RHINOPLASTY
BY TYPES
Nose with hump
Wide nasal bridge
Crooked nose
Upturned nose
Bulbous nose
PLASTIC SURGERY
Rhinoplasty - Hump Removal
No hump recurrence, complete improvement
Surgery duration
1 hour-1.5 hours
Types of anesthesia
IV sedation
Hospitalization
Same-Day Discharge
Stitch removal
1 week
shaving
implant
STEP 01
Average height of nasal bridge with hump
In case of average height of nasal bridge with bone and cartilage projection, shaving the hump alone can make the surface of bridge smoother.
STEP 02
Flat nose with hump
Augmenting the flat nose is done by correcting the hump and inserting the implant (or autologous cartilage and dermis) together.
STEP 03
Big nose with hump
When the nose is big, while removing the hump lateral osteotomy is preformed to narrow the bone and correct the line.
Stitch removal
1-2 weeks
Hospitalization
Same-Day Discharge
Types of anesthesia
General Anesthesia
Surgery duration
1 hour-1.5 hours
Blunt nose to sharp nose
Reductive rhinoplasty
STEP 01
Upper side of nasal bone is fractured to reduce the nasal bridge.
STEP 02
Both sides of nasal bone also get fractured for bone movement..
STEP 03
Fractured bone is pushed to the middle of nose so the thickness and the shape is improved
Stitch removal
1-2 weeks
Hospitalization
Same-Day Discharge
Types of anesthesia
IV sedation
Surgery duration
1 hour-1.5 hours
Improvement in function caused from deviated septum
Rhinoplasty for Crooked Nose
CASE 01
n case of only the nasal tip being tilted, cartilage or dermis can be used for correction,
CASE 02
Both sides and the middle of nasal bone is fractured for nasal bone to correct to nose to the right position
CASE 03
The part of deviated septum is removed: the middle of the nose is corrected usin autologous tissues if necessary.
Nasal tip tilting to one side
Crooked nasal bone
Deviated septum
Stitch removal
1-2 weeks
Hospitalization
Same-Day Discharge
Types of anesthesia
IV sedation
Surgery duration
1 hour-1.5 hours
Turn into sophisticated impression
Rhinoplasty for Upturned nose
CASE 01
In this case, raising the height of nasal bridge alone can raise the starting point of nose.
CASE 02
When the nasal bridge and tip are high enough but the tip is upturned, cartilage from septum or rib is used to lengthen th nasal tip downward for correction.
Suppressed glabella
Upturned nasal tip
Stitch removal
1-2 weeks
Hospitalization
Same-Day Discharge
Types of anesthesia
IV sedation
Surgery duration
1 hour-1.5 hours
Bulbous nasal tip turn into sharp tip
Rhinoplasty for Bulbous nose
CASE 01
The cartilages are made smaller and gather them in the middle. Cartilages of ears or septum inserted in the space between spread cartilages for nasal tip to look narrower.
CASE 02
Trim the cartilages smaller and both sides are sutured and tied so that the septum connected from lower part gets elevated for sharper nasal tip.
CASE 03
Fat is removed and flat nasal tip or bone gets raised using autologous tissues.
Wide alar cartilage
Spread alar cartilages
Thick layer of fat on nasal cartilage
Rib Cartilage Rhinoplasty
PLASTIC SURGERY
RIB CARTILAGE
RHINOPLASTY
Rhinoplasty - Hump Removal
No hump recurrence, complete improvement
Surgery duration
1 hour-1.5 hours
Types of anesthesia
IV sedation
Hospitalization
Same-Day Discharge
Stitch removal
1 week
STEP 01
STEP 02
STEP 03
Rib cartilage
Carved rib cartilage is inserted in the nose tip.
Harvested rib cartilage is delicately carved.
Rib cartilage is harvested through a 2-3cm incision made underneath the chest.
Alar Base Reduction
Nostril Extension
ALARPLASTY
Alar Base Reduction
Sharp, three-dimensional design
Surgery duration
30 min-1 hour
Types of anesthesia
IV sedation
Hospitalization
Same-Day Discharge
Stitch removal
1 week
CASE 01
CASE 02
When alar width is wide
When alar circumference is wide
When the alar base is large and wide, the height of nose can appear low even when it's not and the nose and nostril can stand out from the face giving off unrefined impression. The reason why the alar base appears wide will be accurately analyzed and customized surgery will be planned accordingly.
CASE 02
When alar width is wide
STEP 01
When the alar width is wide.
STEP 02
Incision is made below the nostril.
STEP 03
The width of the alar is reduced by tiding both nostrils closer with thread.
CASE 01
When alar circumference is wide.
STEP 01
When alar circumference is wide.
STEP 02
Wedged shape incision line is made on the alars.
STEP 03
The alar circumference is reduced and the tip is gathered and sutured
Stitch removal
1-2 weeks
Hospitalization
Same-Day Discharge
Types of anesthesia
IV sedation
Surgery duration
30 min-1 hour
Improvement to ideal alar base by correcting the nostril
Nostril Extension
CASE 01
CASE 02
When the nostrils are too exposed due to upturned nasal tip
When the nostrils look bigger because the alars are positioned high compare to the columella
When the alars are positioned high compare to columella or the tip is upturned, the nostril can be too exposed from the front and overall shape can look unbalanced. Nostril extension corrects the alars to a suitable length and improves the proportion of the nose and nostril.
