Hello
Dr Kim used silicon implant for my bridge and septal (nose) cartilage for my tip. He warned me that if I didn't have sufficient septal cartilage, he would take cartilage from my ear. I guess I had enough septal cartilage because none was taken from my ear. I prefer septal cartilage because there is a very small chance of absorption. I did not go under general anesthesia. I think they gave me sedation anesthesia. I think if you are getting an osteotomy (breaking of bones) for your nose, then yes you will most likely go under general anesthesia.
I think it all depends on what kind of nose you want. That is, a drastic vs. subtle change. Dr Kim is quite honest about your expectations. He will ask you what you want done to your nose, ie high bridge, small nose, pointy tip. If he doesn't think that's suitable for your face, he will tell you. If you want a dramatic change, he will tell you whether or not that's doable. I really like Dr Kim because for one, he's very honest and also he took the time out to answer any questions I had and didn't try to sell me any other procedures. So far I do like my results. I think that my face is balanced and harmonized. At first, I did have a minor freak out because of the swelling. But I'm almost 5 weeks post op and it seems like everything is settling. As mentioned my tip is still a bit swollen but its not hideous either.
however i also considered Banobagi and Regen, and Teuim for eyes only. If you're there, mayb we could catch up.