Asian nose job

[sandy816]

did anyone have surgery with dr. jung they are satisfied with?

dr. jung's website is very impressive, but i have read two ppl on this site not satisfied with their surgery while on one happy with the result..


thph- how long will you be in korea? i am also intersted in going, but i only have 11 days i can spare. it might be not enough time...

 

[thph]

Hi, may I ask why you're choosing to go to Korea instead of with one of the top suregeons here in the US? What was your impression of Drs. Lee and Kwak from the consultations? And have you consulted by email with the Korean surgeons? Did you feel that the Korean surgeons were definitely better?

Ideally I'd like to go to Seoul and seek out surgery with Dr. Jung but unfortunately I don't speak the language. There are already some things lost in translation when I speak with the assistants/office managers of the top Korean-American surgeons here; some of the office assistants I've met speak broken English and address me directly in Korean lol (till I tell them sorry I don't know Korean)....I've always been told I look Korean even though I'm not. And if a complication arises (sometimes a month post-op), it'll be hell for me to fly to Korea.....or the other alternative would be another $7-10k for a revision surgery here in the US.

I know that some US surgeons like Dr. Kwak go to Seoul every year for "training" and have held fellowships in Korea (supposedly with the top surgeons there), but I wonder if the rhino results in Seoul are drastically different from the results done here.

Dr Charles Lee is well known for eyes surgery. He has pretty impressive website regarding Asian rhinoplasty. I had a consultation with him by email and almost scheduled to have the surgery next week. However, I cancelled my appointment when I came across several complaints/unsatisfactory about the nose surgery from his recent patients.

US rhinoplasty surgeons are very good with reconstructed surgery. We asian only need to highten the bridge and have a defined nose tip. I feel comfortable with Korean doctors because they have experience and massive number of nose surgery practice.

 

[marykayla]

Hello everyone! Im new here. I googled 'rhino' and 'silicone' and imagine my surprise when i found this topic discussed in a ... purse forum? lol
Anyhoo I have already read through several pages of post...and I can see that the majority choice of implant here for many of u is still the artificial ones like silicone and gortex implant. Or maybe I just havent reach parts on cartilage perhaps?

hehe allow me to break it down...

Im from Malaysia, a chinese and currently do not have the luxury to travel overseas to taiwan or korea or even singapore lolz. So my options of plastic surgeon are really limited to just malaysia. I really want a nose job, I have a typical 'mushroom' nose and I want higher taller bridge and more defined tip. You see, very typical Asian rhino.

Due to limited resources perharps ( have been exhaustedly researching the web on local PS) I have nailed down only TWO ps currently. One of them does ONLY cartilage implant for rhino ( take out the ear cartilage, harvest it and insert in nose as an alternative to silicone implant) and another one of them specialise in silicone. The first doc...HE STRONGLY OPPOSE SILICONE IMPLANT cos of the many problems like rejection, infection etc. Im quite surprised as this is my first time hearing about the former method of procedure, so of cos I jumped at anything that remotely resembles your own flesh and bone. But downside of cos is ... it depends on the ...'softness' of your cartilage, as the doc put it and more $$ for harvesting it. And im also worried that it wont make the bridge look much more defined as a silicone would (from research too)??

And the second doc...who does primarily silicone. He's trained in taiwan. He told me that silicone is the way to go. I looked at his past cases, they look ok. But he does use the L shaped implant. And it is almost half the price compared to the aforementioned cartilage implant.

Arghhh Im torn. Its not about the money... but something about silicone...when I looked at it in his office and touched it...kinda creeps me out a lil?? to imagine it under my flesh everyday... and the convincing number of extrusion cases (from reaseach, again)?? BUT still, the first doc doesnt give me an impression that the korean or jap noses on celebs are achievable on my face. He did stated that. And he doesnt believe in any computer simulation and projection (unlike the silicone doc) and this fact make me feel very unsure as I dont know how close the result will resemble to my desired look, or to those of celebs...very vague. He just stressed that i have to BELIEVE in him. His philosophy, though, i can agree on , is to be NATURAL. And this doc... I believe is the most sought after PS on this part of our shore... I have to book 1 week in advance to see him and still cant get it. He's always FULL full full... whereas the second doc...err...I didnt see much of patients. I guess more and more people are embracing the natural 'own flesh' cartilage implant?? is it the way to go??

In the end, Im very OCD.... I cant make up my mind yet. So I hope anybody can break it down for me:-

Do u feel comfortable if the doc doesnt use any projection at all? just WORDS? how subjective is that? and doesnt disclose any previous cases?

