Hi everyone
this is my first post in this forum, but i must admit that i have been following this thread for awhile. I recently had a revision done on my nose in taipei.. 3 years ago I had my first surgery done with an L shaped implant, and after about a year it became very sharp.. and over the years it became more noticeable to the point where there was a white dot at the tip of the nose. From the side, the shape had become very unnatural and the skin at the tip had become very thin.. So i came back to taiwan, and I went back to the same doctor and he told me that I could fix this by adding some cartilage to the tip area where the skin had become thin..which is what I decided to do. however, after the surgery the tip of my nose became bigger and the shape was slightly off and in certain areas you could still feel the sharpness of the silicone.. and the tip was still red after 2 months. During these 2 months I was very observant of my nose and noticed that not only was my tip very unnatural looking but my bridge was also too skinny and shiny..(my L implant was a normal size not particularly high) Disappointed in my original doctor, I decided to redo my entire nose.. and went to several different consulations with various doctors in taipei who specialized in rhino.. Today is the fifth day after my surgery.. It was an open incision with goretex for the bridge and septal and ear cartilage for the tip. So far I am very happy with my nose and my choice of surgeon, and the deswelling is going very well.
I just wanted to say that make sure you know what you are getting yourself into when using an L shaped silicone impant. There are alot of risks involved.. and you don't notice until several years later.. which is what happened for me.. In the beginning it was nice and natural but then in the end it was disastrous and painful for me. But then again, there are ppl who do well with L shaped implants.. but i have done lots of research on this subject and I think if you are going for the more natural look, it is better to do your bridge and tip separately.
Anyways, goodluck to everyone! feel free to ask me questions, I have been around most major clinics in taipei and have done a fair amount of research on this topic.