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asian nose job 2


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Wow, you look really great!! The tip looks more refined after only a couple days. :biggrin: I checked out Wonjin's website again..they do nice work. But talk about seeing some examples of the use of whitening cream!
 
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They took cartilage from the "crunchier area" and it was only a small amount for the tip so there is no difference in feel from before. Looks exactly the same from the front and you can't see anything unless I actually bend my ear back
 
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Hey~ my surgery seems much more recent than JAMNYC so maybe she could give you a better of idea of how the ear heals long-term, but mine is still kind of f'ed up. If you look at the two pictures of me I took yesterday (http://s1191.photobucket.com/albums/z463/koreanboynose/day12/) it's reeeally obvious which ear looks healthier and which one looks jacked. The healthy one is bright "white" inside and you can see tons of contours/ridges on the inside, and the jacked one is dark inside and you can't see too many contours/ridges on the inside. Also, the side with the jacked ear still has a pretty noticeable bruise on my neck from where I'm guessing the blood spilled down from my ear to the side of my neck and settled there.

The ear still hurts quite a bit when I touch it, and unlike JAMNYC, I definitely feel a difference between the two ears. You can tell from the pictures, but the un-touched one is totally "white" in color and looks healthy, and it feels hard/strong/sturdy. The other is kind of dark, and it feels a bit flimsy and not has robust/strong/hard as the other one. Also, even though they only harvested cartilage from the back of my ear, I can tell that there are now a few "ridges" of cartilage missing from the INSIDE of my ear! Kind of a weird feeling, hehe... I'm wondering if that happened because some of the cartilage in my ear shifted towards the back to make up for the missing bulk there now?

BUT maybe as I heal more and more the cartilage will heal too and get more back to normal? JAMNYC, did yours start out worse immediately post-op and get better or was it always fine?

I'm also beginning to wonder if maybe my left ear was just weaker to begin with/had less cartilage and I just never noticed...
 
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omg, koreanboy! thank you so much for posting and chronicling your experience here! it is so helpful and informative. you look like a korean pop star! so congrats on that! i think i am looking for a slightly different look but you look very, very good! congratulations! and thanks again for posting here! how has the response around you been? i hope supportive and encouragining, etc.! best wishes for continued happy healing!
 
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Ohhh.... yes, its not pleasant right after surgery. My situation was similar to yours, Kboy. My ear was blue and super sore. If I ran my finger along the edge I had no feeling in certain areas. The numbness lasted for about three weeks (it was weird but didn't bother me) at which time the color is pretty much normal. What was annoying was that I couldn't sleep comfortably on that side for about two to three weeks.
 
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i've been reading a lot about laptops getting stolen at the airport.. may i should just leave it home and try to go sightseeing instead of playing video games while i recover? what do you guys think? what did you do in korea while ou recovered?
 
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i think izora and vivi bee had rib so they can tell you all about the benefits.
 
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^thanks kain!Btw it looks like you had it all planned for surgery in kr! good luck :amuse: !


@ izora : i saw your post in prv pages,you're really informative!I have a qn though,I have a not-so-flat bridge but a kindaa wide nostrils,by doing merely rib and not alar,will it still gives that narrow-sharp results?and how is rib more beneficial as compared to silicon implant?

Thankyou!:flowers:
 
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Just a question, after my procedure, i'll be travelling all over asia just for fun. Did anyone ever have troubles going through customs? Like, were they ever enquired as to why they look different from their passports? ahah
 
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i have heard of cases like that before,but everything goes by very smoothly as people's looks do actually changed.
Whichever the case,it wont hold you back from going back to your home country as they can still identify you through fingerprints etc :biggrin:
 
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Hey y'all i just received a reply from one of the doctor that i inquired to,
basically I asked him what is exactly the difference between silicone implant and rib and heres what he reply :

Main differences:
1.Rib cartilage requires an additional incision on the chest to remove a piece of rib
2.The procedure is more expensive (up to 12K under general anesthesia)
3.Reduced risk of extrusion and infection (it is slightly higher with silicone)
4.Possibility of warping (the cartilage may bend) and absorption over time

is it just me or i think its still equivalent to silicone implant as they still have the possibilty of warping/bending etc ?
The thought of 'an additional incision on the chest' startled me :wtf: ,
but thats just my opinion,

im going to consult him and asked him what is actually needed for my case :/

what do you guys think on that?


cheers!
 
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Hi, thanks for your reply.

I personally thought of going with silicone at first, but after further research, it just didn't seem like a good idea. The risks of infection, extrusion (10% I think in one study..), encapsulation, are far greater than rib.
 
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I think you can never go wrong with nice skin :biggrin:
 
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You know, there's been so much discussion of using rib cartilage on this message board, and I think that's mostly because there are a couple of people on this board who got revision nose jobs with rib and have been very vocal in talking about it, to the point of convincing others to consider using rib as well. But it's quite surprising that so many of you are considering rib, though, especially for your primary rhinoplasties (meaning first nose job, not a revision of a previous nose job) - because the reality is that rib is actually by far the LEAST commonly used grafting material (after synthetic implants and ear/septal cartilage) and is by far the most difficult and complicated grafting material to use.

