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아이디병원 · 아이디병원 - Beauty Wonderland · 2021년 9월 23일
Hello. Introduction to plastic surgery! This is ID hospital director, Dr. Park Sang Hoon. Today, we have a master of rhinoplasty, Dr. Kim Dae Hwa and we will have a talk with him. Hello, Doctor. Hello. This is Dr. Kim Da...
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아이디병원의 유튜브 공개 자막 아카이브 페이지입니다.
Hello. Introduction to plastic surgery! This is ID hospital director, Dr. Park Sang Hoon. Today, we have a master of rhinoplasty, Dr. Kim Dae Hwa and we will have a talk with him. Hello, Doctor. Hello. This is Dr. Kim Dae Hwa from ID hospital. So, doctor, we would like to talk about
Nose shapes today. Since you have lots of experience, Do the nose shape trends change?
10 00:00:28,290 --> 00:00:32,880 Speaking of the trend, Barbie line nose is out of fashion now. Barbie line nose means the opposite of straight nose
12 00:00:35,810 --> 00:00:38,290 It means more curvy shape. And there is a semi-Barbie nose that comes from Barbie nose. And recently,
There is a new trend of Semi-Barbie nose It is actually quite popular. That sounds very profound. A Barbie nose. The popularity of the Semi-Barbie nose means the trend is shifting to Wanting a straight nose bridge instead of the curved upturned Barbie nose. Is that right?
I think it is a more natural shape compared to the normal Barbie nose
22 00:01:03,290 --> 00:01:05,720 And that is what people are talking about. Then, could you tell us about the trendy nose of 2021. First of all, there will be some difference between male patients and female patients.
25 00:01:14,760 --> 00:01:17,960 Male patients ALWAYS want a straight nose bridge. 9 out of 10 male patients want
Straight Nose Bridge Speaking of the photos that patients bring, Male patients bring a photo of V from BTS. And there are a lot of them About female patients, as I mentioned, they ask for Semi-Barbie nose mostly.
Most of them bring a photo of Shin Sae Kyeong’s nose. And then, Lee Hyo Ri, and Oh Yeon Seo. They are the celebrities that patients bring photo of. When the patients want a very elevated nose bridge and defined nose shape, They often bring a photo of Min Hyo Rin When the patients are asking for
those trendy noses, then how is it? Can you make the same nose? Not always. But when they are bringing the photos, I can understand what nose they are looking for And figure it out.
It will be a good reference for the surgery And I can plan the surgery accordingly Then, among the nose shapes that patients want, Are there any difficult cases to operate? Yes, considering their own nose shape, There are some difficult cases to operate.
For example, upturned nose or short nose is one of them.
52 00:02:26,500 --> 00:02:29,220 These cases are a bit trickier to operate on than other noses Well, why is it so difficult to operate on those noses? When it comes to the upturned nose, We have to pull the upturned-cartilage down, And to maintain that condition,
We have to use additional materials to fix. Basically, compared to the other nose shapes, More correction will be needed and
61 00:02:49,600 --> 00:02:51,700 More materials will be needed for the surgery.
62 00:02:51,700 --> 00:02:53,640 So it is a trickier surgery than other nose surgeries.
You mean when the nose is short or upturned,
65 00:02:58,690 --> 00:03:01,120 It is a bit hard to make it higher or longer because we do not have enough materials. Am I correct? Yes, you are. Upturned nose and short nose are pretty similar. I think they are the same.
As I mentioned, to fix the short or upturned nose, the skin and cartilage have to be stretched enough to maintain the condition. When we try to make the flat nose higher, We also need extra skin for that as well. So when we are trying to make short nose longer
And higher at the same time, sometimes, it is hard to achieve the results we want. So, the height of the nose and the degree of lowering have to be balanced at some point and the surgeon needs to consider it carefully. Then, when making the short nose
too high or too long, There could be some complications? Yes, there is a high possibility that we cannot correct them as much as we want. Since skin elasticity has limitation, We have to make create a good proportion
To make the height and shape more balanced Let’s say the patient really wants to make her/his short nose very high and you did it. Is there a chance that the nose reverts to being short again? Technically, there is a chance for the nose to revert when we try to make it too high. A small chance.
Oh, you mean it could be upturned again or crooked? Deviation is also possible. I see. Then, how can someone know he/she has a short or upturned nose?
Well, theoretically, there is a nasolabial angle. The angle between columella and upper lip is called nasolabial angle and the ideal angle would be 90 to 95 degrees in case of male patients. For female patients, 95 to 105 would be ideal. Since everyone has different shape of columella
and different degrees of the protrusion on upper lip, It would be hard to apply this angle for everyone typically. The easiest way to check short nose would be.. When you are looking at the mirror and checking your full face, you think you can see much of your nostril. Then, you have an upturned nose.
So normally, you should not be able to see your nostrils? It is not like you cannot see your nostrils at all But just to some degree. Upturned nose has more nostrils showing than others so it would be hard to say it is pretty nose. As typical cases for tricky rhinoplasty,
You have mentioned short and upturned nose. Are there other cases that make surgery tough? Besides the upturned nose, There are severely deviated nose, the nose with big and wide bone, and the nose that we usually call ‘bulbous nose’ which has thick skin
and round shape. They all need lots of additional work. So they are considered tough cases. I see. The trickiest case you had? I remember a case with a patient who had a severely contracted nose for more than 10 years.
For these kinds of cases, the contracture does not get better. It only gets worse and worse over time. When the patient lives more than 10 years with that severely upturned nose, a tough 10 years, Of course, the surgery is difficult. But once we restore the upturned nose
to normal nose, It makes me very happy as a doctor and the patients are very satisfied with the results.
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