cloudbusting Posted June 15, 2014 Share Posted June 15, 2014 If you're under general anesthesia then you won't wake up at all. In Korea, doctors use IV sedation more often. When you're under IV sedation, you are in and out of sleep during the surgery. The IV sedation didn't work very well for me so I was awake for most of it. Dream may have been light on it in general though, as my mother said she felt like she was awake for most of it too. Link to comment Share on other sites More sharing options...
k-couture Posted June 15, 2014 Share Posted June 15, 2014 i wouldn't call it waking up since none of them were under general anesthesia. They were sedated so they are basically very very high lol. Its more like the degree to which the patient is self aware. Their experience is very very common tho. It really depends on how your body reacts to the sedation. Link to comment Share on other sites More sharing options...
mrslucky Posted June 15, 2014 Share Posted June 15, 2014 I woke up a couple of times, for me its not painful but i hate the scraping sound and the tugging..its freaking me out..coz everytime I go for operation I always woke up when its over and not in the middle of operation. When I'm the operation room I told the translator to tell them I don't want to wake up during the operation because I will freak out. I know she did but then I did woke up. I am scared and keep on telling them im awake, i feel pain and ask to put me back to sleep..I keep on saying it over and over..till they knock me off.. Link to comment Share on other sites More sharing options...
dreamii Posted June 15, 2014 Share Posted June 15, 2014 Hi everyone, Can you tell me what is different between closed and open rhinoplasty please? I kinda get confused. Thank u very much Link to comment Share on other sites More sharing options...
k-couture Posted June 15, 2014 Share Posted June 15, 2014 open is done by an incision which slices open your collumela, thus allowing the surgeon to gain access into your nose by literally lifting it open. Most surgeons use this method because its easier to maneuver and operate on. However it is more invasive, more discomfort for the patient and slower healing. It also has risks of internal and external scarring. External is less of an issue because facial skin scars differently to the body, hence it is most often barely visible. Internal is the one that can pose a problem as it can cause nostrils to become lopsided, which is what happened with me after my open rhino. Closed rhino is performed through a small inscision from inside one of the nostrils. Which nostril depends on whether your surgeon is right or left handed. It is less invasive, much less discomfort and easier on healing than open rhino. Its a perfectly straightforward and simple procedure for the bridge. If a patient only requires bridge work, the surgeon would only do it via closed rhino because open is unnecessary. It poses no risk of external scarring and much less risk of internal scarring. However it is too difficult for surgeons who are not trained in close rhino to perform for the tip area. This method, when used for the bridge and tip should only be performed by a surgeon trained in closed rhinoplasty. Comparing results, assuming ure surgeon is a closed rhino specialist, you can get similar results to that of open rhino using this less invasive procedure if your nose's condition allows for it. To know if you are suitable you need to ask a surgeon who is trained in close rhino as they would prefer do use the closed method if your nose structure allows for it or if for whatever reason open is not advisable for you. An example would be for individuals who have sustained damage from a previous open rhino and another open procedure would risk further trauma Link to comment Share on other sites More sharing options...
vichyk Posted June 15, 2014 Share Posted June 15, 2014 Hope ur mother's nose gets better with time, u might also ask the dr.s opinion on its, was it skin elasticity limit, was it scar formation or something else? Maybe visit a few other clinic and ask for their opinion and advise, maybe some technique to stretch the nose down, now that the scar tissue, assuming it's the scar tissue, is new and tender yet? The last point u mentioned. To be honest I tried a few different approaches to select clinics, they all didn't go that well. Soon or later I realize the problem with what I'm doing and that my results r leading me no where. Every approach I try, gives me a different set of clinics. In the end, I'm going to consult with a dozen clinics and see how it goes in person. I eliminated all clinics with poor b and afters unless otherwise highly recommended by actual pp I've talked to, because I figure clinics should post their best of best results on line, no? Tbh, I am not impressed at all by dream's before and afters, but since both u and k couture have had good experiences, I would like to hear them out. Funny that after much research I think I found an answer to the best clinics for eyes and facial contouring, but not for nose (I think nose is tricky, u have to considering long term effect, so reading just post opt reviews rnt that helpful), which is what I need the most right now! Well, maybe the other information will be of help to me later on, when I actually go for those procedures, later? I finally was able to navigate naver with some success, those before and afters r impressive, but they never mention the name of the clinic or dr. Which is not helping, I tried to ask them, but I'm not quite sure if I pm them or replied to their post, or was my message ever sent out at all. Surprise surprise, I found pics of some supposed tpf forumers on the Korean naver, with more pictures, more elaborated information. They mentioned the name of the clinic so obviously these were no ordinary cafe posts know what I mean. I don't know what to think or whom to trust anymore. I understand that u should trust no one but then what's the point of doing research? Hope it gets better, how am I suppose to form an impression of the dr. in 10-30 minutes? Tips, wake up calls? Link to comment Share on other sites More sharing options...
