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.

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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.

Many male patients come and ask me this question and I, too, ask this questions to myself often as well.
What is the difference between a man nose surgery and a woman nose surgery, and also what is the technical difference?

The biggest difference is that the female patients usually want barbie nose line, i.e. a nose with curved line but the male patients do not like this but want straight, tall nose.
Another difference, which is even more important, is that all women, no matter how their original noses are, all want something clear and common, but the men do not. There is no one simple answer to how a man’s nose should look like. Its all a case by case situation. Individuality is more important for men.

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But there is one commonality here. The nasion should not be low and should extend from the forehead and downwards. This is why many men use implant or filler to make the nasion taller.



Let’s look at Tom Cruise’s nose for an example. It looks like Greek sculpture. “Sculpture” means that the nose from the eyes, nasion, and the nose tip is in a straight line and all are naturally connected.

If a Korean man wants such as nose, an implant or other tissue must be used to make the nasion taller.



But, Brad Pitt’s nose do not look like a sculpture. The nose tip is spread out as well. The nose itself is not narrow but wide. The nose whole is wide as well.

This is not a “pretty looking” image. But Brad Pitt is a very popular person. He is sexy and attractive. Very popular in US as well.

Sometimes when I look at Brad Pitt, I feel that he does not need a taller nose, but need his nose to be made narrow.

I feel that Leonardo DiCaprio’s nose is an ideal nose. It is better looking than any woman’s nose. If there is a patient who wants such a nose, then narrowing of the nose might be necessary.



In summary, a man’s nose surgery should include making the line connecting the nose root and the forehead taller. But slimming the nose is not necessary. There are at times when just inputting the implant is enough for man’s nose surgery. piggy nose correction, alar reduction are not necessary. A good choice must be made.
There are many men who want to correct a short nose. Many are satisfied with their looks after the short nose correction.



Short nose (if the angle on the nasion-forehead is big, then it does not look manly)
If the hump nose is severe, then this has negative face image.

But there are many who feel that they need to correct hump nose. A severe case of 매hump nose may look woman-like…
This is why a man’s nose surgery is not as simple as it looks. There are technical difficulties also, but one needs to consider the overall face shape and image of the male patient and then decide on the surgery plan.

Today, we looked at the difference between a man’s nose surgery and a woman’s nose surgery.
Thank you for reading. Have a good evening.

Structural nose surgery – Short nose (upturned nose, piggy nose) correction

Correcting a short nose can be looked at as a very important nose surgery.
Many Koreans do this and there are many inflammation, contracture, and other problems in the first surgery therefore there are much needed solution to eh short nose in the re-surgeries.


Short nose can also be called a upturned nose or a piggy nose. It refers to the short distance between the nasion and the nose tip, but each person has different face length so there is no absolute standard. One can call a short nose is the ratio of the length of the nose is short compared to the height. Also, a distinction of the short nose is that the nose has sharp edge on philtrum-nose pillar.


Short nose correction involves primary and secondary surgeries that have different methodology and interest.
The primary surgery involves normal short nose surgery. The most common method is lengthening transplant between the cartilage (nasal septum cartilage is mostly used)



The distance between the cartilages needs to be longer so that the cartilage on top and bottom can be turned around. This involves ‘pushing’ transplantation (ear cartilage is used).
These are the two methods.


The secondary is similar in methodology but the nose is contracted.
The reaction towards the outer substance leads to severe scar tissue that contracts the nose leading to a short nose.

The desquamation of such scar tissue and contraction is mandatory in the secondary surgery. A good desquamation then is followed up by extension transplant and/or pushing transplant.

Extending the cartilage is important however, the skin must be extended as well. In order to do so, a splint is used.
Today, I posted on the nose surgery. Short nose, upturned nose, piggy nose correction. Thank you for reading. Have a good evening.

No-line Ptosis Correction - Eyelid surgery Korea

Today’s post in on the no-line ptosis correction. It is also called nonincisional ptosis correction.

