Asian nose job

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Hey Flame,

I hope your healing process goes smoothly! I know that you're probably really tired but when you feel up to it, could you answer some of my questions?

I am debating between silicone and rib, and I wanted your opinion on the aesthic differences. for example, does rib photograph well? Also, did you think Dr. Shah did a good job on your nose?

I can't pm for some reason, but my email is [email protected]. I'd really appreciate any photographs!

Thanks
 
I had an email/online consultation with Dr. Charles Lee last week and thought it was interesting that he felt the shape of the implant matters more than the type of implant and that the silicone vs. goretex decision is best made once the surgeon opens you up and sees your internal nasal anatomy. Initially I thought (and mentioned to him that) I really ought to go with goretex but he said that upon viewing the photos I sent him, either silicone or goretex could work but the best material is decided in the operating room.

Also, has anyone heard about small holes being punctured inside a silicone implant to allow tissue ingrowth? Dr. Lee mentioned this but I've never read about this being done before. If this is done, doesn't it mean that should implant removal or revision being needed in the future, it'll run into the same difficulties as goretex removal where parts of your internal tissue will inevitably be taken out as well?

--------------Here's part of the reply I got from Dr. Lee-------------------------------

For the bridge, I would use whichever implant will give you the best appearance. This is best determined in the operating room. The modern silicone implants don't have the same problems such as calcification or translucency as before. Both gortex and silicone are very good, and the material is not as important as the shape of the implant. I will keep in mind your concerns; they both can be very permanent. With silicone, small holes can be placed so there is tissue ingrowth into the silicone implant; and if placed above the covering of the bone, there is not as much resorption of the underlying bone.

In your case, I would place an implant - there is a gortex covered one that is 4.5mm which I may use, and raise the tip using cartilage as you mentioned, or sometimes donated cartilage from the tissue bank which has been irradiated and screened for viruses.

I did not see a nostril view (straight front view with your head tilted back), but I don't think you need nostril narrowing.
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sooo I went on my consult (for eyes and nose) with Dr. Choe today and I really can't comment about how good he is. I came out of his office feeling like I just wasted 2 hours of work time for nothing. First of all his staff does a horrible job with scheduling. I waited over 30 mins after my scheduled time, but fine I figure he's just that popular of a doctor. When I saw him he just kept telling me how nice my eyes are. But then it was my mistake that I came in using the eyelid glue and some make up coz I had to go to work this morning. Don't get me wrong, he did compliment me a lot on a lot of things not just my eyes, which coming from a plastic surgeon is a big compliment, but I just wish he spent more time discussing the procedures as opposed to what I already have. And I felt like our consult was rushed because he had a surgery after our consult. He didn't even show me before or after pictures. I hardly got to ask any technical questions coz he kept deviating the conversation. I get that he was just probably trying to establish rapport, which I respect, but I was hoping I would come out of the consultation with more information. It was almost like he didn't take me seriously or that he didn't think I needed surgery. And I don't think I look horrible, but I do need eye surgery because I do use the glue everyday and I really don't like my nose.

I'm supposed to go back again for another consultation coz I really wanted to see before and after pictures but I don't know if I even wanna bother. I probably will have to wait another hour just for the consult and I don't how much info I'll get out of it. Granted that the consultation is free, it's just annoying because I do have to take off work for a few hours to see him. And I just don't wanna be disappointed again.

I'm seeing Dr. Kwak next week so we'll see how that goes.
 
sooo I went on my consult (for eyes and nose) with Dr. Choe today and I really can't comment about how good he is. I came out of his office feeling like I just wasted 2 hours of work time for nothing. First of all his staff does a horrible job with scheduling. I waited over 30 mins after my scheduled time, but fine I figure he's just that popular of a doctor. When I saw him he just kept telling me how nice my eyes are. But then it was my mistake that I came in using the eyelid glue and some make up coz I had to go to work this morning. Don't get me wrong, he did compliment me a lot on a lot of things not just my eyes, which coming from a plastic surgeon is a big compliment, but I just wish he spent more time discussing the procedures as opposed to what I already have. And I felt like our consult was rushed because he had a surgery after our consult. He didn't even show me before or after pictures. I hardly got to ask any technical questions coz he kept deviating the conversation. I get that he was just probably trying to establish rapport, which I respect, but I was hoping I would come out of the consultation with more information. It was almost like he didn't take me seriously or that he didn't think I needed surgery. And I don't think I look horrible, but I do need eye surgery because I do use the glue everyday and I really don't like my nose.

I'm supposed to go back again for another consultation coz I really wanted to see before and after pictures but I don't know if I even wanna bother. I probably will have to wait another hour just for the consult and I don't how much info I'll get out of it. Granted that the consultation is free, it's just annoying because I do have to take off work for a few hours to see him. And I just don't wanna be disappointed again.

I'm seeing Dr. Kwak next week so we'll see how that goes.

Wow I'm so sorry to hear that you did not get all your questions/concerns answered with Dr. Choe. He is a rather gregarious guy. I've always done my consultations in the Flushing office (on Wednesdays) and surgery in the Manhattan office so I guess I didn't know his Manhattan office had so many scheduling problems.

IMO it's definitely best to remove make-up (esp. eyelid tape, eyeliner, eyeshadow, any coutour make-up for the nose area) when going in to these consultations. When you meet with Dr. Kwak (who takes several photos of you and then performs the computer simulations), it'll be in your best interest to make sure that the before-photo is taken without any make-up......otherwise the simulated after-photo probably will be of little value.

