Rhinoplasty Korea KIES-U Plastic surgery

The doctors are mostly worried about the inflammation and bending in a nose surgery (especially cosmetic surgery).
Why do these complications (inflammation, bending, changing, twisting) exist? I would like to share about this today.

How is the Physiological match?

The first problem is that the foreign substances enter the body and restrict normal circulation.
The nose is a part of the body, and all the parts of the body has blood circulating with supply of nutrition and oxygen, and removing of body waste.
If there is no such circulation in any part of the body, then the body becomes weak to

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Implant / Body waste, other waste, carbon dioxide / Oxygen, nutrition, immune system
It’s like having a upper pipe and a lower pipe, but there is something stuck in between. Although there is water circulation, the circulation is slowed down by the substance that is stuck. What happens to the water that does not flow down the basin? The basin would turn dirty and mold can be formed. If you use the water and let it flow down, this would not happen.

Rhinoplasty Korea KIES-U

As the implant gets bigger or thicker, such delay in circulation becomes worse. This would lead to damage in supply of nutrition and in removing waste. Finally such happening would cause weakened immune system and higher possibility to infection.
The usage of implant does not always lead to infection. There are other variables as well. The more important issue would be how well the implant physiologically matches the surrounding skin tissue in a nose surgery.

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The implant should not make a dead space between the bone below and the skin tissue on top of it. It should structurally fit into the body. Also, there should be minimum bleeding in the desquamated skin around the implant. If there is much damage and bleeding, then there would be much capsular formed making the implant move to another position. The implant would not fit properly with the surrounding skin tissue. If the surrounding tissue remains undamaged and functional, there would be no problem caused. However, if the skin tissue is pushed, pressed down, or if there is a deal space, then the skin tissue cannot remain healthy and functional.

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This physiological match of the implant with the nose is the life or death matter. The same applies to the cartilage, skin, or fat transplant as well.

Nose surgery can be thought of as three dimensional example of a building being remodeled. You cannot change the foundation such as the electricity, water pipe, and others in order to change the shape of the building. Changing the foundation would lead to side effects. The most representative side effect would be infection and bending of the nose.

There is a possibility of hindrance in circulation due to the usage of the implant.
If the surrounding tissue of the implant is not healthy, then there is a breakage in the physiological match.

These two situations would be the source or the cause of infection on the nose after the surgery.

If you are already infected, 

Not all infection, including that from microorganism, lead to symptoms. Most infections have more sleeping effects underneath such as that of an iceberg. If the infection causes itching, edema, fever, oppressive pain, then there is something much larger under the iceberg.


If there is clinical symptom that pops up and disappears often, this means that the iceberg is rising then going down repeatedly. It’s not that the iceberg is getting smaller and larger again.


All the infection or the bending of the nose caused with the movement of the implant are caused by the physiological mismatch of the foreign substance and the original nose skin tissue. The treatment to this would be returning to the original state.

If the implant is the problem, then it should be removed or changed. If the implant is pressurizing the cartilage or the skin then there should be changes made in order for it to be physiologically matching with the nose.

If the outcome of the first surgery leads to severe damage to the skin tissue and inability of the nose resisting the changes, then the implant should be completely removed without any hesitation.

It is best to go back to the original state and hope for the better future, then to leave it as it is.


Today, we looked at the core issue in structural nose surgery. A good nose surgery would lead to good physiological balance between the nose and the implant used.

There would not be any infection / bending / twisting of the nose, and the skin would not change form also.

Thank you for reading. Have a great day.

Structural nose surgery - Blunt nose tip correction

I would like to carry on sharing more details on the structural nose surgery. Today’s content is on Blunt nose tip correction, an area that many are much interested in.

Blunt nose tip - Rhinoplasty Korea

Blunt nose tip correction is done to make the disoriented nose tip sharpened and to close the distance between the two nose wings so that the nose does not look too wide. It is to make the nose more cosmetically better looking.

Many Blunt nose tip conditions lead to different methods, but one of the most representative one is to close the distance and make the wing cartilage volume smaller.

Blunt nose tip correction

Manipulating the cartilage is not fully effective for those Asians with blunt nose tip correction, so there is another method of making the nose higher.
Finally, there is a method of closing out the distance between the left and right nose wings.

Blunt nose tip correction - nose surgery Korea

Westerners have blunt nose tip usually with thick cartilage and are wide apart and very tall. Their noses can be fixed with shortening the cartilage and tying it up to get sharpening effect.
However, it is the opposite with Easterners. The cartilage is very thin and the derma thick. The nose is low also.
This is why we need to manipulate the cartilage and also make the nose taller or higher in order to get positive effect.



In order to make the nose higher, one needs to use the septum cartilage to make the pillar. Another good method would be to use the derma that was removed to reduce the nose wing width, and place the derma on the tip of the nose to make the nose higher.

Let’s say that there is a person who weighs about 60kg and is about 150cm tall.  If the person with same weight of 60kg is 170cm tall, then although the two weigh the same, the taller person would look much thinner. We try to make the blunt nose taller in same aspect.



Today we looked at the blunt nose tip correction in structural nose surgery.
Thank you for reading.
Have a great day.

Today, I would like to share about a few things that came into my mind when doing a rhinoplasty. First, I would like to share a though, “curved line (known as barbie doll nose job) nose job is similar to wearing high heels.”

Why do you wear high heels?
 "High heel was invented by a woman who got kissed on her forehead.” (Christopher Molley)???
 


Very common answers to why women wear high heels could be that they want to look taller, or they want to have their legs look pretty. A body changes according to whether the woman wears high heels or not.

