Korea Cosmetic Surgery - Nose

The ideal shape of nose is as follows; nasal bridge (thin part of nose between eyes) should make a natural and smooth curve from the forehead. When viewed in profile, the line from the ridge to the tip should be straight for men and curve for women. A slightly upturned tip is considered attractive. Especially, for Koreans a rounded and a bit thickened fleshy nose is regarded as natural and preferable to angular nose. In general, the ideal length of the nose is 1/3 of that of the face and the ideal elevation is 3/5 of the length of the nose. The Ideal angle between the tip and the upper lip is 95 to 105 degrees. The columella (the narrow strip of skin tissue that separates the nostrils) should be 1 to 2 mm lower than the wings of the nose in profile.

Patient-specific nose surgery program

• The patient will preview an exact image of desired results during the consultation through the two-dimensional and three-dimensional simulations. After a thorough consultation with nose specialists, the patient will foresee the exact shape of nose he or she wants to have with the use of the two-dimensional simulation and three-dimensional simulation programs.

Painless sedation program

The newest painless sedation will relieve the patient from fear for the surgery and pain caused by anesthetic injection. When the patient is asleep for a while under sedation, most operative procedures will be completed. All the patient has to do is, at the last operative stage, to open his or her eyes awake from sedation and verify the final result.

Types of Nose Surgery

Rhinoplasty (Nasal Augmentation) Simple rhinoplasty is to augment the nasal structure with the use of prosthesis such as silicon, Gore-Tex, etc. through the incisions made inside the nose. Open rhinoplasty, which means incisions are made across columella, is another procedure to reshape not only the ridge, but also the tip for a harmoniously well-cut nose. The nasal tip will be slightly upturned which makes the nose in profile look natural and charming. Thus, the patient will have a reshaped nose that is beautiful when viewed from the front and in profile as well. For the tip elevation, we use autologous cartilage grafted from the patient’s body. Looking natural, this reshaped tip will be soft and smooth that it is possible to press on or up the tip. • What materials are used for nasal augmentation? *Silicon Known as the safest to the human body, silicone is the most used and best material to make the most beautiful nose because it doesn’t change in shape or isn’t absorbed into the skin. *Gore-Tex Gore-Tex which has been used for angioplasty, the blood vessel surgery, for a long time was introduced to the plastic surgery 5 years ago. It has an advantage of having softer texture than silicon, but some disadvantages exist on the other hand. With the passage of time, its size decreases by 40 %. Being tightly conglutinated to the tissues of human body, Gore-Tex is so difficult to remove for the revisional surgery and make the skin far thinner after removal. For this reason, it is now used if inevitably needed. *Medpore Medpore, a kind of artificial bone, is used as a substitute for septal cartilage to reconstruct the columella or prolong the nasal septum. *AlloDerm Allograft (human) dermis is rarely rejected to the body. AlloDerm is a kind of processed allograft dermis which is sterilized and thoroughly controlled by human tissue bank after eliminating its pathogenicity and antigenicity to make it transplantable. It is mostly used as a substitute for cartilage and also used to correct the reddish tip of nose. It will feel softer than cartilage. *Autologous CartilageUnlike auricular cartilage, septal cartilage is flat without any curvature, so is mainly used to augment the tip, reconstruct the columella or prolong the nose. -Auricular Cartilage (from ear) Auricular cartilage grafting is largely used because incision scars for cartilage extraction will be inconspicuous. Auricular cartilage which is rounded similar to the shape of nose tip makes it possible to reshape a natural tip or thicken it with 3-layer graft if needed. *Autologous Dermis Grafting Usually, skin tissue of the gluteal (hip) crease of the patient’s own is used for the soft texture, but there is a limit to make a delicate and sleek shape. For this reason, it is mainly used for the revisional surgery. *Autologous Fat Grafting (micro-fat, fibro-fat grafting) In the past, fat grafting success rate was only 10 to 20 % and it was almost impossible to achieve cosmetic effects in nose surgery. However, micro-fat or fibro-fat grafting which has been lately developed sees now about 50% of success rate. In addition, with the advanced technique of fat preservation, any change in shape due to absorbed fat can be simply corrected even 6 months after fat grafting. *Autologous Fascia Grafting In order to slightly augment the nose from the bridge to the tip with the use of autologous tissue, thick temporalis fascia is in use, collected over the ears for the graft. *Autologous Costal (rib) Cartilage Grafting If a considerable portion of nasal bone is damaged due to any accident or severe infection, rib cartilage of the patient’s own is used for the graft, but it is very difficult to make the ultimate shape because a great amount of rib cartilage is easily absorbed. For low profile nose we make an incision inside of mucous menbrane to insert an implant like silicon to increse the height. Rhinoplasty with opened incisional method, through mucous menbrane we can enhance dorsum more higher as well as reshaping the nose tip. In order to achieve a soft and natural looking nose tip on both sides and front view we use your own cartilage to create tip beautifully