Asian Nose Job 3

Just don't have ridiculously high expectations and you'll be fine. I was kind of surprised that so many were lamenting about having a hard nose and being unable to play certain sports. My life hasn't changed except it's much more fun when you're more attractive lol. Yes, at VIP
Hi, how may I contact you? I need to get in touch who had rhino with VIP
 
So you are basically looking for an alarplasty and scar revision for your nose? There are mixed reviews with VIP on this forum. Try to contact them yourself, you will get a deeper understanding of whether they can deliver or not.
Any experiences about VIP please? I want to get a revision done there
 
Using your ear cartilage and your own tissue is actually good, because your body won't reject it. My friend isnt 100% satisfied with results from Aone, and she's the one who found out about the other girls contracted nose. My friend told me while i was in korea that locals don't go to VIP, he has a bad reputation. Not ethical, that is why he targets foreign consumers. You should do what i did. Go on many consultations, and go with whoever you feel confident with.
A bad reputation like what please?
 
I have published this 6 months ago,
https://www.realself.com/review/syd...sty-dr-chuang-hsiang-kao-dr-montien-lueprapai

It has all my relevant experiences and hopefully answers everyones questions as far as I know. It also has photos of myself.
Just read your realself post. Seeing how much research you did on surgeons made me wish I had done the same before I got my rhino. Had mine done also by a popular ENT and facial cosmetic surgeon in Sydney. I had made it very clear that I didn't want a barbie/ski-slope nose and wanted to keep a little bump but unfortunately he gave me his 'signature nose'...my fault though, should've done more research and not persuaded by convenience/ proximity.
In hindsight, I would've gone to someone who specialises in ethnic rhinoplasties.
 
I have published this 6 months ago,
https://www.realself.com/review/syd...sty-dr-chuang-hsiang-kao-dr-montien-lueprapai

It has all my relevant experiences and hopefully answers everyones questions as far as I know. It also has photos of myself.
Just read your realself post. Seeing how much research you did on surgeons made me wish I had done the same before I got my rhino. Had mine done also by a popular ENT and facial cosmetic surgeon in Sydney. I had made it very clear that I didn't want a barbie/ski-slope nose and wanted to keep a little bump but unfortunately he gave me his 'signature nose'...my fault though, should've done more research and not persuaded by convenience/ proximity.
In hindsight, I would've gone to someone who specialises in ethnic rhinoplasties.
 
I have published this 6 months ago,
https://www.realself.com/review/syd...sty-dr-chuang-hsiang-kao-dr-montien-lueprapai

It has all my relevant experiences and hopefully answers everyones questions as far as I know. It also has photos of myself.
Just read your realself post. Seeing how much research you did on surgeons made me wish I had done the same before I got my rhino. Had mine done also by a popular ENT and facial cosmetic surgeon in Sydney. I had made it very clear that I didn't want a barbie/ski-slope nose and wanted to keep a little bump but unfortunately he gave me his 'signature nose'...my fault though, should've done more research and not persuaded by convenience/ proximity.
In hindsight, I would've gone to someone who specialises in ethnic rhinoplasties.
 
I agree, it's not just medicine. It takes a lot of repetition and is an art. If it's a nose you want built up, it should be someone used to constructing them rather than breaking bones. I liked the way my former surgeon formed noses where the lower portion either caved in or didn't exist. He balanced features well, but his focus seemed to be on giving people their former noses. I want anything but that! He possesses skills to provide a great nose on anyone, but has preconceived notions of what each ethnicity should appear like. It seems that happens more with doctors in the US.

I have a difficult time finding photos in many of the above mentioned Asian countries other than Korea. I'd love to see Thai and other doctors' results using rib. I'm getting the impression Thailand does more using implants and on body work. My main concern not wanting to go to Asia was pain management. I never considered going to China or traveling anywhere for surgery before, but results for before & afters broke down those barriers.
May I ask who your surgeon was, who was is able to give people their former noses? Your post gives me some hope.
 
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from experience people who want a slight augmentation because they want to be identifiable often end up going to get it redone to make it higher again. I always tell the surgeons make it as high as possible in a conservative manner, that is height without the risk of tissue complication. A nose augmentation won't make you unrecognizable it will just improve ure overall look. When people look at your face they register not only your nose but your facial structure, eyes etc. A nose augmentation can only be done to a certain heigh depending on your skin elasticity and original structure anyway. That's why i believe the higher the better, because the limit is based on your original nose.

