Real Story 3: Comprehensive Eye, Nose, and Facial Transformation

* Basic Information

# Female in her 20s

# Eyes

• Eye-opening strength: Very weak
• Thin, sagging skin due to atopic dermatitis
• Multiple eyelid creases caused by frequent rubbing and weak levator muscles
• Bulging fat under the eyes creating a hollow, tired appearance

# Nose

• Low nasal bridge and very blunt nasal tip
• Excessive nostril visibility (flaring)

* Diagnosis of Current Condition

# Eyes

• Severe sagging and multiple creases due to frequent eye rubbing from chronic atopy since childhood.
• Strong epicanthal folds (Mongolian folds) blocking the inner corners, making the eyes look stifled.

# Nose

• Stress caused by a low bridge and highly visible nostrils.
• There are three main factors contributing to the excessive nostril exposure: (1) retracted alae (nostril wings), (2) a drooping columella, and (3) naturally large and wide nostrils.

* Desired Changes

# Eyes

• Planned for a clearer and more refreshed impression through ptosis correction.
• Planned to eliminate the tired look caused by bulging under-eye fat via under-eye fat repositioning.

# Nose

• Lowering the alae and correcting the drooping columella to effectively reduce nostril size. Additionally, reducing the width of flared nostrils through alar reduction.

# Face Shape

• Wants to improve the aged and tired look caused by a lack of facial volume.

* Surgical Plan

# Eyes

• Incisional Ptosis Correction
• Epicanthoplasty
• Under-eye Fat Repositioning

# Nose

• Rhinoplasty (Bridge): Silicone implant
• Nasal Tip: Alar rim graft (nostril lowering), columella correction, alar reduction

# Full-face Fat Grafting

Studio Photos

* Post-operative Progress

# Eyes

• With the creation of natural double eyelid lines and the correction of eye-opening strength, the patient now has a much clearer and brighter gaze.
• By opening up the blocked epicanthal folds, the eyes look significantly more open and elongated.
• The tired look caused by under-eye fat has been resolved, resulting in a much cleaner appearance.

# Nose

• As the blunt nasal tip was refined, the nostril visibility has been noticeably reduced.
• Excessive nostril exposure can make the nose look short and give a less-than-ideal impression.
• The visible nostril size must be reduced through accurate analysis of the cause.

What if your nostrils are too visible? (1) Retracted alae -> Alar rim graft (2) Drooping columella -> Columella correction (3) Flared alae -> Alar reduction

# The full-face fat grafting has given the face a vibrant, youthful glow. Proper facial volume is incredibly important.

Real Selfies

Before / After

Before / After

Before / After

Before / After