curved shape. Alar Reduction The bulbous nose can be corrected by using of remedial apparatus. We can remove the dermis and adipose tissue from the nose tip, or relocate them in order to create slim and sharp look. The broad and round tip is created by wide cartilage which is covered by fat. For this case the cartilage can be reduced and removed. The reduction of the thick skin on nose tip we remove the enough fat and own cartilage or implant to create silmmer and narrower look. The implant materials for nose tip are ear cartilage, septal cartilage, dermis fat and alloderm, however the most common procedure is to graft cartilage from ear or nose which has no rejection with the natural looking. Nasal Tip Reshaping The long and droopy nose tip can be created by long growth of septal cartilage or alar cartilage has been sagging and it accompaines with hump nose. Therefore the corrective method suits this surgery. The important method is to adjust alar cartilage which has been located downwards. The rotation of cartilage by septal cartilage will enhance nose tip to look upwards. The other method is to reduce septal cartilage by removing a part as well as rotation of upwards. If not enough, removed cartilage can be replaced and inserted on dorsum which will lead the cartilage to roate more An arrow nose look can be created by hump on the bridge. The oppostion of curve bridge and curve nose tip makes unmatchable look. Therefore the rotate correction is needed to low down hump as well as make nose tip higher. Lengthening of Short Nose The most difficult operation of rhinoplasty is lengthening the short nose. The short nose are demonstrate as small nose, length of bridges are short and nose tip is pointing higher. Which are caused by short support structure inside of the nose. The cartilage from the nose tip will be relocated lower position as well as extension of mucous membrane and skin are needed for this procedure. The septal cartilage and alar carilage can be used for extension of nose length, this procedure is suitable for people with not enough cartilage on their nose tip. However in some case ear cartilage can be used.. The inside and outside of hollow bridge are examine through the location of alar cartilage whether is has been forced inside. Also the length of septal cartilage and the suitable size of cartilage alaris are needs to be determined. However the bridge has to be pull out and the correction of alar cartilage length can be the added. • Long Nose Reduction (Correction of Drooping Tip) When the nose is too long, which means that the nasal tip droops or plunges, nostrils are invisible from the front view and the tip gets very close to the upper lip in profile. This makes a person look older and narrow-minded. To correct this, we shorten the nose by slightly elevating the tip for youthful and stylish looks. • Short Nose Extension (Correction of Upturned Tip)Short nose which is usually upturned nose intends to deteriorate an intellectual image with clearly visible nostrils. In this case, it is necessary to lengthen the nose by transferring alar cartilage (from the wings of the nose) down to the tip and extending inner nasal mucous membrane and outer skin tissue at the same time. This is a very delicate procedure to have a normal and balanced shape of nose. Correction of Deviated Nose The diviated nose are caused by nasal bone and nasal septum, due to unsuitable combination.The most common way to have diviated nose are not enough treatment after the accident has been occur. Not balanced growth can create or congenital septal cartilage can be the reason. These diviated brigde need to be corrected by surgery which can impact on appearance. The nasal septum is mucous membrane which is located in the middle of our nose and divides the inner nose.The deviation of nasal septum needs to be corrected in order to adjust inner and outer look. • Correction of Slight Deviation Healthy people can have a deviated or slightly off-center nose in different degrees. It often happens that many patients who weren’t aware of the exact shape of their nose realize that there is a deviation while closely observing their reshaped nose after rhinoplasty and then want an additional surgery for the correction of deviation. Therefore, the surgeon who will perform the operation should exactly evaluate and inform the patient of any slight deviation. He will correct it during nasal augmentation surgery even though the nose might not be 100% straightened. • Correction of Severe Deviation If the nose is severely deviated or distorted in anyone’s eyes, it doesn’t look good aesthetically, or can cause seriously impaired breathing. In this case, it is necessary to correct and straighten it with the use of nasal osteotomy and septoplasty. When the bone and cartilage are bent on oneside the osteotomy of nasal bone is suitable procedure. Firstly we need to remove the fractured bone and relocate to create the straight line, the protruded bone can be replaced as well as hollow bone. The replacing of bone is the correction of deviated nose. Nostril Reshaping The low profile nose can create like African-american nose due to wide nostril. Therefore the correction of wide nostril is needed during rhinoplasty, which will perform the much effective result. The incision is made inside of mucous membrane which does not perform scar. The short period of recovery time is needed for this procedure. Nasal Reduction • Correction of Aquiline Nose The hump nose are demonstrates as more developed structure compare to normal people such as nasal bone, nose cartilage and nasal septum. The protruded nose bone, projected dorsum cartilage, dropping and deviated nose tip are indicates as general symptom. Therefore