vichyk Posted May 3, 2014 Share Posted May 3, 2014 Wont all tip surgeries require open insertion? I'm thinking of elongating my upturned nose, what are my best options, I wish to avoid excess scaring or uneve nostrils. Thanks Link to comment Share on other sites More sharing options...
milkychoco Posted May 4, 2014 Share Posted May 4, 2014 cartilage implants sound soooo promising but I think we need to know if there are people around here who have had cartilage implants for 10 years or more without experiencing any major problems, because as of now, I only know one person who has it but hers is just 1.5 years old Link to comment Share on other sites More sharing options...
k-couture Posted May 4, 2014 Author Share Posted May 4, 2014 no not all tipplasties require open rhinoplasty. It depends on the individual case and whether the surgeon is trained in closed rhinoplasty. Link to comment Share on other sites More sharing options...
k-couture Posted May 4, 2014 Author Share Posted May 4, 2014 i believe cartilage when done well will have no risk of complications further down the track. Unfortunately the problem with cartilage is that the aesthetic complications are common and immediate. As in,should you experience the unevenness, asymmetry, bumps or warping which are the potential issues common with the use of cartilage, you will notice it the moment you remove the cast. Well....warping occurs later on. But if you have had it for over a year and no such issues then ure pretty much safe to go. Either way its too risky and too invasive imo Link to comment Share on other sites More sharing options...
addyson Posted May 5, 2014 Share Posted May 5, 2014 thanks K for the info i'm thinking my (horror) of a nose will need L shaped silicon (thinking super soft), alar, osteo and cartilage for tip - i also have a short nose I believe ur in korea now for surgery - GOOD LUCK :blossom: Link to comment Share on other sites More sharing options...
milkychoco Posted May 5, 2014 Share Posted May 5, 2014 noooo, stay away from L-shaped silicon! Link to comment Share on other sites More sharing options...
k-couture Posted May 5, 2014 Author Share Posted May 5, 2014 stay away from L shape. Even if it is ultra soft. Im not even sure if they manufacture it in L shape. L shape is very high risk of complications. Cartilage is FINE for the tip as only a very small piece is used. Also there is no artificial option for the tip area which doesn't pose high risk of complications. Link to comment Share on other sites More sharing options...
vichyk Posted May 11, 2014 Share Posted May 11, 2014 Hello, May I know the name/website of the doctor? I live on the east coast and really wish to check him (I assumed) out, does he do asian nose? like northern asian nose with really thin thin skin? I really love that he uses close-rihno. Thank you Link to comment Share on other sites More sharing options...
dor3mi Posted May 12, 2014 Share Posted May 12, 2014 Hi K Couture, Do you have any knowledge regarding ultra soft vs. regular nose implant? I've consulted with a surgeon in the US and he doesn't recommend ultra soft implant like many of the forumers have suggested here because it does not stabilize and have much higher chance of shifting. I would like to get another point of view on this and you seem very knowledgeable. Also, do you have any info about chin implant? How long do they last, any complication etc. Thanks! Link to comment Share on other sites More sharing options...
k-couture Posted May 12, 2014 Author Share Posted May 12, 2014 I've had the following implants in my nose: Silicone, Goretex, Diced Ear Cartilage and Ultra Soft silicone. Movement of the implant depends on shape, structure and placement. The method for using ultra soft silicone is one whereby the implant is tightly sealed under the periosteum. above the bone. This prevents any movement and also protects from any extrusion, even tho extrusion is very unlikely with ultra soft silicone due to its structure. In contrast, the harder silicone cannot be adequately protected by the periosteum as it places too much pressure and over time will end up thinning your tissue. Goretex is good but with a caveat, that is should it not turn out as expected, a revision will end up causing damage to your nose because your tissue grows into the pores. That is what happened with me on my most recent surgery. I had to have further excise my already thin tissue, causing even more damage to my nose. Luckily i had an extremely skilled surgeon who protected my nose using dermis and fascia. Chin implants are permanent. Ive had both silicone and hydroxyappatite. Complications are your typical infections and deviation etc that can occur with any implants. For my experience, the implant placement from under the chin is alot more accurate and the scar is not visible after 2 shots of kenacort. My first chin implant with silicone caused me alot of discomfort due not only to bad placement of the implant but also the implant used on me was by no means a proper one. It was instead one that was carved out from a block of raw silicone (dodgey thai surgery). My current implant is using hyroxyappatite, feels natural like ive got nothing in there and gives good shape and augmentation. Its done by using hyroxy granules moulded with my blood into a putty and then fused with my bone structure. Only problem with this method is that as far as i am aware, using hydroxy for specifically the chin area is not easy and only Bryan Mendelson, the surgeon who pioneered the use of hydroxyappatite granules for facial contouring and implantation is capable of doing it with excellent results. Link to comment Share on other sites More sharing options...
jonavark Posted June 5, 2014 Share Posted June 5, 2014 implants seem scary, I thought that it is highly recommended by alot of surgeons to use your own body tissue Link to comment Share on other sites More sharing options...
andifleur5 Posted June 7, 2014 Share Posted June 7, 2014 I think you're talking about cartilage for the nose BRIDGE right? Cuz cartilage is the best material for nose tip. Link to comment Share on other sites More sharing options...
andreacrawford Posted June 9, 2014 Share Posted June 9, 2014 I haven't got rhinoplasty done yet, but your explanation sounds pretty according to logic. Link to comment Share on other sites More sharing options...
wishingstar Posted July 27, 2014 Share Posted July 27, 2014 Does anyone know if silicone, goretex, and ultra soft silicone can be permanent? I read somewhere (perhaps on this forum or another) that if you get an artificial implant, you WILL need a revision sometime in your lifetime, since it will almost 100% need to be replaced. (Whether that's from infection, extrusion, or some other issue, I'm not sure.) For that reason, I've been scared of artificial implants, since I'm hoping to not have to go through a nose job more than once. Is this indeed the case? Link to comment Share on other sites More sharing options...
anna85 Posted July 28, 2014 Share Posted July 28, 2014 I agree with you. I had consultations with some american and french surgeons, none of them recommends rib cartilage! They say that it's too invasive and it's not worth it. They said that septal or ear cartilage is good enough to do the job. I've recently read your thread about your revision rhinoplasty at Dream. You told dr Park that your surgeon used scalp for your tip, is it right? Could you please tell me if it's too complicating to get a revision, because me too I had a scalp incision for my tip Let me tell you my situation. I had my second rhinoplasty 10 years ago, when i was Young, shy and I wasn't wise enough to do any reasearch. I trusted my surgeon, so during the consultation, i didn't even ask what she would do with my nose! That's why 10 minutes before the operation, she told me that she would make an incision on my head to get a scalp for the tip, I didn't understand what she would do with it but I let her do it. Now I think that it was for my tip, but the result came out sooo bad: I now have an upturned nose, due to the fact the the silicon implant is too high compared to my original bridge. The silicon implant is obviously slanted to the left. The worst part is the tip, which wasn't augmented, so from the profile view my nose looks sooo ugly. I'm so upset I also read that you had osteotomy, is it because of your wide nasal bone? Some Korean surgeons recommended me osteotomy to correct my slanted implant, but i'm not sure if it could help. French surgeons told me that I just need to have my silicon implant replaced. They said that I would't have deviation if the silicon is well placed in a Pocket on the top of my nose??? Do you think that open rhino could help us avoid the deviation? I had close rhino. Link to comment Share on other sites More sharing options...
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