Can ear cartilage really achieve a high bridge as good as silicone?? because it is supposedly softer than silicone.

Anybody have any complications after the silicone implant??

Ok i shall shut up now... sorry to be so wordy... as there really isnt much other option i have to turn to for guidance. Havent tell any of my frens (hehe) and Malaysia (KL at least) isnt known exactly for the hub of reputable PS.

I really appreciate your 2 cents!! pls pls!! thank you soo much!!

 

[foxycleopatra]

I vaguely recall reading about Dr. Tseng (Taiwan) sometime earlier in the thread but just went through his website in-depth. WOW is all I can say. I really like his tiplasty style. His before/after's are consistently some of the best I've seen.

Has anyone here actually flown to Taiwan to undergo rhino with him?

His website http://www.drtseng.com.tw/ is pretty much entirely in traditional Chinese characters. For those who can't read Chinese or find it hard to navigate through, here are some before/after's that really caught my eye.

GORETEX augmentation (3 sheets, 2mm each) with septal cartilage for tip, 30-year-old female

Here's a (rare) page of before/after's all in ENGLISH:

http://www.drtseng.com.tw/contentby...unt=10&catid=07b9eda15c39d9e9eb4b649e357702aa

 

[john1]

if i had to choose btwn ear cart and silicone id go with silicone. thats what i got. for me it was btwn silicone and rib cart. not sure how good ear is on bridge. it can curl. and since its so plentiful, id imagine more surgeons would use it on the bridge if it was good. but most use silicone, goretex, and a few will use rib tho someone on this board said some docs say asians dont do well with rib for some reason.

everything has its drawbacks and negatives. no perfect solution for asian bridges. keep in mind cartilage is hard to take out if you need a revision. and if you are limited to 2 ps in your country i would really take that into consideration.

if you are that ocd you may want to make sure you are really prepared for a rhino. the healing can be very stressful especially if you are a perfectionist.

best of luck!

Hello everyone! Im new here. I googled 'rhino' and 'silicone' and imagine my surprise when i found this topic discussed in a ... purse forum? lol
Anyhoo I have already read through several pages of post...and I can see that the majority choice of implant here for many of u is still the artificial ones like silicone and gortex implant. Or maybe I just havent reach parts on cartilage perhaps?

hehe allow me to break it down...

Im from Malaysia, a chinese and currently do not have the luxury to travel overseas to taiwan or korea or even singapore lolz. So my options of plastic surgeon are really limited to just malaysia. I really want a nose job, I have a typical 'mushroom' nose and I want higher taller bridge and more defined tip. You see, very typical Asian rhino.

Due to limited resources perharps ( have been exhaustedly researching the web on local PS) I have nailed down only TWO ps currently. One of them does ONLY cartilage implant for rhino ( take out the ear cartilage, harvest it and insert in nose as an alternative to silicone implant) and another one of them specialise in silicone. The first doc...HE STRONGLY OPPOSE SILICONE IMPLANT cos of the many problems like rejection, infection etc. Im quite surprised as this is my first time hearing about the former method of procedure, so of cos I jumped at anything that remotely resembles your own flesh and bone. But downside of cos is ... it depends on the ...'softness' of your cartilage, as the doc put it and more $$ for harvesting it. And im also worried that it wont make the bridge look much more defined as a silicone would (from research too)??

And the second doc...who does primarily silicone. He's trained in taiwan. He told me that silicone is the way to go. I looked at his past cases, they look ok. But he does use the L shaped implant. And it is almost half the price compared to the aforementioned cartilage implant.

Arghhh Im torn. Its not about the money... but something about silicone...when I looked at it in his office and touched it...kinda creeps me out a lil?? to imagine it under my flesh everyday... and the convincing number of extrusion cases (from reaseach, again)?? BUT still, the first doc doesnt give me an impression that the korean or jap noses on celebs are achievable on my face. He did stated that. And he doesnt believe in any computer simulation and projection (unlike the silicone doc) and this fact make me feel very unsure as I dont know how close the result will resemble to my desired look, or to those of celebs...very vague. He just stressed that i have to BELIEVE in him. His philosophy, though, i can agree on , is to be NATURAL. And this doc... I believe is the most sought after PS on this part of our shore... I have to book 1 week in advance to see him and still cant get it. He's always FULL full full... whereas the second doc...err...I didnt see much of patients. I guess more and more people are embracing the natural 'own flesh' cartilage implant?? is it the way to go??

