Questions about septum cartilage

[eury-dice]

I've been lurking on and off on this forum and I just wanted to thank everyone for being such an invaluable source of support and knowledge!

Does anyone have any experience with rhino/revisions using septum cartilage? I've been consulting with a few clinics for my revision rhino (I currently have silicone + ear cartilage).

TL: Uses septum cartilage ONLY (no ear cartilage)
Naturalface: Uses both septum + ear cartilage for support
GNG: Septum only
Topclass: Septum +/- ear cartilage
Answer: Told me to choose one-- septum, ear, or rib but recommended ear
Line: Ear cartilage only

I recently joined a few Korean online cafes (sungyesa and antiPS) about PS and there are lots of posts about septum cartilage feeling stiff and foreign, feeling like it tilts to one side when you lie down, feeling immovable. Some users commented that their noses caved in the middle after removing the septum! Apparently some people can never get used to the feeling and try to have it removed, only to find that it's a difficult process.

I'd appreciate it if anyone could share their experiences with septum cartilage and how it feels/wears! And please let me know if you have any questions at all in general I'm a Korean expat back home for the month consulting with clinics for a rhino revision.

 

[mals]

Hi! I actually had my rhinoplasty done with septal cartilage and my friend had her rhino revision done using septal and rib cartilage!

Actually, honestly, I had all those mixed consultation feedbacks to and really couldnt figure out exactly which method I should do. And even when I did visit them face to face I didnt get a very clear picture of what the purpose of using just septum cartilage and or ear cartilage too, but then when I visited Dr. Kang Euntaek at Migo Plastic Surgery, he had me go through a CT Scan before the consult and when he explained my nasal anatomy through the CT Scan, it was so much more clear as to what method was more sufficient to me. He basically showed me the length of my septal cartilage and said that it was shorter than average, and usually the benefit of using septal cartilage is the more well defined shape and structure that it results as it is a stronger cartilage than the ear. What dr. kang basically ended up recommending me in my case was that-- one, my septal cartilage is shorter than an average asian but it isnt too short therefore he will do his best to work with the septal cartilage that I have, but he said that he may need to get some ear cartilage for support in case it is not enough, with my approval of course.

So, I did my research, and basically using the septal cartilage results in a better satisfaction shape -wise, and its structurally more sturdy than just ear cartilage, however apparently only skilled doctors really recommend this method as it isn't as easy as using just the ear cartilage, but if done wrong it can interfere with your nasal functions in the future.

so I asked Dr. Kang about hes experience with septal cartilage and he has done it numerous times and especially for revision if it wasnt used during a previous procedure. He and the consultant noted that most patients have never had trouble post op from using their septum cartilage and usually they are much more satisfied with the shape...and he also had alot of cases to show me that he had done with this method so that was reassuring....and now, here I am! I love how my nose looks and my friend, though her nose consisted of rib cartilage too, feels harder than mine, we are both very satisfied with our results and have not yet had any problems or any side effects like deviation, breathing problems,etc., nothing.

If you are going to Korea anyway, I would highly recommend going to see Dr. Kang Euntaek at Migo Plastic surgery, because he really does explain everything thoroughly and is very gentle while being informative with you.

I hope this has helped you a bit! I know how hard it can be to go through alllll these reviews online ...