k-couture Posted June 15, 2014 Share Posted June 15, 2014 its very possible to form an impression of the dr in the short amount of time u spend with them during the consultation. I do the following: a) ask medically detailed questions b) ask medically orientated questions which you know the answer to in order to use them as trick questions. Preferably ones that are conflicting or discrediting to their proposed methodology. This gauges their level of honesty. A good example was when Dr Park from Oz suggested goretex for my revision. So i deliberately asked him about problems associated with the removal of goretex which i know for a fact is difficult and often results in thinning of the tissue to some degree. His response was that goretex has been used in the industry for years (true) and that removal was very simple and has no risk of damage (LIES LIES LIZA MINNELI LIES). So pretty much i caught him out lying to me because the issues associated with goretex is a widely documented fact. c)observe their responsiveness. Especially if u have lots of questions, if you notice them getting impatient or irritated then strike them off. Unless of course u are asking really dumb and/or repetitive questions then u need to slap yourself and snap out of it lol... d)the answers the surgeons provide to your questions should be medically informative for a lay person. So they need to take the time to explain the procedure to you, in terms you will understand. A good surgeon will always be able to translate their speciality into sound logic for the lay person. Plus doing so also means the surgeon values your time and understands you are not a commodity. e)get third or more opinions on the proposed methodologies. Its best if you seek out the opinion of a skilled surgeon whom you already know and trust, someone who isn't after your money. For me i was lucky enough to have Bryan Mendelson who really helped me to confirm my decision to choose Dr Park from Dream. I was already leaning toward him i just needed that extra medical assurance that the technique was effective and ideal. If you can check off these 5 points you then have done all you could to make the best decision. After that it depends solely on who you select and u just gotta have confidence in your surgeon Link to comment Share on other sites More sharing options...
dreamii Posted June 15, 2014 Share Posted June 15, 2014 Hi K, Thank a lot for the explanation. Actually I used to have my close rhinoplasty done once, and it's true that it heal fast I believe. As I plan for revision in Korea soon, I just want my nose to curve up (the tip). So for this case is it better if I go for open or close? Right now m so confusing of which clinic that is good for rhinoplasty... Thank u K Link to comment Share on other sites More sharing options...
k-couture Posted June 15, 2014 Share Posted June 15, 2014 that's the exact kind of nose my surgeon gave me. He did it via closed. I'm not entirely sure of the methodology used to create the curve tho. I think it might be through that pocket they create above your bridge to hold the top of the silicone implant and the projection from the tipplasty that gives that effect. Notice how in the picture while her bridge starts at the conventional location, there is actually placed higher up between the eyes in a pocket. You can tell this by the volume present anyways i cannot tell you which is better for you. Plus i don't even know what your nose looks like, There is no universal method. There's only what is most ideal for your situation. So to answer your question, a surgeon trained in closed rhino will be able to give u the best opinion. Because surgeons not trained in closed rhino will definitely say open. While a closed rhino specialist will only opt for the open method if they feel it is necessary. Link to comment Share on other sites More sharing options...
