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Nose Surgery

Tip Plasty

No more awkward nose tip! Imagine yourself with a beautiful and natural-looking nose tip!

What is Tip Plasty?

Customized Tip Plasty for your face

Defined nose makes your face look more beautiful and younger than your actual age. An upturned nose, a droopy nose, or a bulbous nose can be corrected through tip plasty. JW Plastic Surgery creates a beautiful and natural-looking nose with symmetrical nostrils and alar base, which does not droop even after a long lapse of time.

In order to design a beautiful nose tip for your face, we make an accurate diagnosis by analyzing the shape, angle, length, and height of your nose in depth. Although you may see sufficient results only with tip plasty, you will be even more satisfied if you receive tip plasty.

Using of autologous can make your nose tip to be more natural!

Using of autologous in “JW Plastic Surgery Center” can give lower percentages of results in few side effects such as inflammation or thinning nose tip skin and makes your nose tip move naturally.

  • Surgery DurationApprox. 1 hour
  • HospitalizationNot Required
  • # of Postoperative visits2 - 3 Visits
  • AnesthesiaShort-Term Sedation
  • Removal of Stitches5 - 7 days after the operation
  • Recovery Period7 days
We recommend Tip Plasty to the following people:
  • Those who have a bulbous nose tip.
  • Those who have an upturned nose.
  • Those who have a long nose tip such as a droopy nose and hump nose.
  • Those whose nose tip is lower than their nasal bridge.

JW’s Know-How for Tip Plasty!

No Drooping Over Time

Your nose tip will not droop even after a long lapse of time but remain in beautiful shape.

Customized Surgery for your Face

If using of autologous cannot be performed, donated costal cartilage or artificial dermis will be used, instead of hard foreign materials.

Using Fascia if Necessary

For a beautiful and natural-looking nose shape, a nose tip will be covered with fascia after using of autologous if it is necessary.

Safe Surgery using Autologous Cartilage

We perform safe tip plasty using ear cartilage, septal nasal cartilage, or costal cartilage, instead of implants.

Minimized Rejection Reactions and Side Effects

We can change any nose tip such as bulbous nose, upturned nose, or droopy nose to a beautiful nose by correcting of height, angle, and shape.

Procedure

#1 | Re-positioning of Alar Cartilage

We can raise the height of a nose tip by re positioning of your own alar cartilage.

#2 | Autologous Cartilage Implantation

This procedure will corrects the shape of a nose tip using septal nasal cartilage, rib cartilage, or costal cartilage. Autologous cartilage may be implanted into the nasal bridge so as to support the nose tip or the nasal septum may be extended.

Publications relating to septal extension graft with septal cartilage, by Dr. Man Koon Suh:
  • 1Annals of Plastic Surgery (Link)
  • 2The Journal of Craniofacial Surgery (Link)
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.

#3 | De-rotation Graft

In order to prevent the alar cartilage from being seen, we create a natural-looking nose tip by implanting autologous dermis or artificial dermis into a nose tip.

#4 | Combined Method

The above procedures may be combined and performed at the same time.

#5 | Rein-shaped columellar strut graft

The noses of Asians are smaller, and their nasal tip skin is thicker than those of Westerners. Moreover, in the Asian nose, the tip projection is poor and the tip-defining point is obtuse. To obtain sufficient nasal tip projection, structural supporting grafts such as the columellar strut graft or septal extension graft are required in most Asians.

Publications relating to rein-shaped columellar strut graft, by Dr. Man Koon Suh:
  • 1Aesthetic Plastic Surgery from ISAPS (Link)

In-Depth Examination

In-depth examination through a three-dimensional CT analysis

Before surgery, we conduct a precise and in-depth examination through a 3D-CT analysis on the nasal bones, the shape, conditions, and size of nasal soft tissues for a safe and accurate operation.

A deviated nose and nasal septum deviation

In case of congenital nasal septum deviation or asymmetrical bones or cartilages bent by external injuries, a deviated nose should be corrected for both aesthetic reasons and functional improvement such as breathing.

Nasal Obstruction

Inferior turbinate hypertrophy may cause nasal obstruction. Rhinoplasty can help treat nasal obstruction.

Various forms and sizes of septal nasal cartilages

When using septal nasal cartilages for rhinoplasty, we analyze the sizes and shapes of septal nasal cartilages accurately for precise surgical planning.

The size of Nasal Bone

After analyzing the size and shape of nasal bones, nasal osteotomy may be performed during rhinoplasty, if their size needs to be corrected.

*A 3D-CT analysis may not be required depending on your physician’s opinion.

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 18 years of experience, Surgeons specialized in Nose Surgery.

JW nose team constitutes 3 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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