CASE 01
Skin is resected inside the nostril. After pushing the V- shaped resected skin to the edge, it's sutured into Y-shape extending the alar base downward.
Method of Alar Base Extension
V-Y advancement
STEP 02
Alar base can be extended down by repositioning the nasal septum.
Alar Cartilage
Repositioning
STEP 03
Alar base is corrected by grafting ear cartilage or nasal septum to the alar rim.
Alar Cartilage Graft
Deviated Nose Revision
Overdone(noticeably done) Nose Revision
Nasal Implant Revision
Nasal Capsular Contracture Revision
Infected Nose Revision
REVISION
RHINOPLASTY
Deviated Nose Revision
Correcting the deviated nose straight after rhinoplasty
Surgery duration
1 hour-1.5 hours
Types of anesthesia
General Anesthesia
Hospitalization
Same-Day Discharge
Stitch removal
1-2 weeks
If rhinoplasty was done without correcting the deviated nose from the beginning or the nose became deviated after the implant itself has bent, correction is needed not only because of aesthetic aspects but also as it can cause functional problems.
Types of deviated nose
01 When the implant is deviated after Rhinoplasty
The bridge can look deviated after rhinoplasty if the implant is bent or changed overtime.
02 When the actual axis of the nose is bent
Revision surgery can be needed if rhinoplasty was done without correcting the deviation of the nose.
Customized implant insertion
CASE 01
In case of slight deviation
Customized implant is additionally made to reinforce and correct the opposite side of the deviated cartilage.
Bone fracture
Nasal septum correction
CASE 02
In case of severe deviation
The deviated nasal bone is fractured and corrected and the deviated nasal septum is corrected at the same time.
Stitch removal
1-2 weeks
Hospitalization
Same-Day Discharge
Types of anesthesia
IV sedation
Surgery duration
1.5 hour-2hours
Confidence with natural height and design
Overdone Nose Revision
CASE 01
When the nose bridge is excessively high
CASE 02
When the nasal tip is overly high or pointy
CASE 03
When the hump was not corrected properly
Rhinoplasty that was done without considering the balance of the face such as overly high glabella, pointy tip will be precisely analyzed and the new shape of the nose will be designed according to the proportion of the face.
STEP 01
The previous implant is removed and custom- made implant is inserted considering the balance of the facial features.
When the bridge is overly high
STEP 02
The previous unnatural looking implant is removed and the shape of the bridge and tip is corrected using autogenous cartilage such as ear cartilage or nasal septum.
When the nasal tip is overly high or pointy
STEP 03
After removing the implant nasal bone & nasal cartilage reduction is performed. Custom- made implant is inserted to improve the shape of the nose after correcting the hump.
When the hump was not corrected properly
Nasal Implant Revision
Side effect from implant is accurately improved
Surgery duration
1.5 hour-2hours
Types of anesthesia
IV sedation
Hospitalization
Same-Day Discharge
Stitch removal
1-2 weeks
When the implant wobbles
CASE 01
Revision surgery is required when the implant wobbles as it did not adhere to the nose properly or the implant is visible or extruded from the tip due to skin thinning.
When the implant is visible or extruded
CASE 02
CASE 01
After removing the previous implant, space for the new implant is dissected through the lower part of periosteum and custom-made implant is inserted.
When implant wobbles
CASE 02
When the implant is excessively thick and does not match the facial image, it's replaced with a thinner implant.
When the implant is too thick
CASE 03
When the implant is visible due to thin skin, it can be improved by wrapping the implant with temporal fascia.
When the implant is visible from the bridge
CASE 04
After removing the implant the thinned skin is wrapped with dermis and tip plasty is performed using only cartilage.
When the nasal tip is visible
Nasal Capsular Contracture Revision
Reconstruction of deformed nose due to nasal contracture
Surgery duration
1 hour-1.5 hours
Types of anesthesia
General Anesthesia
Hospitalization
Same-Day Discharge
Stitch removal
1-2 weeks
Capsular contracture occurs due to inflammation or repetitive revision surgeries as the skin becomes hard and short. The procedure of extending the length of the tip and lowering the unturned tip is needed.
Capsular contracture Causes
01 Capsular contracture due to inflammation after rhinoplasty
It can be caused by adhesion of the epithelium around the implant and scar tissues inside the nose due to inflammation after the surgery.
02 Repetitive Rhinoplasty
As a result of undergoing multiple rhinoplasty revision surgeries the nose can become hard and short due to scar tissues.
CASE 01
After removing the implant the contracture is released.
CASE 02
The nose is reconstructed using nasal septum or ear cartilage. If necessary rib cartilage can be used.
Infected Nose Revision
Preventing the inflammation using autologous tissue
Surgery duration
1 hour-2 hours
Types of anesthesia
IV sedation
Hospitalization
Same-Day Discharge
Stitch removal
1-2 weeks
The reason of nasal inflammation
Allergy due to implant
Infection during surgery
Nasal inflammation has to be treated as it can disturb the surgical area to heal properly or cause contracture. The inflammation can be treated and prevented by removing the previous implant and using autologous tissue.
CASE 01
Implant that causes inflammation is removed.
CASE 02
Allow the inflammation to subside with enough recovery time and treatment.
CASE 03
Autologous tissue (nasal septum, ear cartilage, rib cartilage, autologous dermis, etc) is used to prevent recurrent inflammation.
BEFORE & AFTER
