koreanboy Posted October 30, 2010 Share Posted October 30, 2010 Hi, for those that are asking if Wonjin does rib... I'm almost positive they do NOT. Like izora said, alloplastic/allogeneous implants like silicone and goretex are way simpler and more common whereas rib grafts are way more complex and difficult to perform. So if you really want rib, you need to go to someone that is very familiar with it. But, I think that multiple biomedical studies and journal articles have shown that these days, alloplastic/allogeneous implants like silicone and goretex have very good long-term results in Asian noses as long as they are in the right hands. Rib seems to be preferred in 1) cases where significant augmentation is required (10mm+) 2) cases to address rather severe nasal deformities 3) revision rhinoplasties. Here is a bunch of biomedical literature published in peer reviewed journals regarding alloplastic/allogeneous implants versus autologous/homologous grafts in rhinoplasty (the conclusion generally is that each material is relatively safe and successful, each has its pros and cons, and that none of them is perfect):http://www.ncbi.nlm.nih.gov/pubmed/15023800http://www.ncbi.nlm.nih.gov/pubmed/9734450http://www.ncbi.nlm.nih.gov/pubmed/12016491http://www.ncbi.nlm.nih.gov/pubmed/15613873http://www.ncbi.nlm.nih.gov/pubmed/14737701http://www.ncbi.nlm.nih.gov/pubmed/16832185http://www.ncbi.nlm.nih.gov/pubmed/19917899http://www.ncbi.nlm.nih.gov/pubmed/17993900http://www.ncbi.nlm.nih.gov/pubmed/18951323http://www.ncbi.nlm.nih.gov/pubmed/18490568http://www.ncbi.nlm.nih.gov/pubmed/11743373http://www.ncbi.nlm.nih.gov/pubmed/17968616http://www.ncbi.nlm.nih.gov/pubmed/18036411http://www.ncbi.nlm.nih.gov/pubmed/18317090 Link to comment Share on other sites More sharing options...
kain Posted October 30, 2010 Share Posted October 30, 2010 you have to keep in mind that journal articles like these are published by plastic surgeons, who have a vested interest in publishing "good" results because it adds to their prestigehttp://www.ncbi.nlm.nih.gov/pubmed/15613873 this one for example only has a mean follow up period of 160 days and the removal rate was 7.9%. yet they still claim that "silicone implants proved to be effective and safe." never mind the fact that silicone implants can take years before negative effects such as contraction begin to show. http://archfaci.ama-assn.org/content/1/2/118.full.pdf goretex looks pretty safe though. over a mean follow up period of ~3 years, the complication rate in primary rhinoplasty was 1.2% of 162 patients i rather like this article though. it sums up the findings of numerous reports on virtually all types of graftshttp://www.entandallergy.com/afp/media/pdfs/lin_rhinoplasty_complications.pdf also, @ izora, did you have ear cartilage on your tip? does it feel hard? Link to comment Share on other sites More sharing options...
vivi_bee Posted October 30, 2010 Share Posted October 30, 2010 KoreanBoy did u ask them yourself or did they not post it on the site? (im guessing if they didnt post it on the site they probably not experienced with it) You mentioend Dream and Grand clinic i've actually heard of them! Do u have the links to there sites? I tried to google it and nothing came up. Link to comment Share on other sites More sharing options...
izora Posted October 30, 2010 Share Posted October 30, 2010 My nose feels hard when I touch it. My tip feels hard too, but that will soften with time. My bridge felt so soft and squishy for a few weeks after surgery due to the swelling. The silicone inside my nose felt really hard. I'm not sure if it's because the silicone itself was hard or because it changed over the years. It honestly doesn't feel any different than the silicone. It's just bigger and of course it doesn't look so fake and obvious anymore. Most of the time, I can notice the implant inside someone's nose... it's that obvious. I can't really describe it, but I'm sure some of you know what I mean because we've discussed it before. I wish I used rib cartilage to begin with. I saw some people at VIP who used rib for their first nose jobs, and I was so envious of their results. It's so much easier for the doctor to make a nicer nose with rib if it's your first nose job. Oh well... I guess we all live and learn. Link to comment Share on other sites More sharing options...
izora Posted October 30, 2010 Share Posted October 30, 2010 Yes, Dr. Lee used a tiny amount of ear cartilage on top of the rib cartilage on my tip. You don't need to use ear cartilage, but I specifically wanted more height and I wanted a slightly upturned tip. My rib cartilage was very strong for someone my age, so adding a little bit of softer ear cartilage on the tip worked out for the best anyway. I haven't experienced any absorption. By the way, I agree with you about the long term effects of silicone implants. I don't think 6 months is a sufficient time frame to really determine the effects of silicone. Silicone usually doesn't have too many problems for a few years, but then sooner or later, it will start to cause problems- I'm not just talking about health/medical problems. My nose looked decent for about two years before the silicone started to change my nose. Thankfully I never had any health issues. As for goretex, I heard that the complication rate is lower, but it's so much more difficult to handle if there is a problem. Link to comment Share on other sites More sharing options...
kain Posted October 30, 2010 Share Posted October 30, 2010 did you get rib cartilage in your tip too? i thought they only used rib in the bridge and ear cartilage in the tip also, does anyone here have experience with goretex? is goretex hard to the touch? is it easy to tell there is an implant under the skin? Link to comment Share on other sites More sharing options...