In the end, Im very OCD.... I cant make up my mind yet. So I hope anybody can break it down for me:-

Do u feel comfortable if the doc doesnt use any projection at all? just WORDS? how subjective is that? and doesnt disclose any previous cases?

Can ear cartilage really achieve a high bridge as good as silicone?? because it is supposedly softer than silicone.

Anybody have any complications after the silicone implant??

Ok i shall shut up now... sorry to be so wordy... as there really isnt much other option i have to turn to for guidance. Havent tell any of my frens (hehe) and Malaysia (KL at least) isnt known exactly for the hub of reputable PS.

I really appreciate your 2 cents!! pls pls!! thank you soo much!!

 

[john1]

im not crazy about the last ones. the nose looks over-rotated to me.

I vaguely recall reading about Dr. Tseng (Taiwan) sometime earlier in the thread but just went through his website in-depth. WOW is all I can say. I really like his tiplasty style. His before/after's are consistently some of the best I've seen.

Has anyone here actually flown to Taiwan to undergo rhino with him?

His website http://www.drtseng.com.tw/ is pretty much entirely in traditional Chinese characters. For those who can't read Chinese or find it hard to navigate through, here are some before/after's that really caught my eye.

GORETEX augmentation (3 sheets, 2mm each) with septal cartilage for tip, 30-year-old female

drtseng.com.tw/media/content/5b425ecfac631b42ae15bc7b61b40814/pic-6.jpg

drtseng.com.tw/media/content/5b425ecfac631b42ae15bc7b61b40814/pic-7.jpg

drtseng.com.tw/media/content/5b425ecfac631b42ae15bc7b61b40814/pic-8.jpg

drtseng.com.tw/media/content/5b425ecfac631b42ae15bc7b61b40814/pic-9.jpg

drtseng.com.tw/media/content/5b425ecfac631b42ae15bc7b61b40814/pic-10.jpg

Here's a (rare) page of before/after's all in ENGLISH:

http://www.drtseng.com.tw/contentby...unt=10&catid=07b9eda15c39d9e9eb4b649e357702aa

 

[marykayla]

if i had to choose btwn ear cart and silicone id go with silicone. thats what i got. for me it was btwn silicone and rib cart. not sure how good ear is on bridge. it can curl. and since its so plentiful, id imagine more surgeons would use it on the bridge if it was good. but most use silicone, goretex, and a few will use rib tho someone on this board said some docs say asians dont do well with rib for some reason.

everything has its drawbacks and negatives. no perfect solution for asian bridges. keep in mind cartilage is hard to take out if you need a revision. and if you are limited to 2 ps in your country i would really take that into consideration.

if you are that ocd you may want to make sure you are really prepared for a rhino. the healing can be very stressful especially if you are a perfectionist.

best of luck!

hmm... thanks I didnt know that cartilage is irreversible. I am leaning towards the cartilage only because i want to be on the SAFE side. And the doc meant the ear cartilage, he did mentioned rib cartilage is more invasive and he doesnt seem to perform it as much.

i do need to decide fast because i know healing takes a few weeks, like the docs point out. and there is also a possibility of going under the knife for both rhino + bone shaving. havent decide yet. I only have an open window until end of August!!

Anybody had rhino with cart implant?? would love to hear your take on cart.

So my concerns still comes down to :-

Is cart as strong a support as silicone? I know it gives good tip, but what about the bridge?

For silicone, is there any particular type that is the preferable choice?? I read that the L shape is more prone to extrusion... is it? How does it feel with the silicone after rhino? What are the chances of extrusion and infection??

I know these are particular technical questions more for the docs' expertise. But both the docs stand firm on their choice of implant, and there are some details that contradict to what i read so often on the net, fuzzy i say.

And do share which option u would go for (cart or silicone)... and why lolz. thanks

 

[john1]

hmmm seems theres more research you need to do before you can make an informed decision. i would suggest reading the last 50 or so pages of this thread as there is discussion about much of what you ask. then speak with your doctor and ask both docs their opinion. sometimes docs are focused on $ and do not give you completely honest answers. not saying yours are but it has happened. i get the feeling you are under time pressure but think it wise if you are fully informed before you have to make this decision.

i have not heard of anyone who has had ear cart for the bridge, i think there was one person on the board who had rib cart. supposedly ear cart is not good but that is from what i have read on the internet. mostly because it can curl and there might not be enough. also, if he has to get cart from both ears, that would make the healing process real difficult as you cant sleep on your ear for over a month due to pain. so you have to sleep on your back every night for 1+ months. cart is definitely much more rare than sili or goretex for asian bridges.

just some things to consider. but take your time and if you are still unsure i would hold off on the surgery. not the kind of thing you should rush into.

hmm... thanks I didnt know that cartilage is irreversible. I am leaning towards the cartilage only because i want to be on the SAFE side. And the doc meant the ear cartilage, he did mentioned rib cartilage is more invasive and he doesnt seem to perform it as much.

i do need to decide fast because i know healing takes a few weeks, like the docs point out. and there is also a possibility of going under the knife for both rhino + bone shaving. havent decide yet. I only have an open window until end of August!!

