I did mine in Thailand. And I got it removed in Thailand also. It was free as it’s the package provided by the surgeon. The down time is only on the day itself. And the surgery is very fast, less than 30 mins. Than after that the care process is the same as when you insert the silicone. You need to put saline daily and stuffs.
After removing the silicone your nose will feel very stiff. Like you cannot use your hand to move your nose from left to right. Than it will be super stuff for about 6 months. Than your nose will return back to its natural shape. My did return back to the natural shape.