Second might be because of pride. All women want to look arrogant and proud. All women try high heels at least once. It is difficult to express exactly, but women have sense of superiority when wearing high heels.

The bottom layer of the high heel that touches the ground is very little, and people want to be at a higher place than others. There is a little danger when wearing high heels, but women feel beauty from the heels as well.

Third is that the curves on the high heels attract women. High heels look most sophisticated from all the products that are laid out in the shopping malls.




There is another reason to why women choose high heels. People do not know this but there is one important reason.

Other women, too, wear high heels!

For example, if your friend wears 10cm high heels and your wear flats, do you think you can walk side by side with that friend? (ㅠ_ㅠ)

In Korea, where sociality is strong, you might not want to be the only one wearing flats. This is virtually impossible.

Anyway, high heels can be a source of pride to those women who want to look edgy.
 



Then why curved line nose?

Now, let’s talk about nose (high nose). If we refer to beauty surgery textbooks, most women want to escape from psychological stress by having a nose job done.
Why do you want curved line(barbie doll) nose? The answer to this question is the same as those for the high heels.

First, high nose makes the face look smaller and solid. This solid looking nose makes the face look thinner although you have a wide face. This is same as when a woman wears 10cm high heels and looks like she has long legs and good body.

Second, high nose makes you look arrogant and proud. The part of the high heel that touches the ground is very small, and so does the curved line nose that points up high. Historians say that if Cleopatra had smaller nose, the history would be changed. Also, when we say that someone has much pride, we say that the person is “hard (high) nosed.”
Curved line nose can be an expression of a woman’s pride as well.

Third, it is figuratively most beautiful. The curves on the nose makes a woman look beautiful.




But, Rhinoplasty is supposed to solve problem on the nose, and is a high technique measure to make the nose high or low so that it is in harmony with the rest of the face.

“Curved line or barbie doll nose” is a simple term to express the shape of the nose and cannot be an answer to everything.

If you are wearing shoes and if your feet feel pain or uncomfortable, you can take off your shoes, but this is not the case for the nose.
Curved line nose just refer to the nose tip. It does not define what a beautiful looking nose is.
This, too, is not the answer for pretty looking nose.


All these are important. A nose is a three dimensional figure and can look natural or unnatural on your face.

There was a Korean drama, “On-Air”, televised few years ago, and the main actor said the following to the main actress;
"You think you are popular since many people recognize you, right? You think that you are highly popular. But the only thing that is high is your high feels.”

The main actress in the drama has a character that is in danger, and is really excited. The author must have compared the character to high heels.

I have compared high and proud looking nose to high heels. Although curved line nose is popular, I do not recommend this to everyone. Just like any other beauty surgery, rhinoplasty procedure is applied according to different type of noses.


This is all for today. Take care and thank you for reading.

Let’s look at in details about the most important substance in nose job (nose surgery), the nasal septum.

There are many substances used in order to change the shape of the nose. The most common ones are the ear cartilage, nasal septum and the costal cartilage.



T
here are many who ask this question. “Do you use ear cartilage here or the costal cartilage?” I usually answer “nasal septum”. Then these patients make note of my response, and compare it with those from other surgeons.

This is same as asking a restaurant owner, which beef he uses. “Do you use beef from area A or area b?”


Of course the owner will answer with sincerity. He would answer that he uses beef from certain area and he would also share the reasons why such as that the customers like the meat and the taste, etc.

But then the owner might think that the area is not important but how you cook the meat is.

Much of the things happening around are the same. It is what you do on the inside, where other people cannot see you, is important. From the restaurant case, it is what you do in the kitchen that is important. What people say by what they see and feel from the outside is not as important.




It might be weird comparing the surgery with the restaurant but it is the same.

It does not matter what substance a surgeon used for the nose job or nose surgery. The important thing is the planning of the surgery, and how well the surgeon carries it out.

This is a skill from the experience of the surgeon. The surgeon has the knowledge and experience therefore; much of this experience is used for the nose surgery.

If the surgeon has much experience with the ear cartilage, then he or she would be most skillful in doing the surgery with it. Those with much experience and knowledge with the nasal septum would use the nasal septum to get the best result possible.

Let’s take a look on the nasal septum now.

If you put your finger insider the nose, there will be a pillar that separates the two nose hoes. The strong substance inside that pillar is called the nasal septum.

As you can see in the image above, the nasal septum is around the upper jawbone, and the nose bone. If you remove the cartilage then the nose will lose its shape. Therefore, you can only use so much in order to do the nose surgery.

The characteristic of the nasal septum is that it is less stiff compared to the ear cartilage and more smooth compared to the costal cartilage. Overall, it is flat, and smooth.



Ear cartilage looks more roundish (because there are more curves around the year), and the costal cartilage is thicker and stronger. Nasal septum is flat and has certain level of stiffness so it is used a lot.







As you can see in the images above, there are two types of procedures that you can do to change the shape of the nose tip. For both, you can use the nasal septum.

The biggest reason that the nasal septum is used is that you can get this cartilage under the same view or sight as the actual nose surgery(rhinoplasty). If you use the costal cartilage, then you need to cut and get the cartilage from the lower line of the breasts.

If you use the ear cartilage, then you need to cut the ear, and the recovery takes about a day or two. If you use the nasal septum, you do not need to work on other part of the body other than the nose itself, so both the patient and the surgeon can feel more comfortable.

There are many substances used for the nose surgery(rhinoplasty), but the most important one is the nasal septum. Today, if you do not use the nasal septum, this means that you do not know how to do the nose surgery.

This is all for today.
Thank you for reading.