Achieving a Three-Dimensional Facial Contour Through Fat Grafting and Rhinoplasty | VIBE Plastic Surgery, Sinnonhyeon Station – Dr. Yoo Young-moon

Hello.

This is Dr. Yoo Young-moon from VIBE Plastic Surgery.

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When I consult with patients considering plastic surgery, I often hear the question, "Can I just get my nose raised?"

However, the three-dimensional look of the face isn't determined by the nose alone.

Especially in profile view, the line created between the forehead and the nose often defines the overall impression.

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Today's patient also felt that her low, flat-looking nose was her biggest concern.

But upon closer examination, she also lacked volume in the central forehead and in the under-eye + front cheek areas,

and improving those together would deliver a much better overall result.

<Concerns Before Surgery>

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The patient is a woman in her 20s with a naturally pretty face shape overall, but she was concerned about:

✔ A low, flat-looking nose

✔ Lack of definition at the nasal tip

✔ Insufficient volume in the central forehead

✔ An unsatisfying line flowing from the forehead down to the nose

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From the front, these features weren't very noticeable, but in profile, her forehead appeared slightly flat,

which in turn made her nose look even lower by comparison.

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Many people assume that if the nose looks low, the only solution is to raise the nose itself. In reality, the proportion between the forehead and the nose matters more.

When the forehead has appropriate volume, even a nose of the same height can appear far more refined and three-dimensional.

<Surgical Plan>

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1. Fat Grafting (forehead + temples, front cheeks + under-eyes, chin tip)

The patient's overall forehead volume wasn't bad.

However, the area running from above the eyebrows to the central forehead was somewhat flat, leaving the line connecting to the nose underwhelming.

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So rather than making the forehead excessively rounded,

we performed fat grafting in a way that naturally filled only the deficient areas.

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The goal of fat grafting is not simply to enlarge the forehead,

but to enhance the three-dimensional look of the entire face and create a natural connection with the nose.

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2. Rib Cartilage Rhinoplasty

Her biggest concern was the low, flat appearance of her nose.

To stably raise the nasal tip and ensure long-term durability, we used donor rib cartilage.

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Using donor rib cartilage, we built a strong support structure,

and carefully adjusted the direction and height of the nasal tip to complete a more refined line.

We also refined the flat, spread-out appearance of the nose, creating a sharper, more defined image even from the front.

<When Combining Fat Grafting and Rhinoplasty Works Best>

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Through consultations, I've found that many patients actually have this type of facial structure.

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① When the nose is low AND the forehead is flat

In this case, raising only the nose can make the connection between the forehead and nose look unnatural.

Adding proper volume to the forehead can create a much more refined three-dimensional look without over-elevating the nose.

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② When the profile looks flat

Sometimes the face looks fine from the front, but appears flat in profile photos.

In such cases, correcting the "forehead, front cheeks, and chin tip" along with the nose brings out the central axis of the face and creates a much more refined side line.

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③ When you want natural-looking changes

Raising only the nose dramatically can sometimes make the surgery obvious.

On the other hand, designing the forehead and nose together means that even smaller changes in each area produce a much bigger shift in overall impression.

You can expect a natural result where people around you feel that you look prettier, but can't quite pinpoint what has changed.

<The Synergy of Fat Grafting and Rhinoplasty>

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Because the forehead and nose form a connected line at the center of the face, addressing them together produces far better results than improving only one part.

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Especially for female patients,

✔ A soft forehead line

✔ A natural nose line

✔ A refined nasolabial angle

✔ A three-dimensional profile

When these four elements are in harmony, a more feminine and elegant impression can be achieved.

<Changes After Surgery>

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By performing fat grafting and rhinoplasty together for this patient,

the flow from the forehead ~ nose ~ chin tip became much more natural,

and her previously low, flat-looking nose was transformed into a more refined and three-dimensional shape.

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The changes were especially striking not just from the front, but from the side.

I consider this a representative case where a design that considered the balance of the whole face — rather than simply raising the nose — produced excellent results.

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If you're considering rhinoplasty, it's important not to focus only on the height of the nose,

but to also examine the three-dimensional flow of the face from the forehead ~ nose ~ chin.

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At VIBE Plastic Surgery, we carefully consider each patient's individual facial proportions and harmony

to create the most natural and refined transformation possible.

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Thank you.

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Frequently Asked Questions

What are the advantages of combining rhinoplasty with fat grafting?

Yes, the overall three-dimensional effect of the face is naturally enhanced. When the nose is low and the forehead is flat, raising only the nose excessively can look unnatural. However, by performing fat grafting on the forehead and front cheeks, you can achieve a sophisticated line without overly raising the nose.

What material was used to raise the nasal tip?

Donated costal cartilage was used. To stably raise the nasal tip and ensure long-term maintenance, a strong support structure was created with donated costal cartilage to clearly improve the appearance of a broad nose.

Which areas of the face received fat grafting?

Fat grafting was performed on the forehead, temples, front cheeks, under-eyes, and chin. Instead of creating an overly convex appearance, only the deficient volume, such as the flat area extending from above the eyebrows to the center of the forehead, was naturally filled to create a smooth connection with the nose.

Is it effective for those with a flat profile?

Yes, it is very effective. If your front view is fine but your profile is flat, correcting the forehead, front cheeks, and chin along with rhinoplasty will bring out the central axis of your face, creating a much more three-dimensional and sophisticated side profile.