alex229 Posted June 5, 2013 Share Posted June 5, 2013 I think you are talking about a different doctor Wang? 1) dr Wang is male but you said "she" 2) dr Wang is in Dalian and apparently he hasn't ever worked in Beijing Please correct me if i'm wrong Link to comment Share on other sites More sharing options...
nickymomoca Posted June 5, 2013 Share Posted June 5, 2013 Hi xuka I also check about jw.I already make appointment with Dr suh .I just concern which clinic good in nose surgery.jw,regen ,cinderella? Link to comment Share on other sites More sharing options...
annhatesyou Posted June 5, 2013 Share Posted June 5, 2013 Shimmian is fairly small. I think its only one level where other clinics have several or the whole building to itself. Link to comment Share on other sites More sharing options...
xuka Posted June 5, 2013 Share Posted June 5, 2013 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. Link to comment Share on other sites More sharing options...
bella147 Posted June 5, 2013 Share Posted June 5, 2013 hey xuka i found regen one of the cheaper clinics - i'm comparing it to clinics such as cinderella, dream, migo...i got quote $6k for just alar at migo. yep, that's not a typo - $6k for just alar. not implant, no bridge work, just alar and tip using ear the quotes below actually including some bridge work and an implant regen $3-4.5k Banobagi $3-5.5 BK $3-5k i personally know (and met) people while i was in korea that had their nose done at JW, dream & cinderella - the cinderella price almost made me spit my food outta my mouth ($6.5k), but admittedly this included narrowing of the nasal bridge and that usually does increase price, I silicone, ear tip. dream was $5.5 but that was just tip and alar, no implant (I think she got them down to $5.3k bc she also had fg done there as well) not sure if this helps lol Link to comment Share on other sites More sharing options...
bella147 Posted June 5, 2013 Share Posted June 5, 2013 sorry not spamming you - i just haven't been on this forum for such a long time and just read ur post i also didn't want a foreign object in my face so i chickened out of doing my nose recently - i just did my eyes (@ Teiums) and i'm very satisfied. have you considered getting injectables like fg to the bridge (which are temporary) - maybe that's a way of 'trying' out a new look before making it permanent. purely my opnion, but i wouldn't use ear for bridge for reasons u stated - it has a tendency to warp. i do think silicone is safe, but like you, it just doesn't sit right with me Link to comment Share on other sites More sharing options...
pei-pei Posted June 5, 2013 Share Posted June 5, 2013 Hi Nikymomoca, I am considering Dr. Suh in JW, too. Could you please share your experience with me? I need a nose revision specialist to do my nose job. Link to comment Share on other sites More sharing options...
chris-alexander Posted June 5, 2013 Share Posted June 5, 2013 thank you saphireeni thank you, still recovering from rib rhinoplasty. As ann told you, shimmian is not a big big clinic,it is a small one but a very modern clinic. Besides I did not want a big clinic like a factory.... Shimmian is really a clinic specialized in rhinoplasty, that's one of the reasons I chose Shimmian.... Link to comment Share on other sites More sharing options...
xuka Posted June 5, 2013 Share Posted June 5, 2013 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# Link to comment Share on other sites More sharing options...
xuka Posted June 5, 2013 Share Posted June 5, 2013 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 rhinoplastyhttp://www.rhinoplastyarchive.com/articles/asian-rhinoplastyDorsal augmentationGeneral 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 material1) 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. Link to comment Share on other sites More sharing options...
xuka Posted June 5, 2013 Share Posted June 5, 2013 Have you had surgeries done at Shimmian? Would you mind telling me your experience there? Link to comment Share on other sites More sharing options...
pei-pei Posted June 5, 2013 Share Posted June 5, 2013 No, for sure those are two different doctor. Link to comment Share on other sites More sharing options...
davids Posted June 6, 2013 Share Posted June 6, 2013 By chinese canadian do you mean you are half chinese and half canadian, or chinese and brought up in canada? Link to comment Share on other sites More sharing options...
pei-pei Posted June 6, 2013 Share Posted June 6, 2013 Why you would like to ask? Link to comment Share on other sites More sharing options...
davids Posted June 6, 2013 Share Posted June 6, 2013 i Link to comment Share on other sites More sharing options...
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