to get out of the country for plastic surgery. I'm also not ugly to begin with, people say my face is pleasing to the eyes, (I just really hate my nose) so I have more to lose if an operation doesn't turn out well.

 

Hi merorin,

Yes, it'd be great if we can go together. However, I'm not solid on my schedule yet. It could be this Christmas or next summer. I'm still trying to save up money. In the meanwhile, I could be doing more research too.

What procedures are you considering?

I'm considering alarplasty and tip plasty with septal cartilage. I want to augment my nose bridge too, but I do not want to insert foreign objects into my nose. Both plaza and Otsuka offer ear cartilage for nose bridge augmentation but I've heard that ear cartilage isn't a good choice for the bridge as it has the tendency to warp. Plaza told me about this too and said I-shaped silicone implants are better and safe, but I'm still indecisive about it. The idea of having silicone in my nose is just uncomfortable.

What do you think?

 

Anybody know whether Dr. Park from Oz is trustworthy?

What about JW? Any bad review or scandal from this clinic?

 

Hi SCind

The email of Plaza Clinic is [email protected]

For Otsuka's Clinic, I go to Free Email Consultation at the top right corner of this page
http://www.otsuka-biyo.co.jp/en/index.html

Then I let google translate the page to English, sign up, fill out the forms and send. Some buttons can't be translated to English but it's all intuitive.

Both clinics respond to me within 24 hours.

Plaza Clinic will reply to you by email.

For Otsuka clinic, you will receive the first email in Japanese right after sending the consultation. It's just a confirmation email. Then within the next 24 hours, another email in Japanese will be sent to you, just click on link on this email, it will lead you to the page where you get the response They have staff who know English and can reply to you in English

 

Hi, is any of you considering going to Japan for rhinoplasty at the end of this year around Christmas?

I've made inquiries to otsuka and plaza clinic and they said my rhinoplasty (tip definition and alar base reduction) could range from 300,000-500,000 JPY.

http://www.otsuka-biyo.co.jp/en/price/index.html
http://www.plazaclinic.net/price.html

I'm considering Japan because in general they are more reputable in taking full responsibility and care for what they do. I do not want anybody to mess up my face. The price isn't so bad. They don't seem to have that habit of charging foreigners twice the price compared to locals like in Korea. I also like how they have the prices up on their web page, so it seems they're very upfront, not trying to be secretive about it.

Anybody here considering Japan too?

Does any of you know any good clinic in Japan with attractive prices?