2026-05-25
Real story 3
A woman in her 20s with weak eyelids, atopic skin, multiple creases, and under-eye bags sought to improve her tired appearance. She also wanted to address a low nose bridge, a bulbous tip, and visible nostrils. The plan included eye correction, nose reshaping, and full-face fat grafting.
* Basic Information
# Female in her 20s
# Eyes
- Eyelid opening strength: Very weak
- Skin is thin and very saggy due to atopic dermatitis
- Frequently rubs eyes, and weak eyelid opening strength causes many multiple creases
- Bulging under-eye fat creates a hollow and tired impression
# Nose
- Low nose bridge, very blunt nose tip
- Nostrils are too visible
* Diagnosis of Current Condition
# Eyes
- Due to atopic dermatitis since childhood, she rubbed her eyes frequently, leading to saggy skin and severe multiple creases.
- Severe epicanthal folds make the inner corners of her eyes appear blocked and stuffy.
# Nose
- A low nose bridge and very visible nostrils are a source of stress for her.
- There are three main factors contributing to highly visible nostrils: (1) the alar base is upturned, (2) simultaneously, the columella is drooping downwards, and (3) the nostrils themselves are large and flared, leading to significant nostril exposure.
* Desired Changes
# Eyes
- Planned to create a clearer and fresher impression through ptosis correction.
- Planned to neatly resolve the bulging under-eye fat and tired impression with under-eye fat repositioning.
# Nose
- By lowering the alar base and correcting the drooping columella, the size of the nostrils can be effectively reduced. Of course, the outwardly flared nostrils will need to be reduced through alar reduction.
# Face Shape
- Also desires improvement for the aged and tired impression caused by a lack of facial volume.
* Plan
# Eyes
- Incisional ptosis correction
- Epicanthoplasty
- Under-eye fat repositioning
# Nose
- Dorsal augmentation rhinoplasty: Silicone implant
- Nose tip: Alar lowering, columella plasty, alar reduction
# Full-face fat grafting
Studio Photos
* Post-Surgery Progress
# Eyes
- A natural double eyelid line was created, and simultaneously, the strength of her eyelid opening was corrected, resulting in a clearer and brighter impression.
- Opening the blocked epicanthal folds makes her eyes look much more refreshed and longer, doesn't it?
- Even the tired impression caused by under-eye fat has improved, making her look much neater.
# Nose
- It can be confirmed that the blunt nose tip has been corrected, and the nostrils have noticeably reduced.
- If the nostrils are too visible, the nose can appear short and give an unfavorable impression.
- It is necessary to reduce the visible nostril size through accurate cause analysis.
If your nostrils are very visible??
(1) If the alar base is upturned -> Alar lowering
(2) If the columella is drooping -> Columella correction
(3) If the alar base is flared -> Alar reduction
# Doesn't the full-face fat grafting make her face look vibrant? Appropriate facial volume is very important.
Real Selfies
Frequently Asked Questions
Is eye surgery possible for atopic skin?
Yes, it is possible. The patient in this case also had thin and saggy skin due to atopy, resulting in severe multiple folds, but it was improved to a clear and bright impression through incisional ptosis correction, epicanthoplasty, and lower eyelid fat repositioning. It is important to proceed after sufficient consultation with the medical staff.
In what cases is lower eyelid fat repositioning necessary?
Lower eyelid fat repositioning can be considered when the undereyes are puffy and hollow, giving a tired impression. In this case, lower eyelid fat repositioning improved the tired impression, making the patient look much neater.
How can a nose with visible nostrils be corrected?
The correction method varies depending on the cause of the visible nostrils. If the alar is upturned, alar lowering; if the columella is droopy, columella correction; and if the alar is flared, alar reduction can effectively reduce the size of the nostrils.
How can a low nose bridge and a blunt nasal tip be improved?
A low nose bridge can be raised with rhinoplasty using silicone implants, and a blunt nasal tip can be improved to a sharp and natural line through tip plasty such as alar lowering, columella plasty, and alar reduction.
What are the effects of full-face fat grafting?
Full-face fat grafting helps improve an aged and tired impression caused by insufficient facial volume. It can give appropriate volume to the face, transforming it into a vibrant and youthful impression.