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People talk about the double eye lid surgery, or eye surgery in general but they are not satisfied with the double eyelids.

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People want the eyes to be cosmetically good, but we have two eyes therefore we need to solve asymmetric problem, provide solution to loss of strength in opening the eyes, can remove the skin on the eyes if the double eyelid covers the eyes too much. If there are too much Mongolian wrinkles then the wrinkles need to be removed and the double eyelid needs to be made. All these must be balanced out in order for the patient to have much satisfaction.

Therefore, eye surgery is not easy. It may look simple but it is very complicated, dynamic, and fluid. If you want a good outcome from the eye surgery, you need to know what the problem is. Then, you would have realistic expectation on the result.
Ptosis correction involves strengthening the opening of the eyes by pulling the muscle-tendon unit of the eyes by contraction or pull.

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There were many problems with this stage in the past.
The muscle – tendon unit is very deep insider the body therefore desquamation can lead to hurting of the other parts of the body. Also the unexpected over-formation of the scar or wound after the surgery makes the shape come out unexpectedly as well.
So the doctors thought and came up with more simple and quick procedure, no-line ptosis correction.

This does not involve cutting of the skin but folding the muscle-tendon involved in the opening of the eyes. This helps the contraction of superioris muscle.

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Why apply on the back side and not in the front?
There are many skin cell tissues at the front sider. The fat, orbicular muscle, etc that loosen up easily when tied together.
But the backside of the eyelid has Muller’s Muscle and superioris muscle that helps tying up more effectively.

No-line ptosis correction has very effective recovery time period, swelling, and others.
If there are other reasons apart from superioris muscle-tendon, then one must also dissect the skin on the eyelid therefore the ptosis correction would also involve dissection. And, if you have surgery in the past and you still have a lot of scar tissue, then you would need to open up this part and get the ptosis correction.

Today, we looked into no-lint ptosis correction.
Thank you for reading and have a great day.

Application of structural nose surgery (diced cartilage)

I explained on the overall concept of the structural nose surgery last time. Today, I would like to share on how the structural nose surgery can be applied to different noses.
When conducting a structural nose surgery, one needs to consider physiological status of the nose, the harmless effect on the skin tissue, and minimized damage on the skin and the tissue.
Let’s compare the nose to a building. When you construct a building, the priority is to build it safely therefore the groundwork foundation of the building should be strong and you also should use the right materials so that the building stays up for a long time.

If you want just a fancy building and do not focus on the basics or the fundamentals, then this could lead to an accident.
Let’s say you want to fix the 매부리코. You want to have this done quick then one would need to grind the nose then place the implant on top with cartilage or derma at the nose tip.


One must use the patient’s skin or tissue in structural nose surgery.
If you took off the cartilage or the bone from the hump, then this should be diced and used to make the nose tip or the nasion higher.
If you need more cartilage, then the cartilage and the dermal grind from the ear can be used and applied on the necessary part. This would help avoid any confusion in the blood circulation or the thinning of the nose skin that could make the inner side visible.


Using the structural graft (cartilage, dermal) to make the nose ridge higher
Also, you may think that the nose is very much like the original one.
There are many perceptions on the nose surgery including a negative one. The first reason for this is the silicone implants is too widely used. If it is easy to make out that you had a nose surgery then this means that people who look at you might not all have a positive perception on you.

There are times when the implant is necessary (for ex: when you need large amount of your own skin tissue, but you cannot find more), however, if you aren’t in such a situation, you should try not to use the implant.

We use the diced cartilage because it has longer durability than the lump of cartilage and also because we do not want the cartilage to damage the skin or surrounding tissue.

Easier explanation can be provide with the image of kimbab below.




There are many methods that can be applied on the nose surgery and there are many new methods that are tried today as well. However, the biggest principle does not change.

The principle that the surgery should be structurally safe and the safe environment should be maintained. The physiological balance on the nose should be maintained. These are the principles.

Thank you for reading. Have a great day.