LAM FACIAL PLASTICS

I am an Asian male, 25 yo. I asked my doctor to use septal cartilage for my tip and I-shaped silicone implant for my nose bridge. He said that besides the characteristic Asian skin thickness, my nasal skin is also very tight. Therefore, he talked me out of using septal cartilage for the tip, saying that cartilage is not strong enough to hold my nose tip and may collapse in long term, causing deformities. Moreover, because I had a short columella, the height of my nose bridge can only raised limitedly if I choose septal cartilage for the tip. So in the end, he convinced me to use L-shaped implant for both the bridge and the tip. He said that the decision is up to me and he just informed me about the possibilities. However, I am very skeptical about this.

I know Asian and African American skins are very thick but I am not sure what he meant by saying that my skin is also tight.
Does thick and tight skin tend to contract and make the cartilage collapse? In that case, what kind of deformities can that result in? Have you seen any problems with people with thick and tight skin using septal cartilage for their tip?
Thanks Dr. Lam. Have a nice day!

hi,
i personally think your doctor does not do septal cartilage implants because in a virgin nose i have never encountered skin so tight that a cartilage graft would not work. it simply does not make sense to me. yes, an L-strut pushes the tip out further than septal cartilage does but i HATE that look. i used to do it but the tip looked overly fake and when you remove a silicone implant it typically over time has caused erosion into the existing cartilages. i simply do not like silicone in the nasal tip if at all possible. i disagree with your doctor. i don't even like silicone in the bridge, as you can see in this forum. i loved doing the L-shaped silicone in the past because it took me 10 minutes under local to do. now, i takes me 2 hours under general with an anesthesiologist. now, my results are so much more natural with less risk than with L-shaped implants that i used to use.
best,
sml