these symptom are noticeble. When the certain part of the bridge has been protruded, the use of sepecial operatory can perform effective result by rasping the protruded bone. The use of an implant on the bridge to enhance the height will create natural line. When the bone is highly prominent, the intersection of bone and cartilage will be devided into sections. The dividing sections are protruded bone, outside cartilage and septal cartilage. The high dorsum can be improve and have satisfaction result through the methods described above. However with low profile nose, the above method will create more depression therefore the protruded bone need to be removed and insert an implant to create higher profile bridge. • Reduction of nasal bone The broad nose reduction was one of the procedure for correcting deviation Nose and hump Nose. These days broad nose reduction is done by its purpose. The width of bridge bone can be determined by bone and outside cartilage. The procedure follows the structure of the bone, as well as pushing the broad bone to accmulate together. In order to reduce the broad bone, the outside osteotomy is the suitable method. This procedure is by craking the outside bone and push them inside. This is a speical osteotomy to reduced the bone by adjust suitable width. • Reduction of Bulbous Nose With the base of the wide or bulbous nose, it can not defined for face. The nose are in the middle of our face therefore it can impact on apperance. Therefore the wide base can be corrected by base reduction. Asian nose has a thin cartilage comparing to European however the skin is thicker. This comparison are noticed on nose tip. This appereance can achieve to have sophiscated look by base reduction. The base reduction is a suitable procedure for wide base and nostril. This surgery can decrease the base and the scar is not noticble due to inside incision. This is a simple surgery can perform an effective result. In order to perform this surgery the width of base, nostril size and length of nasal alar wing are needed to be determined. It is important to know the shape and height of nostril as well as the length for overall. From this examined result, the decision can be done whether the nose tip surgery needs to be done with base reduction or not. The correction of nostil size and the length of outside nasal alar wing can be done together. What to Keep in Mind Before and After Surgery • Pre-Operative Care 1. You should avoid the menstruation period if possible, but in an inevitable case, please inform us in advance for the preventive measures from menstrual bleeding. 2. You should avoid taking aspirin, anti-inflammatory drugs, and vitamin E supplements about a week before surgery as they can cause increased bleeding. 3. You should avoid taking certain medications such as over-the-counter Korean herbal medicines or steroid drugs about a week before surgery as they can affect and disturb wound healing. 4. You should stop smoking and drinking a week in advance of surgery. 5. It is important to schedule the date of surgery considering the healing time as, in general, men bleed more and need more time to relieve swelling than women do. 6. The amount of time it takes for recovery varies greatly according to the type of procedure and its healing process is gradual. You should make the decision for the right procedure of nose surgery that you can afford in terms of time and cost. 7. You should stop taking food 6 hours before surgery to make the stomach empty for painless intravenous sedation. 8. You should remove nail polish as fingernails are monitored to check the patient’s condition during the operation. 9. You should not wear any metallic accessories or ornaments which can cause the malfunction of surgical instruments and probable burns. • Post-Operative Care 1. It takes one or two hours for nose surgery in general. When the surgery is completed, you will be taken to the recovery room for about an hour and apply an ice pack to the incised area for the reduction of swelling. When you become stable and feel less discomfort, you will be allowed to go home. 2. Cold compresses or an ice pack is helpful to relieve the swelling for the first 3 to 4 days after surgery and then hot pack is recommendable. 3. The patient may experience minor bleeding for the first 2 days. Just wipe it away, which does no harm, but do not peel intentionally the dried-up blood clot off by force. 4. You should avoid reading or using computer for a week following surgery. Do not blow the nose even though you feel stuffy. Take the prescription drugs for 3 to 5 days after surgery. 5. While sleeping, you should keep your head elevated, higher than your heart for a week after surgery, which will help to reduce swelling. 6. To prevent nasal prosthesis from moving, you should avoid wearing glasses and frowning for several weeks after surgery. 7. Any other medications than prescription drugs should be reported to your surgeon or the hospital. 8. You should avoid drinking and smoking for a month after surgery. + hospital visit for follow-up care and return to normal lifeYou will visit the hospital for follow-up care the next day of surgery, 3rd day and 5th to 7th day after surgery. You can return to normal life 5 to 7 days after surgery, but swelling and bruising will last 2 weeks. Most normal activities can be resumed after 2 weeks, but some exercises lowering your head like swimming should be avoided. If you wear glasses, you’d better wear contact lenses for 3 weeks. + Post-operative scarring In general, scars are invisible as incisions are made inside of the nose. In case of open rhinoplasty, a small V-shaped suture mark is left on the columella but becomes very inconspicuous with the passage of time.