2026-05-24
Rejuvenating the Line from Forehead to Nose Bridge! A Highly Satisfying Middle-Aged Revision Rhinoplasty Case :D
A 50s female patient achieves a youthful, sophisticated look through revision rhinoplasty and forehead fat grafting, correcting a 30-year-old implant and aging concerns.
✅ Basic Information
Patient Age: 50s Female
Medical History: Rhinoplasty with silicone implant approximately 30 years ago
Current Concerns:
- The nasal tip has drooped and lengthened over time.
- Overall facial impression appears sagging and aged.
- The flat forehead creates an unnatural line between the forehead and the nose.
🩺 Consultation and Diagnosis
Since her primary rhinoplasty 30 years ago, the patient had always felt slightly dissatisfied with the results. Over time, changes in the tissue surrounding the implant combined with the natural aging process caused the nasal tip to droop downward, making the mid-face appear increasingly long.
She felt a significant gap between her current look and the sophisticated, beautiful nose shapes seen today, leading her to make the big decision to undergo revision surgery.
The patient’s primary concerns were:
- A drooping nasal tip making the center of the face look elongated.
- A flat, dull line connecting the forehead and the nose.
- A blunt impression caused by a bulbous tip and issues with the nasolabial angle (the angle between the nose and the lip).
✍️ Surgical Plan
1. Bridge Revision (Replacement of the secondary implant)
- Removal of the existing silicone implant.
- Replacement with a new implant tailored to the patient’s facial bone structure and proportions.
- Creation of a natural yet sophisticated line.
2. Nasal Tip Revision
- Correcting the drooping tip and adjusting the nasolabial angle to make the mid-face appear shorter.
- Correcting the bulbous tip to provide a more refined impression.
- Using autologous cartilage (such as ear cartilage) to create a sturdier and more stable tip structure.
3. Forehead Fat Grafting
- Adding volume to the flat and wrinkled forehead through autologous fat grafting.
- Creating a three-dimensional, natural line that flows from the forehead to the bridge of the nose.
✨ Post-operative Changes and Patient Satisfaction
- The nasal tip was lifted, resulting in a natural and youthful impression.
- Correction of the bulbous and long nose appearance made the facial proportions look harmonious and sophisticated.
- Filling the forehead volume alongside the nose line enhanced the overall three-dimensionality of the face, completing a ‘youthful look’.
- As this was a surgery she had hesitated over for a long time, the patient’s satisfaction was exceptionally high.
- The forehead fat grafting also provided the added benefit of smoothing wrinkles and improving skin elasticity.
💬 Final Thoughts
It was a very rewarding and memorable case for the medical team to resolve a concern the patient had carried for nearly 30 years.
I believe the true success of this surgery lies in the natural yet definitive change and the patient’s much brighter expression. 😊
Look! Because it’s pretty!
Vibe! Because it’s Vibe!
Dr. Yoo Young-moon, Lead Surgeon at Vibe Plastic Surgery
Vibe Plastic Surgery complies with all medical laws. These before-and-after photos were taken under identical conditions with the patient’s consent. Complications and side effects such as bleeding, inflammation, infection, and asymmetry may occur depending on the individual, and caution is required.
Frequently Asked Questions
In what cases is middle-aged nose revision surgery necessary?
Middle-aged nose revision surgery can primarily be considered when the nasal tip sags or appears longer over time after a previous nose surgery, or when the forehead-nose line becomes unnatural, leading to an older-looking impression. This patient also underwent revision surgery due to a drooping nasal tip and a long nose 30 years after the initial surgery.
What type of implants are used for nose revision surgery?
For nose revision surgery, new implants are used, tailored to the patient's facial bone structure and proportions, to create a natural yet sophisticated line. Autologous cartilage (such as ear cartilage) is utilized for nasal tip revision surgery to create a more firm and stable structure.
Can forehead fat grafting be performed along with nose revision surgery?
Yes, forehead fat grafting can be performed along with nose revision surgery. This patient also achieved a more youthful appearance by adding volume to a flat and wrinkled forehead through autologous fat grafting, creating a three-dimensional and natural line from the forehead to the bridge of the nose.
How long is the recovery period after nose revision surgery?
The post-operative change photos show the appearance at the 2-month mark. Generally, major swelling subsides within 1-2 weeks, but it can take several months for minor swelling to completely disappear and for the final results to appear. There can be individual differences, so it is advisable to consult with medical staff.
What are the effects of forehead fat grafting?
Forehead fat grafting adds volume to a flat or wrinkled forehead, creating a natural and three-dimensional line from the forehead to the bridge of the nose. This patient also experienced wrinkle reduction and improved skin elasticity as a result of the forehead fat grafting.