I can totally understand how one can prefer the idea of having something artificial in your body vs something natural. However I believe that notion should be secondary to potential results. So far, the number of complications i have seen and read about on websites and on this forum, that members pm me, of my friends who have gotten rib/ear grafts and myself who have gotten cartilage grafts, the ratio of bad exceeds that of the good. The main problem which i have experienced with my own cartilage graft is an irregular shape and protruding cartilage. Most of my friends who have gotten rib grafts have ended up with a curved hooked like nose and many of the forum members who pm me experience the same thing. At the end of the day i firmly believe the silicone yields much better results. I mean if all these patients had it done at the same clinic and end up like this then perhaps we can conclude that its due to the skill of a particular surgeon. But everyone i have spoken to seems to have gotten it done at different clinics, not just in seoul but in australia, hong kong and the us. I think its safe of assume this is a common occurrence.

I did have one friend who still looked ok from a cartilage graft. Its because she had so little done that her thick skin covered any irregularities. But it looked like she didn't even have anything done to begin with lol to the point where it doesn't even look like an improvement :S

Differences between the soft silicone and dermal graft, well they are completely 2 different implants but i dont know enough about dermal graft to comment. Dr park at dream told me that it is some kind of tissue harvested from near the lower spine area. Its even softer compared to the ultra soft silicone. He told me that in the event he thinks the skin of my nose is too thin for the ultra silicone, (the previous cartilage graft left a slight derformity near the top of my bridge with the cartilage protruding), he would then use a dermal graft on me. However the dermal graft he would be using is not harvested from me but by a donor graft that's been treated and manufactured called Auto Dermis. (basically taken from a dead person) So in a way it is both natural and artificial i guess haha.

with regards to narrow the nasal bone, im not familiar with that so you best ask someone else. hope that helps :smile:

QUOTE="K Couture, post: 26184455, member: 471351"]yeah I did. I just went to the airport to get it. Definitely do that. Google translate and gps comes in very handy in Seoul, esp when ure in a taxi. Most drivers dont speak english but if you use google translate then it should be fine. Tho i also had a back up. I would go to the front desk and get them to write the address of the hotel and the clinics in korean so i can flash it to the drivers

Uhhh one thing tho do not leave the airport until you make sure the sim is working on ure phone. Me and my friend had issues getting the sim card to work on our iphones. Luckily we had not left the airport yet and went into the store and got the staff to tamper with the settings for us then it worked. I got my simcard from the convenience store at the airport.[/QUOTE]

hello Kcouture I’m a new member here at this forum, I’m actually on my 6 mos. post op from rib cartilage rhinoplasty, I totally get what you mean right now I felt like my nose is not straight specially on the tip, I’m not sure if the cartilage graft has shifted but it looks obvious on pictures that it’s not straight, I do have uneven nostrils too :sad: but then only 6 months post op so I still have to be patient with it and see how will it turn out . It’s depressing though. I wish I made a lot of research before I did it, I got so scared when I went to the Philippines for consultation and that one surgeon I went to has a lot of patients waiting on his clinic with some infections through artificial implant he used on them. He uses goretex, that freaks me out that As soon as I found out about rib cartilage rhinoplasty I went with it without any further research, all I knew is that I wanted to feel more attractive but then after This surgery I went through I felt like It didn’t boosts me any self confidence, I know I’m still in the early phase of recovery and that I have to wait one full year til I see the result but it’s just frustrating at times. This is my first rhinoplasty and I did it in Korea. How I wished I should’ve made a lot of research, all I can say is that the healing process and the results from artificial implants seems aesthetically pleasing and faster, the swelling seems longer for rib cartilage graft I wonder why. And I felt like my nose is elongated now which I think doesn’t fit my asian features, I have a small face, short nose to begin with and this nose that I have now looks like I look older . Btw how’s your surgery at the Dream? Does it meet your expectations aesthetically? I’m wondering that if I probably need a revision in the future, that it might be hard to remove the rib cartilage graft since it will be absorb? And also where did you get your first rhinoplasty done and what type of material did the doctor used? Why you decided to do a revision? Sorry too many questions ask. I know you’re well experienced on research I hope I could get an advice from you. Thank you sis!
 
Hey everyone! I'm planning to have my nose done for the first time. I've done some research and it seems like for Asians, it is somewhat better to travel to Korea because the surgeons there have more experience with the Asian structure/aesthetic. However, since I'm not an US citizen & currently studying in the US at the moment, not having to fly out of America would save me some time & stress of visa issues when I come back to the US. Are there a huge difference between the quality of work (specifically, rhinoplasty for Asian - I'm female if that helps) in the US vs Korea? Will it be worth the stress to get a nose job in Korea?