foodisevil Posted October 30, 2010 Share Posted October 30, 2010 my mind was set on dr fukuta in tokyo because i really liked the b4 and after pics of his patients esp this one http://www.veriteclinic.jp/revision/revi_03.html as my nose looks similar to this patient here but with a lower nasal bridge. after reading "I saw some people at VIP who used rib for their first nose jobs, and I was so envious of their results. It's so much easier for the doctor to make a nicer nose with rib if it's your first nose job." i'll prob rethink about going to japan because the prices quoted and the accomodation in tokyo...................gona need to bring quite a bit of money The elongation of the nose costs between 630,000 yen and 945,000 yen. The dorsal augmentation of the nose costs 315,000 yen. The chin implant costs 377,500 yen. The general anesthesia costs 105,000 yen. this was how much dr. fukuta quoted me...so if i can't fine companion to share accomdation costs with me looks like i wont be going...sigh* and after reading the long term effects of silicone and the price i'm paying for it will prob reconsider...any suggestion guys??? Link to comment Share on other sites More sharing options...
acadabra Posted October 30, 2010 Share Posted October 30, 2010 Greetings All - i am a new member of this forum but have been reading for quite awhile and realize there are many people with a wealth of experience and knowledge about PS.vivi_bee - maybe i can help koreanboy on the links: a) Grand Plastic Surgery - www.grandsurgery.kr koreanboy - wonder if you have the e-mail add for Grand? I can't find it in their website - not sure if there are probs with my eyes. b) Dream - dreamsurgery.co.kr (very famous for eyes and other surgeries but read somewhere that there is a forummer who had a botched job at Dream clinic) Link to comment Share on other sites More sharing options...
vivi_bee Posted October 31, 2010 Share Posted October 31, 2010 ^lol your new and you're already so so helpful!! ohh btw... botched job of eyes? (this sounds bad.. but im not too worried on that) im gonna scan these two clinics see if they have experience with Rib revision rhinoplasty Thank you so much!!! i really appreciate it really! ^_^ Link to comment Share on other sites More sharing options...
acadabra Posted October 31, 2010 Share Posted October 31, 2010 :welcome2: vivi_bee Yup, it is regarding the eyes. You are right. Better to look first before we leap as we are talking about our faces. I would rather be safe than sorry. Just pray that all of us will be able to achieve our desired results Link to comment Share on other sites More sharing options...
milk Posted October 31, 2010 Share Posted October 31, 2010 Hi Foodisevil, I am now planning to go to Japan next year for double eyelid surgery. If i save up enough money most likely i will be going during CNY. When do you plan to go? And how long do you want to stay there? Link to comment Share on other sites More sharing options...
houseoftaylor Posted October 31, 2010 Share Posted October 31, 2010 Really? wow thats alot. Im so nervous ahaha. Do you know if you looked really different from the chin? Like in 2 weeks would people notice? What % was the swelling like in 2 weeks. Thanks so much Link to comment Share on other sites More sharing options...
izora Posted October 31, 2010 Share Posted October 31, 2010 Yes, there's rib cartilage on my tip too as well as ear cartilage. Using rib for my tip was crucial because I mainly needed lengthening. If you're using rib for your bridge anyway, then you might as well just use it for your tip too since it's a lot stronger than ear cartilage. It seems pointless to have another incision site when it's unnecessary. Like I mentioned before, you don't need to use ear cartilage for the tip. I wanted to because I wanted more height and a slightly upturned tip. Whether or not goretex will be noticeable depends on your skin thickness and the skill of your doctor. It's not advisable for people with thin skin to have an implant because it's more noticeable, it thins out the skin more, and it is more likely to extrude. You seriously do not want to deal with extrusion because it will be so much harder to get your nose fixed at that point. You'll also face other problems if your doctor uses an implant that is too big for your nose or if he/she does not place it correctly. People with thicker skin tend to tolerate the implant better in most cases, but problems can still arise. If you're seriously considering goretex, then you should seek out a goretex expert who uses it daily. It seems like most Korean doctors prefer silicone over goretex because goretex is a lot more difficult to handle and fix if there is a problem. I'm sure not everyone will be looking at your nose to determine if there's an implant inside. Some people are more perceptive than others. On most people, implants look very obvious. I can usually tell, but that's because I'm observant and curious. I actually felt a goretex implant along with other implants. It felt very soft (kind of flexible). It felt like material that you find on shoes (come to think of it, they do use it on shoes). It was porous too, which is why it gets complicated to remove if you encounter a problem. Foreign materials like silicone or goretex do not belong inside people's body, especially inside your nasal cavity. Of course many people can tolerate an implant for years, but I suppose this is a risk that everyone needs to weigh. It's too bad there's no way of knowing how your body will react to a foreign material before you have surgery. Link to comment Share on other sites More sharing options...
kain Posted October 31, 2010 Share Posted October 31, 2010 thanks for your help izora. i have a lot to think about now Link to comment Share on other sites More sharing options...
foodisevil Posted October 31, 2010 Share Posted October 31, 2010 early december! ready to book my ticket can't wait till cny sorry... not staying too long...accom is like close to 100 dollars a night so max 2 weeks min 10 days??? thanks for replying Link to comment Share on other sites More sharing options...
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