Real Story 4: Eye Revision, Rhinoplasty, and Facial Contouring

* Basic Information

# Female in her 20s

# Medical History: 2-3 previous incisional double eyelid surgeries, multiple nose filler treatments

* Diagnosis of Current Condition

# Eyes

1. Despite undergoing 2-3 incisional double eyelid surgeries, she is still distressed by significant asymmetry. While perfect symmetry is impossible, we decided to create the most balanced lines possible.

# Nose

1. The bridge of the nose is bumpy due to a dorsal hump combined with clumps of filler remaining from several previous procedures.

2. Although she received filler-dissolving injections at our clinic a week before surgery, lumps are still palpable. Filler residue that has remained like calcification must be visually identified and removed during surgery.

3. The plan is to refine the nasal tip using autologous cartilage while smoothing the hump and using a silicone implant for the bridge.

# Face Shape

1. Despite consistent dieting for several months after rapid weight gain, stubborn facial fat and a heavy jawline make the face appear blunt and heavy.

2. We planned to create a fresh, light facial appearance through buccal fat removal and ultrasonic double chin liposuction.

3. Since her skin is sagging and lacks elasticity for her age, a thread lift using Silhouette Soft was also planned.

* Surgical Plan

# Eyes

1. Incisional Ptosis Correction

2. Epicanthoplasty (Right side only)

# Nose

1. Rhinoplasty (Bridge)

- Removal of filler residue

- Hump correction

- Silicone implant

2. Rhinoplasty (Tip)

- Septal cartilage: Septal extension graft

- Ear cartilage: Onlay graft

# Face Shape

1. Buccal fat removal

2. Ultrasonic liposuction

3. Thread lift (Silhouette Soft)

Studio Photos

* Post-operative Progress

1. Through incisional ptosis correction revision, we achieved the most symmetrical and light-looking eyes possible.

2. Filler clumps had formed capsules under the skin. These were visually confirmed and cleanly removed.

3. After smoothing the hump, an implant was used to create a natural line. Now that the bridge is refined, the nose looks much more natural and clean.

4. The heavy, blunt look disappeared with buccal fat removal and double chin liposuction! How does the jawline look to you? It has transformed from a round ‘U-shape’ to a very sharp ‘V-line’, and the face itself looks much smaller, doesn’t it?

5. Even with the same type of thread, the results can be completely different depending on the design and the vector of insertion. Whether to simply lift or to sculpt a specific jawline… this is why the extensive experience of the medical team and a customized design for each individual are so important!

Selfies

Frequently Asked Questions

Can double eyelid revision surgery improve eye asymmetry?

Yes, it is possible. If asymmetry remained even after 2-3 incisional double eyelid surgeries, a revision incisional blepharoplasty can create the most symmetrical line possible. Delicate design and surgical planning tailored to the individual's condition are important.

Can residual nose filler be removed during rhinoplasty?

Yes, it can be removed. If previously injected nose filler remains in lumps or has calcified, it can be cleanly removed by direct visual confirmation during surgery. This can smooth out an uneven bridge line.

Can a hooked nose and a low nasal tip be improved simultaneously?

Yes, they can be improved simultaneously. For the bridge, the hump can be trimmed and a silicone implant can be used to create the line, while the nasal tip can be made sharper with extension grafting and overlapping grafting using septal cartilage and ear cartilage.

What surgeries are effective for improving facial fat and a double chin?

Buccal fat removal and double chin ultrasonic liposuction are effective. These procedures can improve facial fat and jawline that were difficult to lose after rapid weight gain, eliminating a dull appearance and creating a fresh and light facial shape.

Can thread lifting make the jawline sharp?

Yes, it is possible. Thread lifting, such as Silhouette Soft, goes beyond simply pulling up the skin; depending on the design and insertion method tailored to the individual's face shape, it can help create a sharp V-shaped jawline.

What materials are used for rhinoplasty?

Silicone implants are mainly used for the nasal bridge, and autologous cartilages, specifically septal cartilage and ear cartilage, are used for nasal tip surgery. Septal cartilage is used for septal extension grafting, and ear cartilage is used for overlapping grafting to create a natural nasal tip.