Anybody had rhino with cart implant?? would love to hear your take on cart.

So my concerns still comes down to :-

Is cart as strong a support as silicone? I know it gives good tip, but what about the bridge?

For silicone, is there any particular type that is the preferable choice?? I read that the L shape is more prone to extrusion... is it? How does it feel with the silicone after rhino? What are the chances of extrusion and infection??

I know these are particular technical questions more for the docs' expertise. But both the docs stand firm on their choice of implant, and there are some details that contradict to what i read so often on the net, fuzzy i say.

And do share which option u would go for (cart or silicone)... and why lolz. thanks

 

[schatzie414]

Hi everyone, I'm new to this board and also considering rhinoplasty and chin implant. I've read through most of this entire thread in the past two weeks and after weighing the risks of each implant, I've have pretty much settled on getting autologous implant. Since I'm in the US, I emailed Dr.Shah about my case and he replied very promptly. I told him I already have a medium bridge and some definition to my tip, I want at most a 3mm augmentation and would like to use my own cartilage as much as possible. He replied very promptly! I asked if I would be a good candidate for rib graft and he actually said rib grafts are used for more 'robust' augmentation, he prefers to use septal for small to medium augmentations. I've also emailed Dr.Chuang and Dr.Kao regarding these procedures but so far no word from them.

For anyone who's had rib grafts for augmentation purposes, what was the size of your implant? Also, I'm curious to know if anyone has had any experience or knowledge of cases where ONLY septal cartilage was used for augmentation? I'd love to just have one surgical site and come out with a higher nose but I just can't imagine how I could possible have enough cartilage in my septum to increase my bridge by a good 2-3mm and still retain the minimal 1.5mm amount to support the integrity of my nose!

 

[john1]

Hi everyone, I'm new to this board and also considering rhinoplasty and chin implant. I've read through most of this entire thread in the past two weeks and after weighing the risks of each implant, I've have pretty much settled on getting autologous implant. Since I'm in the US, I emailed Dr.Shah about my case and he replied very promptly. I told him I already have a medium bridge and some definition to my tip, I want at most a 3mm augmentation and would like to use my own cartilage as much as possible. He replied very promptly! I asked if I would be a good candidate for rib graft and he actually said rib grafts are used for more 'robust' augmentation, he prefers to use septal for small to medium augmentations. I've also emailed Dr.Chuang and Dr.Kao regarding these procedures but so far no word from them.

For anyone who's had rib grafts for augmentation purposes, what was the size of your implant? Also, I'm curious to know if anyone has had any experience or knowledge of cases where ONLY septal cartilage was used for augmentation? I'd love to just have one surgical site and come out with a higher nose but I just can't imagine how I could possible have enough cartilage in my septum to increase my bridge by a good 2-3mm and still retain the minimal 1.5mm amount to support the integrity of my nose!

i didnt even have enuf septal to make a tip strut. so unless youre an asian cyrano i think it doubtful you will have enuf either. i can understand septal for caucasians as they have lots of septal and already existing bridges. but for asians i never heard of an instance of septal for bridges. sometimes ear and rib, not septal. and you really dont want to screw around with a collapsed septum. flame was supposedly having her bridge done by shah around now perhaps she will report back and let us know how it went. and there was one other as well.

since he will probably use perichondium to line the dorsum he will have another surgical site anyways.

 

[Flame]

Hi all,

It's Day 3 post-op for me. Had a revision to take out my silicone implant and replaced with rib cartilage by Dr. Shah in Chicago. Too tired to make a lengthy post about my surgery so please pm me if you want details.

Just wanted to make a few general comments...

for those who feel strapped by time and feel you "need" to make your decision...please make sure this is not in haste. It is better to wait a year if your summer window is closing. You DON'T want to have to go for a revision later down the road...esp if you pick an implant that is harder to take out or will pose future problems. My revision was an open procedure and I have to say... it's a real bastard of a recovery. This will definitely be my one and only revision. Don't want to go through this again.

