Types of Nose Surgery You Should Absolutely Not Get — Dr. Lee Kyung-mook Explains

Hello, this is Dr. Lee Kyung-mook from Objet Plastic Surgery.

This summer seems to have brought a lot of rain before autumn arrived. It is a bit damp and humid, but during the day the sunlight becomes strong, so the weather feels rather awkward.

For those of you who follow fashion trends, you are probably getting ready for autumn. In this post, I prepared information about something that gets even more inquiries when fall comes: rhinoplasty.

Types of nose surgery you should absolutely not get

From the hospital’s point of view, this kind of talk is not especially welcome ^^, but I will speak from a doctor’s perspective. First, I want to say that this is only for informational purposes, and I think it would be good to keep in mind that there are definitely individual differences.

When patients meet a doctor at a plastic surgery clinic, if the doctor says the nose is “difficult to operate on,” I would actually say it is better not to do the surgery. Because if it is difficult for the doctor, there is no answer.

Are there noses that are difficult even for a plastic surgeon to operate on?

Yes, there are. These cases apply.

There are patients whose nasal bridge is very low but who also have a severe bulbous nose. In such cases, some people say the bulbous nose is severe but they do not want silicone and ask to correct only the tip, in other words, only the bulbous part.

For many Korean patients with a bulbous nose, the skin is either thick or the skin area is wide. To improve a bulbous nose in these patients, the nasal tip needs to be lifted, but what happens if they do not want silicone and only want the tip improved?

The nasal bridge stays low, while only the tip becomes pointed. The patient may get the improvement they wanted at the tip, but from the side it can look a bit like a Dobby nose. (※ Please see the video below for what a Dobby nose looks like.)

If you really think, “I absolutely have to do it!”, then you need to raise the nasal bridge with an implant. If you do not want silicone and only lift the tip, the result will be a low bridge with only a high tip. In this case, the proportions are broken, so this is a type of nose surgery that should absolutely not be done.

The second case is patients with a severely deviated septum.

There are people whose septum is severely bent. In most Korean people, it tends to be bent a bit to the left. In cases where the deviation is severe, if a support is placed at the tip, the nasal tip often turns slightly to the right.

If you want to know how much the septum is bent, you can find out through a more detailed consultation at an otolaryngology clinic or a plastic surgery clinic.

In these cases, if you perform surgery that raises the nasal tip a lot, it will almost certainly, 100%, turn completely.

That is because of the shape of the nasal tip. In such cases, rather than giving up on surgery, you should avoid it by using a more natural approach.

There are two methods: the extension method and the strut method. The strut method is simply a method of placing a small support on the cartilage side, toward the columella. But if you strongly set up the support and make the nasal tip high, in almost all cases it will turn.

To summarize:

The two types of nose surgery you should absolutely not get are cases where the bulbous nose is severe, the nasal bridge is low, and you do not want silicone implants.

Another case is when the septum is structurally too severely deviated. In these patients, the nasal tip is already turned toward the opposite side of the deviation, so it is better either not to have nose surgery at all or to use a method that raises the tip in a slightly strut-type way and only places a small support.

In the case of the septum, the key point is to avoid it being bent.

■ If you want to hear Dr. Lee Kyung-mook’s vivid explanation of the types of nose surgery you should absolutely not get, please click below.

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