reddelicious Posted June 15, 2014 Share Posted June 15, 2014 OMG i just wrote this really detailed post but accidentally clicked back and lost it all! Epic sad face Ok so here we go again. I decided to check this forum on a whim after years away and found soooo many PMs from forumers that I thought it best to address the most common questions in a post instead. To set the scene, I had a tiplasty and alar reduction with Dr Lee from Banobagi over 2 years ago. In terms of general advice: - Have a clear idea of what you want. You will be recommended so many different procedures and materials when you go on consults that it's hard to stick to the simple procedure that you originally wanted. It almost happened to me. I was clear in not wanting an implant but almost got a goretex one if not for the 2 other forumers who reassured me even without the implant, it'd be a big difference and I can always add an implant later if I wanted. - Have a clear idea of what you don't want. Tell your surgeon about your concerns so they will be foremost in their mind when in surgery. Point out that you definitely don't want an upturned nose or high bridge etc. - Research! Research! Research! Then consult with as many surgeons as you want. Don't feel obligated to the first one you go to and don't pressure yourself to make a decision straight away. I'm sure you've thought about it for a long time so why rush that day or two? - Go with someone! If not family/friends, time your visit with another forumer. I decided to go on my own but luckily met 2 forumers in the waiting room of a clinic. They took me in and invited me to stay with them for recovery. One of the girls actually took me to Banobagi for my surgery and escorted me back to the hotel after. It's also great to have people to share your experience/fears with and to reassure each other. Really don't know what I would've done in my lonely single room without them! - Stay as long as you can afterwards. You don't want to rush the healing process and have to remove your stitches early or miss an aftercare consultation. Plus you have longer to see what the final result will be and raise any concerns with your surgeon directly. Especially considering everyone generally flies in from all over the world. - I didn't go under GA. I had that local thing where you drift in and out. And I chose it because of all the risks involved with GA. But seriously, local was terrifying and I think I cried a few times during it. Because you do drift in and can sometimes feel the tugging and pulling on your nose. It's a terrible feeling. Just thinking about it is giving me the heebie jeebies :/ As for my personal experience: - I had wide alars with round nostrils and a relatively flat nose but ok tip. Front on and when I smiled, the alars were particularly prominent and disproportionate with my face. I didn't really kind my profile - some people would call my nose cute? - I had tiplasty using septal cartilage and alar reduction with an internal cut. Originally, I wanted a more dramatic alar reduction but after talking to the surgeons, I was happy that I decided to do an internal cut and less dramatic reduction. There was no scarring and my nostrils were oval and not that weird triangular shape when they take it too far. The raised tip was more defined but I'm not sure whether it suits me considering the rest of my face is quite soft and round but it was what I asked for. - The big problem was that the tip was raised too high for my nose because I opted out of an implant. So I had this upturned look which was quite stressful. I stayed longer than the other 2 forumers - almost a month after - and while initially everyone was saying it was swelling and that it would go down, it didn't go down much. Which is why I mentioned staying longer was important. Because when I had waited as long as my mental health would let me (lol) I went back to Dr Lee at Banobagi for a consult. I have really mixed feelings about this consult. Sigh. So I told him about my concerns about the upturned look and he said there's still swelling but yes, the tip is a little high. During our consults and maybe even on that day (can't remember exactly), I was clear that I didn't want any implants or fillers because I was worried about infection. So he tells me that he wants to inject an anti-inflammatory into my nose to help with the swelling. But after he injects into a few places on the bridge and starts moulding them with his hands I realise that he has probably injected fillers. I was so worried when I went home because I didn't know what type of filler he used, or whether it was even permanent or semi permanent. The reason I'm so conflicted is that I'm quite upset that he ignored my clear instructions against fillers. But on the other hand, the filler has fixed the upturned look and I've had no problems with it. Now my nose looks pretty good IMO. Hope this has helped! xx Link to comment Share on other sites More sharing options...
dreamii Posted June 15, 2014 Share Posted June 15, 2014 Hi K, Thank you a lot.. so you got the nose I always wanted haha such a helpful info, thank u thank u Link to comment Share on other sites More sharing options...
kkim120 Posted June 15, 2014 Share Posted June 15, 2014 what the fuuuuuuuuudge?!!??!?! Link to comment Share on other sites More sharing options...
vichyk Posted June 16, 2014 Share Posted June 16, 2014 OMG, he pbbly thought that u won't know the difference, filter from anti inflammatory injection? But if ur nose looks good now. Don't worry about filters, they aren't like implants, if it's FDA approved, u should be fine Link to comment Share on other sites More sharing options...
mrslucky Posted June 16, 2014 Share Posted June 16, 2014 Maybe its steroid injections, i understand it can help breaking up hard swelling after rhinoplasty. My doctor said i can either go back to him for injection or to Singapore where he recommend me a renown doctor who will be able to give me the injection. But if im not mistaken its was given few months after the surgery. Link to comment Share on other sites More sharing options...
hot_chocolate Posted June 16, 2014 Share Posted June 16, 2014 If anyone is interested in rhinoplasty in Australia, thought I'd post about my first consultation. I saw Dr Mark Doyle on the Gold Coast. He was friendly and his staff were so, so lovely. Unfortunately, I did not get the vibe that he was very experienced in rhinoplasty for the asian nose. He suggested an L-shaped silicone implant or else just a silicone implant for the bridge. When I asked about tip work, he said that that was what the L-shaped implant would do. No mention of the use of cartilage or other materials such as gortex. Most of his experience seems to be with caucasian noses and making them smaller. I even asked the nurse if Dr Doyle often uses these implants and she said, "not all that often." Having read horror stories and others' experiences with L-shaped implants, I immediately decided that this was not the right doctor for me. It is not Dr Doyle's fault that he may not have much experience in this area as it is very much based on demand. He seems quite knowledgeable in other procedures. It is difficult to find a doctor who has had great experience with the asian nose in a Western country. My hunt continues. Link to comment Share on other sites More sharing options...
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