As for before/after photos, I think you always have to ask the doctor and/or his office managers for them.....otherwise they don't necessarily show them. That's been my experience with ALL my consultations. Dr. Kwak was the only one who personally showed me the before/afters on his personal computer while we were going through the consultation (that's after I asked for the before/afters). For all my other consultations, upon asking for the before/after photos the surgeons all referred me to see their office manager/assistant after the consultation......so after you finish meeting with the surgeon, the assistant will show you the before/afters (either on a computer screen or in a binder) in a separate room or in the main lobby. With Dr. Choe my very very first consultation (for my eyes) last Sept. I didn't ask for the before/afters (coz I'd already seen so many before/afters of his bleph work from soompi, mostly of girls around my age) and they didn't show me any. When I went back for my rhino consultation and asked for before/afters, Sharon spent a lot of time in another room with me (after the meeting with Dr. Choe) going through the before/afters in a binder. With Dr. Jeffrey Ahn & Dr. Steven Pearlman, it's the same procedure -- the surgeons don't personally show you any before/afters, but instead refer you to their office managers who shows you the before/afters in another room.
 
Hey guys, can u please quote how much it is to go to taiwan for DR HSU for autogolous rhino?? like a good 2 week including accomodation and all the expenses?? rough estimate... i have yet to email Dr Hsu, but just want to get a rough idea now
thanks
 
^ ear cartilage 70000$ taiwanese
rib 100000 taiwanese$$$
for dr hsu.

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


hey i was wondering why did u pick silicone then if u dont wanna do another surgury and if u dont want complications...why didnt u choose natural material so ur body wont reject the foreign object in the future?
 
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Wow I'm so sorry to hear that you did not get all your questions/concerns answered with Dr. Choe. He is a rather gregarious guy. I've always done my consultations in the Flushing office (on Wednesdays) and surgery in the Manhattan office so I guess I didn't know his Manhattan office had so many scheduling problems.

IMO it's definitely best to remove make-up (esp. eyelid tape, eyeliner, eyeshadow, any coutour make-up for the nose area) when going in to these consultations. When you meet with Dr. Kwak (who takes several photos of you and then performs the computer simulations), it'll be in your best interest to make sure that the before-photo is taken without any make-up......otherwise the simulated after-photo probably will be of little value.

As for before/after photos, I think you always have to ask the doctor and/or his office managers for them.....otherwise they don't necessarily show them. That's been my experience with ALL my consultations. Dr. Kwak was the only one who personally showed me the before/afters on his personal computer while we were going through the consultation (that's after I asked for the before/afters). For all my other consultations, upon asking for the before/after photos the surgeons all referred me to see their office manager/assistant after the consultation......so after you finish meeting with the surgeon, the assistant will show you the before/afters (either on a computer screen or in a binder) in a separate room or in the main lobby. With Dr. Choe my very very first consultation (for my eyes) last Sept. I didn't ask for the before/afters (coz I'd already seen so many before/afters of his bleph work from soompi, mostly of girls around my age) and they didn't show me any. When I went back for my rhino consultation and asked for before/afters, Sharon spent a lot of time in another room with me (after the meeting with Dr. Choe) going through the before/afters in a binder. With Dr. Jeffrey Ahn & Dr. Steven Pearlman, it's the same procedure -- the surgeons don't personally show you any before/afters, but instead refer you to their office managers who shows you the before/afters in another room.

I'm definitely not wearing make up for dr. kwak's consultation. I asked dr. choe to see b/a pictures but whoever it was in the front desk said that they don't have the time for it that moment because they had to perform a surgery. So that's really annoying now that I know that it's their job to show me the pictures. Hopefully dr. kwak's consultation will be better.
 
I just had my nose done about a month ago with silicon, however the tip of my nose looks weird and the skin is red... I was just wondering if this is normal? I am really scared of extrusion also. Does anyone know what the signs are? thanks
 
hey e_baby

I had my tip done too and I'm about 2 months post-op. The tip does de-swell quite a bit from a month to two months, so I wouldn't be too worried yet.

As for the skin, mine is also reddish (better than before, but still kinda red). I don't know if that's normal either, but I don't think its extrusion.
 
BTW, thought i'ld post up some before and after pics of a girl who had her nose done in taiwan, but i'm not sure which doc though cos my chinese is reallly bad. I got it off the fashionguide website. Beautiful results, it totally transformed her face. Plus it looks really natural too.. hopefully she doesn't mind me posting it here lol.

http://img386.imageshack.us/my.php?image=oldzfb5.jpg
http://img381.imageshack.us/my.php?image=lvl99zhngee2.jpg
http://img386.imageshack.us/my.php?image=lvl1000bo2.jpg

BEFORE

oldzfb5.jpg


AFTER

lvl99zhngee2.jpg


lvl1000bo2.jpg



I've been going through old posts one by one and am AMAZED at this transformation. Holy cow.....PS is generally an enhancement procedure but this one takes the cake for complete transformation. And the end-result is actually quite natural-looking.

How thick of an implant would be needed to achieve such a drastic transformation in bridge heighT?.....going from nearly no bridge to such a high bridge? I'm thinking it's got to be even >5mm.....probably 6 or 7 or 8mm? Is that even possible with silicone? I thought thickest silicone implant they could use (safely, that is) is 5mm.....? Goretex supposedly can give more bridge height (safely), up to 8mm (e.g. 4 sheets of 2mm thickness each stacked together). But that post-op nose in the photos just appears so defined and pointy (almost looks like a L-shaped silicone implant??) that it doesn't look to be goretex based.
 
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