A note on Dr. Shah: if you are close and can go consult with him... you should. He is as nice and caring as surgeons go. Very patient and listened to all my concerns. And my revision was quite complicated but he managed to pull it through. It's too early for me to tell if we achieved my goals because of all the swelling... but my rib donor site doesn't hurt at all and I hardly have any bruising on my face. I can tell he was very careful and gentle. HOWEVER, picking a surgeon is a very personal choice and has everything to do with what your nose is currently. Depending on whether this is a primary or revision and what your natural structure is... he may or may not be right for you. But you need to consult with the docs (in person if possible) and express your case and work out all the details and pick the one you feel can give you the results you want. We all want different things so naturally our choice of doctors should vary.

A note on L-shaped silicone: DON'T EVEN CONSIDER THIS OPTION! This is what I had for 15 years and I was one of a few that didn't have problems within this time frame. But it had started to develop a bend and was on it's way to extruding. Also, the skin on my nose was "shrink-wrapping" around it and it is very obviously fake looking. Silicone implants can photograph well (even mine did at certain angles) but in person, I can always tell when someone has it in their nose...

As for the continuiing debate of what is best as augmentation material... I don't think this is a black or white issue. REally depends on what you want accomplished. The decision is based on so many factors :if you don't mind future revisions down the road, if you want to make it easier to change later on, if you are more scared of extrusions or infections than warping issues, etc. Sorry, no perfect answer. However, I have researched this topic quite a bit and if you send me a pm, I can try to give you my 2 cents on your specific nose or situation. I can't respond to this question with a general commentary because I think the actual answer is actually very specific to the person asking. For example, for me PERSONALLY, I felt it was best to go with rib because I had a bad experience with silicone and was turned off synthetics. Also, I needed much height so using ear or septal cartilage were not options for me.
Anyway, if any of you want to ask more specific questions, send me a pm.

 

[blueheavens1011]

I am going to Korea this coming September for a rhino surgery as well. Let me know if you want to meet up.

i'm thinking about having surgery done in september as well. maybe if we all go together, we can split hotel fees. ?

 

[shinangel]

I am stil waiting for Chuang's 2nd reply and Kao's 1st reply. I'll keep you informed!

 

[misskimchi420]

Please...

Make damn sure u want to do this... I'm 9 months p.o. and my nose looks great, but i sometimes have panic attacks thinking about getting another surgery..

i got an I-sillicon implant with cartilage grafting. no one noticed ne thing. which kind of makes me feel like it was such a waste.

sometimes i dun mind getting my nose, but i have this awful feeling right now that i got my nose done. U can only really tell from the side that i got something done. And nose jobs, if u really think gabout, doesn't really do **** for you. it doesn't make u look better or net hing unless u have a really low bridge with a flat and bulbous tip.

although i got mine in korea, i was wondering if ne one ever had complications, and at what time period they did. any response would be appreciated, considering I'm freaking out at the moment

 

[john1]

Please...

Make damn sure u want to do this... I'm 9 months p.o. and my nose looks great, but i sometimes have panic attacks thinking about getting another surgery..

i got an I-sillicon implant with cartilage grafting. no one noticed ne thing. which kind of makes me feel like it was such a waste.

sometimes i dun mind getting my nose, but i have this awful feeling right now that i got my nose done. U can only really tell from the side that i got something done. And nose jobs, if u really think gabout, doesn't really do **** for you. it doesn't make u look better or net hing unless u have a really low bridge with a flat and bulbous tip.

although i got mine in korea, i was wondering if ne one ever had complications, and at what time period they did. any response would be appreciated, considering I'm freaking out at the moment

i dont get it. you are freaking out because no one can tell you had a nose job so you want to get another one so they can tell???

the profile makes an enormous difference in how attractive others perceive you to be. dont underestimate it just cause you cant see it for yourself. its rare people see you directly head on and they judge your looks first from the side. if your profile doesnt look good it makes a poor first impression. if your profile looks good then its mission accomplished.

but people close to you really dont pay much attention to that kind of detail unless they are artists for a living. so its not surprising people dont notice. i had bridge and tip and chin and none of my relatives noticed. they noticed my eyes and thot i had lip surgery or something. but bottom line i look better than before. the nose and chin is all about subtle changes and it all adds up.

if you want something drastic, get your eyes done if you havent already. theres no missing that and it makes a big difference. i havent seen your nose but it sounds like its as it aught to be.