Can you also recommend some decent suggestions for Asian rhinoplasty surgeons in the US? I have heard of Dr. Yoo in California, but his price (~ 20,000 USD) is a bit high for me...

Thank you!
 
I also had a gore-tex implant for 5 years
I didn't exprience any shrinkage but I had a hump on my nose.
When the doctor removed the implant he had a hard time extracting it, because it was stuck to my tissue.
Now I have a big wrinkle on my nose bridge caused by the pulling.
The doctor didn't find any hump inside my nose, he suspects that it was from the implant I had.

That sounds so bad =( I am dying to get my goretex implant removed.
 
It sounds to be like your implant placement technique was not adequate if not this would not occur under normal circumstance.

My nose revision was done at Dream and done perfectly. I previously had extrusion from a full autologous rhinoplasty done in Los Angeles by Charles Lee, where the cartilage had tore and pushed out of my upper bridge. So you can imagine my tissue was very thin and much thinner than yours. As part of my consultation with Dr Park, we came up with 3 plans of treatment.

Plan a) ultra soft silicone placed under the periostiem. irradiated rib cartilage for the tip. Should my periostiem be damaged from the previous surgery we would then use scar tissue to seal and protect the implant.

Plan b) should my tissues be far too weak for the ultra soft silicone we would then use auto dermis as the replacement.

Plan c) this is what ended up happening. The ultra soft silicone i picked was too high for my thin skin to sustain and my periostiem was damaged. Auto dermis was also not a good fit for my nose. Hence the final method was discussed while i was awake on the operating table, feeling no pain and being walked through each step while dr park was working on my nose:

2.5mm Ultra soft silicone shielded and held down by scar tissue
0.5mm Tuto Fascia graft above the silicone and scar tissue to seal the hole from extrusion and grow into my damaged tissue. Thus protecting and strengthening it.
Irradiated rib strut in tip with a small piece of auto dermis in front of it to protect the tip tissue.
Shield Graft for added protection made with my own harvested ear cartilage
alloderm in collumela to lengthen the nose to reach the 3 point ratio.

Mine is considered reconstructive surgery as you can imagine how complex it is. If your tissues is really as thin as you say, then you should consider the use of tuto fascia to strengthen it like I did. The only side effect of tuto fascia is that it can, at irregular intervals increase blood circulation in the area and make the nose a little red. This comes and goes temporarily until the 6 months mark. It can also easily be covered with a thin layer of make up.

I was offered to try autologous dermis from Dr Park too. However he advised me that the resorption is unpredictable and depends on the patient's body. Plus i didn't want anything cuts to my booty region lol especially since I am very prone to keloids on the body. So i opted out of that method.

So anyways I hope sharing my method helps you consider what can be done for your situation. I wrote a review about what occured during my surgery if u want more detail. http://forum.purseblog.com/asian-pl...-surgery-with-dream-medical-group-867732.html

good luck on your revision
Hi,
I was planning to get a rhino with Charles lee was the extrusion caused by the rib? So scary
 
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here I go again, a trip back to Korea next month to fix my nose. I had my nose done at VIP Korea, rib harvested + mid face/parnasal. 2 years later my nose bridge thinned, with a bump and my tip is very short. Ive been beating myself up for awhile debating if I should even go back to the same clinic, since I through hell with the rib harvest. I really want my moneys worth. I don't know what to do, but to see what the surgeon says and maybe this time it'll be better than the last.

Thank you for sharing. I also had my first rhinoplasty at VIP with autologous rib for bridge and ear cartilage for tip. I am not happy with the result, so planning to go to Seoul for a revision next summer, but don't know if it would be best to go to VIP again or if it is wiser to find another clinic to fix my nose.

Where did you end up having your revision and are you happy with the result ? And what did you decide to use for implant this time ?
 
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Thank you for sharing. I also had my first rhinoplasty at VIP with autologous rib for bridge and ear cartilage for tip. I am not happy with the result, so planning to go to Seoul for a revision next summer, but don't know if it would be best to go to VIP again or if it is wiser to find another clinic to fix my nose.

Where did you end up having your revision and are you happy with the result ? And what did you decide to use for implant this time ?
Agreed , although I like my result but the tip reabsorbed after 8-12 months and now is too sharp, it’s been 6 years now. I would love it to be round and upturn a bit.

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