How to Fix a Long Face? The Answer is a Glamorous Straight-Half-Curved Nose and Three-Dimensional Volume! (+ Functional Rhinoplasty)

* Basic Information

# Female in her 20s

# Eyes

1. Incisional double eyelid surgery several years ago (+)

2. Main complaints and requests

- The front part of the line has become loose and looks covered.

- I want a clear in-out line.

# Nose

1. History: Hiko (thread lift) procedure several years ago (+)

2. Main complaints and requests

- My face is on the longer side, so I want to compensate for that with nasal dimension.

- I have suffered from rhinitis since I was young, so breathing has always been uncomfortable and stuffy. Can this be resolved together?

# Forehead

1. History: Filler injection several years ago (+)

2. Main complaints and requests

- The filler has clumped up and looks lumpy depending on the lighting. I want to dissolve the filler and replace it with autologous fat.

- To compensate for my long face, I want more volume and three-dimensionality.

* Diagnosis of Current Condition

# Eyes

1. The double eyelid line was gradually loosening, especially at the front, so she wanted to make the front part look clearer.

2. There was almost no skin sagging and her eye-opening strength was good, so we planned a ‘Natural Adhesion’ revision.

3. Just because the first surgery was incisional doesn’t mean the revision must be incisional!

# Nose

1. She visited because the Hiko procedure did not resolve her long, drooping nose tip.

2. She also wanted to resolve the discomfort in breathing caused by rhinitis.

3. A pre-operative CT scan confirmed severe deviation, so we planned to correct it using ‘autologous rib cartilage’ along with rhinitis surgery.

# Forehead

1. The clumping of the existing filler was a source of stress.

2. Since her face shape is long, we planned to perform forehead fat grafting to complement the long appearance.

* Plan

# Natural Adhesion (Revision)

# Long Nose Correction using Autologous Rib Cartilage + Functional Rhinoplasty

# Forehead Fat Grafting

* Intraoperative Findings

# Hiko threads and surrounding scar tissue found during surgery were removed.

# The septum was severely curved, so it was reconstructed using autologous rib cartilage. Nasal congestion was also corrected by improving the curved septum.

* Postoperative Findings

# Eyes

- An in-out double eyelid line that is clearly visible from the front has been achieved.

- Even for a revision, if the skin thickness, sagging, and eye-opening strength are appropriate, it can be resolved relatively easily with just natural adhesion.

# Nose & Forehead

- Autologous rib cartilage is usually harvested from the 6th or 7th rib, and there is slight pain for about 2-3 days after harvesting. Recovery to a level where daily life is possible is achieved after about a week.

- Functional aspects must be considered during rhinoplasty. If you have difficulty breathing, resolve it at the same time!

- Forehead fat grafting provided three-dimensional volume to complement the long face.

Consultation and surgery should be performed by a plastic surgery specialist!

Find it! Your own Beauty VIBE

VIBE Plastic Surgery, Chief Director Young-moon Yoo

VIBE Plastic Surgery complies with medical laws. These before and after photos were taken under the same conditions and with the patient’s consent. Complications and side effects such as bleeding, inflammation, infection, and asymmetry may occur after surgery depending on the individual, and caution is required.

Frequently Asked Questions

What surgeries can help improve a long face shape?

Rhinoplasty to enhance the three-dimensionality of the nose and forehead fat grafting can help improve a long face shape. In this case, long nose rhinoplasty using autologous costal cartilage and forehead fat grafting were performed to complement the overall balance and three-dimensionality of the face, reducing the appearance of a long face.

I had my first double eyelid surgery with an incision, do I need to have revision surgery with an incision too?

No, it is not always necessary to perform revision surgery with an incision. As in this patient's case, even if the first surgery was an incision, if the skin thickness, sagging, and eye-opening strength are appropriate, a clear in-out line can be created with only the natural adhesion method.

I have rhinitis, can it be improved along with nose surgery?

Yes, rhinitis symptoms can be improved along with nose surgery. In this case, severe septal deviation was present, so the septum was reconstructed using autologous costal cartilage and the deviated septum was corrected to resolve nasal congestion symptoms. A surgical plan that considers functional aspects is important.

How much pain is there when harvesting autologous costal cartilage?

After harvesting autologous costal cartilage, there may be mild pain for about 2-3 days. However, the text mentions that recovery is possible to the extent that there are no major problems in daily life after about a week.

How do you fix forehead filler that has clumped?

If forehead filler appears clumped, you can consider dissolving the existing filler and replacing it with autologous fat grafting. In this case, after dissolving the clumped filler, forehead fat grafting was performed to provide natural volume and three-dimensionality, complementing the long face.