2026-05-24
Can I Have a Nose Like Karina? Yes, You Can!
A case study of a patient in her 20s who achieved a refined, Karina-inspired nose through long nose and bulbous nose correction after unsuccessful non-surgical treatments.

* Basic Information
# Female in her 20s
# Medical History: Multiple filler and Hiko (thread lift) procedures (+)
# Current Condition: Tried Hiko treatments, but the long, drooping nasal tip did not improve :(
* Consultation
# The patient was concerned that Hiko procedures failed to lift the columella and shorten the nasal tip as desired.
# Since a long nose can create an impression that looks older than one’s actual age, we planned to create an appropriate nasal tip shape and nasolabial angle.
# Her ‘wannabe’ look is a nasal tip like Karina’s—high and defined, yet not overly sharp :D
* Plan
# Rhinoplasty
- Dissolving fillers and removing foreign substances
- Long nose correction
- Bulbous nose correction












* Post-Operative Progress
1. During surgery, I found a significant amount of foreign material in the columella and nasal bridge area. It was scar tissue formed as the threads from previous Hiko procedures dissolved. This is why I am not a fan of Hiko treatments; they often interfere when it comes time for a truly important surgery.
2. By correcting the long, drooping columella and creating an ideal nasal tip shape and angle, we achieved a very satisfying result.
3. We aimed for a nose like Karina’s—high and sleek, but not excessively pointy. It suits her perfectly :)
Consultations and surgeries should be performed by a board-certified plastic surgeon!
The VIBE that comes from extensive experience.
Dr. Yoo Young-moon, Representative Director of Vibe Plastic Surgery
Vibe Plastic Surgery complies with all medical laws. These before-and-after photos were taken under the same conditions and used with the patient’s consent. Complications and side effects such as bleeding, inflammation, infection, and asymmetry may occur depending on the individual, and caution is required.
Frequently Asked Questions
Is it possible to improve the nasal tip even after a Hiko procedure?
Yes, it is possible. Even after a Hiko procedure, significant improvement of the nasal tip is possible, and the patient in the main case study satisfactorily corrected their long nasal tip, which was not improved by the Hiko procedure, through rhinoplasty. However, if there are foreign substances or scar tissues from the Hiko procedure, they may need to be removed during surgery.
What impression does a long nose give?
A long nose can give the impression of looking older than one's actual age. The text explains that this impression can be improved by creating an appropriate nasal tip shape and nasolabial angle, resulting in a younger and more sophisticated image.
Is it possible to remove fillers or foreign substances during rhinoplasty?
Yes, it is possible. During rhinoplasty, existing fillers can be dissolved, and foreign substances and scar tissues from procedures like Hiko can be removed together. In the main case study, foreign substances found during surgery were also removed as the surgery proceeded.
Can I get a sharp nose like Karina's?
Yes, it is possible. The patient in the main case study also desired a sharp yet not too pointed nasal tip like Karina's, and achieved satisfactory results by creating an ideal nasal tip shape and angle. We aim for naturalness in harmony with the individual's facial features.
Can a Hiko procedure interfere with rhinoplasty?
Yes, it can interfere. The text mentions that scar tissues or foreign substances resulting from the dissolving threads after a Hiko procedure can interfere with important rhinoplasty. Surgery should proceed after removing foreign substances.