Nose Surgery

Flat Nose (Augmentation Rhinoplasty)

Augmentation Rhinoplasty creates a balanced face

What is Augmentation Rhinoplasty?

Natural-looking and Beautiful Nose

Your facial appearance could be changed by augmentation rhinoplasty. By raising the nose, the face will look slimmer. Augmentation rhinoplasty is not only about augment the nasal bridge to be high but the important point is keeping the facial balance and deciding the height of the nose based on that balance.

  • Surgery Duration1 - 1.5 hours
  • HospitalizationNot Required
  • # of Postoperative visits2 - 3 Visits
  • AnesthesiaSedation
  • Removal of Stitches5 - 7 days after the operation
  • Recovery PeriodReturn to normal life after removal of stitches
We recommend Augmentation Rhinoplasty to:
  • Those whose nose is small and low.
  • Those whose nasal tip is higher than the bridge of the nose.
  • Those whose nasal tip is bulbous and low.

Operation Methods

Closed Rhinoplasty
Open rhinoplasty

Most surgical incisions are made inside the nostrils for the scars not to be seen. Closed rhinoplasty should be performed by well-experienced specialist plastic surgeons due to the limited access to the cartilage and bones of the nose.

With open rhinoplasty, a plastic surgeon can precisely correct each cartilage and bone by making incisions on the nasal bridge and completely exposing the structure of a nose. One of its advantages is that a surgeon can easily see the internal structure of a nose and perform a precise procedure. Open rhinoplasty is generally used for a more precise nose tip correction.

Note

Those who have been suffering from a serious sinus infection or have troubles in breathing due to a stuffy nose may have augmentation rhinoplasty with other functional rhinoplasty can be performed simultaneously.

Various Rhinoplasty Materials

Implants
Donated Tissues
Dermal Fat graft & Fascia
Autologous Cartilages

Silicone Implant

Silicone implant is the most common and oldest implant for rhinoplasty. It is not absorbed or does not change in shape even after a long lapse of time. In addition, it is easy to form silicone into various shapes, considering the patient’s facial characteristics.

If the patient’s skin is too thin, an implant may be seen through the skin. Proper implants should be used considering the patient’s skin thickness and conditions.

Gore-Tex (Surge Gore-Tex, Pure Gore-Tex)

Gore-Tex, widely applied to vascular surgery, has been proven to be safe. As Gore-Tex is softer than Silicone implant, it can be used for those who have thin skin. In addition, it looks very natural after an operation.

Gore-Tex easily assimilate into the tissues and develops few complications such as foreign body reactions due to its microscopic holes. Because of its soft texture, it is difficult to sculpt it into a desired shape or to insert it into a proper location. Therefore, surgery using Gore-Tex should be performed by well-experienced and skilled rhinoplasty (nose surgery) specialist.

Silitex

Silitex is an implant consisting of silicone on the front and thin Gore-Tex on the rear. It has the advantages of both silicone and Gore-Tex. If the patient has extremely thin skin, using autologous fascia or dermis may be added to the front of an implant, instead of Gore-Tex.

Donated Rib Cartilage

If you are not comfortable with autologous cartilage or afraid of scars or pain, donated cartilages may be used. Donated cartilages are used as a rhinoplasty material after being disinfected and stabilized. Approved by FDA in U.S.A.

Donated dermis (AlloDerm, MegaDerm)

Human dermis is processed to prevent rejection reactions. Using donated dermis, we can create a beautiful and natural-looking nose.

Autologous dermis

Autologous dermis, collected from the buttock or the groin, is used for nasal bridge augmentation of those who have extremely thin skin.

Publications relating to Dorsal augmentation using autogenous tissues by Dr. Man Koon Suh:

1Facial Plastic Surgery Clinics of North America (Link)

Fascia

A fascia is a sheet surrounding muscles. Fascia used for rhinoplasty are collected from the inside of the scalp above the ears. As surgical incisions are made on the scalp, they are easy to be collected. In addition, surgery using fascia is simple and the scars are not easily seen. Fascia are generally applied to patients with thin skin.

Ear Cartilages

ear cartilages, the most widely used autologous cartilages, can be easily collected and do not leave any scars after being collected. They are generally used for nose tip augmentation and sometimes for precise nasal bridge augmentation.

Septal Nasal Cartilage (Nose Cartilage)

Septal nasal cartilages, collected from the inside of the nostrils, do not require any incisions. As they are straight, they are used as a nasal bridge support to create a sharp and prominent nose.

Rib Cartilage

When septal nasal cartilages or ear cartilages are not enough, Rib cartilages can be collected. Rib cartilages are used to extend a firm and extremely short nose or a shrunk nose due to the side effects of the previous operation, and extremely upturned nose.

We can minimize side effects by using fascia and cartilages together.

1
Autologous cartilages are broken into tiny pieces and covered with fascia. They are good implants for both the first rhinoplasty and revision rhinoplasty.
2
Autologous cartilages are used for both acute inflammation, accompanied by swelling, pain, pus and chronic inflammation such as contracture.
3
Autologous cartilages are softer than costal cartilages and more durable than dermis.

Cautions Before Rhinoplasty

  • You must stop taking medications that interfere with hemostasis (oral contraceptive pills, hormone drugs, vitamin E, aspirin, etc.) at least two weeks before an operation. If you are currently receiving treatment for high blood pressure, heart disease, diabetes, or thyroid disease, you must inform your doctor or consultant in advance.
  • Cigarettes may cause phlegm, sneezing, or bleeding after an operation. We strongly recommend that you stop smoking for two weeks before an operation. A serious cold may reduce your trachea and respiratory functions. Please inform your consultant or doctor in advance if you happen to be suffering from a serious cold on the day of surgery.
  • Before you come to the hospital, you must remove makeup, contact lenses, any accessories, nail polish, and pedicure on the day of surgery.
  • You must stop eating any food at least four hours before an operation.
  • We recommend you to wear comfortable clothes, which will not irritate the surgical sites, a mask, a cap, and sunglasses. In addition, we advise you to come with a guardian or use public transportation.

Post-Operative Management

  • Placing the surgical sites on a higher position than your heart helps to reduce swelling.
  • Apply an ice pack on the surgical site for the first two or three days.
  • Avoid severe friction and acupressure massage around the surgical sites for at least one month after an operation. Use a sauna or take a hot bath at least one month later.
  • Refrain from smoking or drinking, which may delay your recovery, for at least four weeks after an operation.
  • You may engage in some light exercise such as a walk right after an operation. However, you must refrain from heavy exercise such as aerobics, tennis, and swimming, for at least three to four weeks after an operation.

With more than 19 years of experience, surgeons specialized in nose surgery.

JW nose team constitutes 2 nose specialists with know-how from various clinical experiences, as well as dedication to achieving the best result by medical research.

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