Other people have discussed the advantages of rib, but I think they're being a little irresponsible and misleading because they never discuss the significant negatives and drawbacks of rib. So to present a balanced view to you all, I thought I'd just copy and paste a bunch of stuff written by plastic surgeons who specialize in rhinoplasty that discusses the significant downsides of rib. I'm not trying to make an argument or create my own evidence - I'm simply showing you stuff that other doctors have already written about rib.

------------------------------

FIRST, these surgeons say that rib USUALLY ISN'T USED IN RHINOPLASTY unless it's a complicated revision of a bad previous nose job that requires a significant amount of reconstruction - in that sense, rib is the "LAST RESORT" of nose jobs, NOT something used for a "first try":

http://www.realself.com/question/revisions-require-rib-graft
"Most revisions don't require a rib graft. Rib grafts are only used when all else is not available and the defect is very large."

http://www.realself.com/question/Rib-or-ear-cartilage-for-Rhinoplasty-Ear-cartilage-is-my-first-choice
"Ear cartilage is my first choice. The reason experienced rhinoplastic surgeons use more ear cartilage grafts than rib is that we feel that ear cartlage is easy to get, minimal discomfort, no cosmetic deformity, can be taken with skin, cheaper to do, etc."

http://www.realself.com/question/rib-cartilage-rhinoplasty-procedures
"Rib cartilage is used for rhinoplasty procedures in the event that there is no internal nasal septal cartilage or ear cartilage available."

http://www.realself.com/question/type-cartilage-rhinoplasty-depends
"If you need a lot of cartilage then I typically use rib or goretex which is an implant with a very low rate of complications. I however rarely have to take rib cartilage and can usually find some septal cartilage to work with even after multiple revisions, and with ear cartilage can usually fix whatever is the issue."

http://www.realself.com/question/Just-one-arrow-in-the-quiver-Is-rib-cartilage-new-for-Rhinoplasty
"[Rib is used] Most likely for more invasive problems that require a large amount of material."

(...and lower on the page...)

"I personally use rib for very specific circumstances, almost always in very complex revision surgery when a lot of cartilage is needed for support."

------------------------------

And SECOND, here are the doctors discussing the many problems associated with rib cartilage:

http://www.realself.com/question/rib-cartilage-grafting-revision-rhinoplasty
"Drawbacks of Rib Cartilage Include:

-Rendency to warp (curve). This can make the result unpredictable.
-Nose may feel firm or inflexible.

Potential Risks of Rib Cartilage Harvest:

-Bleeding
-Scarring
-Pain
-Infection
-Collapsed lung (pneumothorax)
-Chest wall deformity"

http://www.realself.com/question/rib-cartilage-risks-rhinoplasty
"First of all, there is the risk of lung collapse during the harvest of the implant (assuming it is going to be your own and not a cadaver rib). Once placed, with healing if not secured properly the rib can migrate, leaving asymmetries and other cosmetic problems of the nose. Lastly, the rib can fail to secure, becoming a moveable piece under the nasal skin."

(...and lower on the page...)

"The risks that go along with rib harvesting and rib grafts include a depression in the area of your chest where the rib section was removed, a possibility of a pneumothorax which is a mild injury to your lung, and possible warping of the cartilage in its new position."

http://www.realself.com/question/rib-grafts-rhinoplasty-revised
"Rib grafts in rhinoplasty to build up the bridge of the nose can cause unexpected problems. Any visible graft under the nasal skin can show imperfections or irregularities not apparent at the time of surgery, and rib cartilage can warp or shift, or the correction may have just been too great from the start."

http://www.realself.com/question/Rib-cartilage-grafts-for-Rhinoplasty-Rib-cartilage-can-warp-with-time
"Other risks for the procedure are similar for all implants and include: asymmetry, palpability of the cartilage, visibility of the cartilage, early reabsorption (for cartilage/soft tissue implants only), calcification, infection, and unsatisfactory cosmetic outcome.

Also, you will have a donor site near the crease of your breast to harvest the rib cartilage. People complain of post-op rib pain. You can get a fluid collection so a drain needs to be placed. Finally, in rare cases, you can pop the lung while trying to remove a segment of rib cartilage. This needs to diagnosed and treated immediately with a chest tube placement."

http://www.realself.com/question/Just-one-arrow-in-the-quiver-Is-rib-cartilage-new-for-Rhinoplasty
"This type of cartilage has a tendency to warp."

(...and lower on the page...)

"Harvesting rib cartilage requires a scar on the chest, may cause several weeks of pain and can even puncture a lung. Once transferred to the nose, although usually a solid, long lasting material, the graft can change shape or even dissolve somewhat."

------------------------------

So, in conclusion, I think that some of the posters on this board who keep talking about rib have been sort of irresponsibly mis-representing it as a great idea for EVERYONE regardless of their original nose with very little risk for complications. And of course, rib has advantages and works best for certain individuals. But the reality is that 1) it's very rarely used by rhinoplasty specialist doctors, and only in rare "LAST RESORT" circumstances where there was a previously botched nose job that requires a TON of reconstruction and there are no other options left available and 2) there are quite a number of significant complications.

Further, I just think that using rib cartilage in your nose makes the surgery a HUGE, HUGE procedure with a risk of severe lung complications requiring a chest tube, and I doubt that many of you want to be risking this in a foreign country.
 
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