2026-05-25
REAL Story 1: Eye, Nose, and Facial Line Transformation
A comprehensive transformation story of a patient in her 20s who underwent revision eye and nose surgery along with facial contouring to achieve a defined, slim look.
* Basic Information
# Female in her 20s
# Medical History: Incisional double eyelid surgery (twice), epicanthoplasty, lateral canthoplasty, alar reduction
* Diagnosis of Current Condition
# Eyes
- Eye-opening strength is not bad, but the low position of the eyebrows creates a heavy, pressing look on the eyes.
- The narrow space between the eyebrows and eyes results in a bulging and stuffy appearance.
- Scars from the two previous eyelid surgeries are prominent, and the eyelids feel heavy and puffy.
# Nose
- Low nasal bridge and drooping nose tip.
- The bridge line appears uneven due to a hump.
- The cartilage is very thin and lacks structural strength.
# Face Shape
- The face looks round and heavy due to fat in the cheeks and double chin area.
* Desired Changes
# Eyes
- Wants to improve the loosened lines and multiple folds to achieve a clear, large ‘out-line’ (parallel) double eyelid.
- Wants to reduce the puffiness of the eyelids for a more refreshed and defined look.
- Previously had lateral canthoplasty but saw no effect; wants to open up the outer corners more effectively.
# Nose
- Wants to smooth out the uneven bridge and achieve a sleek ‘straight-semi-basal’ (straight-curved) line.
- Wants the low, wide-looking bridge to appear more defined and elongated.
# Facial Line
- Wants a smoother V-line.
- Desires a sleek profile and jawline.
* Surgical Plan
# Eyes
- Endoscopic Forehead Lift
- Incisional Double Eyelid Surgery (3rd revision)
- Mango Canthoplasty (2nd revision)
# Nose
- Rhinoplasty (Hump reduction, silicone implant)
- Tip Plasty (Donated rib cartilage: Septal extension graft + Ear cartilage: Layered graft)
# Face Shape
- Ultrasonic Liposuction (Double chin, jawline)
- Buccal Fat Removal
Studio Photos
* Post-operative Progress
# Eyes
- A bold out-line was successfully created, yet the eyelids do not look puffy at all. A light and refreshed eye shape was achieved.
- Through incisional revision surgery, all previous scars were removed, and we focused on creating a natural look as if it were her first surgery.
# Nose
- As expected during surgery, the septal cartilage was extremely thin and weak. We also discovered a severe deviation (signs of a past fracture) in the middle of the septum.
- While preserving the septum as much as possible, the tip was reconstructed using donated rib cartilage and ear cartilage. This resulted in a natural yet sharp, straight-curved tip line.
- The bridge was smoothed and heightened, drawing attention to the center of the face. This added three-dimensional depth to a previously flat face, making it appear smaller and more balanced, which the patient was very satisfied with.
# Face Shape
- The V-line was completed through ultrasonic liposuction (double chin, jawline) and buccal fat removal.
- The overall look appears much lighter and more refined, doesn’t it?
Real Selfies
Frequently Asked Questions
Is it possible to remove existing scars during eye revision surgery?
Yes, it is possible. In this case, we aimed to create natural-looking eyes, as if undergoing surgery for the first time, by removing all existing scars through incisional double eyelid revision surgery.
Is nose revision surgery possible even if the nasal septum is weak?
Yes, it is possible. In this patient's case, the nasal septum was very thin and weak, with traces of a fracture, but we maximized the preservation of the septum while using donated costal cartilage and ear cartilage to create the nasal tip.
How are a hooked nose and a low nasal bridge improved?
Through nasal bridge rhinoplasty, a hooked nose can be refined, and the nasal bridge can be elevated using silicone implants. This can improve an uneven line and create a sleek, straight-to-upturned line.
What procedures are needed to transform a round face into a V-line?
A round and heavy-looking face due to fat in the cheeks and double chin can be improved through ultrasonic liposuction and buccal fat removal. This can complete a smooth V-line.
What effects can be expected from a forehead lift?
Endoscopic forehead lift is considered when the eyebrows themselves are low, pressing down on the eyes, or when the space between the eyebrows and eyes is narrow, making the eyes appear stuffy. This can make the eyes look more open and defined.