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Hump Nose Rhinoplasty Cost, a Honest Statement the Consulting Manager Would Hate to Hear

ROI Plastic Surgery · 닥터로이의 성형노트 · March 9, 2024

Hello. I’m Dr. Roy, a board-certified plastic surgeon. You see an ad for hump nose rhinoplasty costing 990,000 KRW, go in for a consultation, and then suddenly, what do you know, i...

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This page is an English translation of a Korean Naver Blog archive entry. For exact wording and source context, verify against the Korean archive original and the original Naver post.

Clinic: ROI Plastic Surgery

Original post date: March 9, 2024

Translated at: April 22, 2026 at 2:56 PM

Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.

Hello.

I’m Dr. Roy, a board-certified plastic surgeon.

You see an ad for hump nose rhinoplasty costing 990,000 KRW,

go in for a consultation,

and then suddenly, what do you know, it becomes 3 million KRW?

Is that a reasonable price?

It could be, or it could not be.

To avoid being at a financial disadvantage,

you need to have the ability to tell

whether the price is actually justified or not.

To avoid being overcharged,

I’ll explain the basic knowledge you need to know.

And as I’ll introduce in this post,

if the price is raised little by little through this kind of ‘pricing method’

and the final amount keeps creeping up,

it seems better not to book surgery right away,

but to think it over carefully.

The surgery itself may be very well done,

but there is a good chance that wordplay has been used

when setting the final price.

First, let’s look at before-and-after photos of a surgery performed without inserting silicone or other foreign materials,

using septal cartilage and ear cartilage harvest,

with a preservation rhinoplasty method. The after photo is of an overseas patient who had surgery at my clinic,

and, coincidentally, I was able to check their progress when I happened to be traveling abroad for a lecture. It was exactly one month after surgery. ^^

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You don’t need silicone to hide a hump nose.

A nose does not have to be tall to be beautiful.

The height of the tip is important.

And the height of the bridge should match the height of the tip.

If you have visited several clinics

before undergoing hump nose surgery,

you probably noticed that

the cost of hump nose rhinoplasty

varies from clinic to clinic.

There are many different hump nose surgery methods,

and the surgical outcome can differ completely depending on whether the doctor can use a certain high-difficulty technique or not,

so it is only natural for the price to vary according to the surgeon’s skill level.

If I were to talk about how the surgical method can differ,

we need to go back a bit in history.

The history of hump nose surgery techniques is long.

Once a somewhat stable method emerged,

that method would be used for a very long time.

The oldest method is

to place a sharp surgical instrument (an osteotome)

on the protruding bone and cartilage area of a hump nose

and break it apart with a hammer from behind.

The problem is that after removing the bony bump on the bridge this way,

the remaining space loses its roof,

and because the supporting structure is gone,

it becomes unstable, so this space must be firmly filled in somehow

to prevent collapse as a side effect.

In the end, because the process involves destruction and reconstruction,

it requires a lot of materials.

But starting about 10 years ago, new hump nose surgery techniques began to appear in the United States and Europe.

Preservation Rhinoplasty is a new concept in which the bone is not broken.

In other words, instead of breaking the bony roof,

the space beneath that roof is carefully assembled,

and only the protruding part is smoothly lowered downward.

Without destroying it, the protruding area becomes flat,

and because it was not destroyed,

it remains stable for almost a lifetime.

In addition, with the arrival of a piezoelectric bone-cutting device called a Piezotome,

the traditional method of breaking bone with a hammer was replaced by a method of

precisely and elegantly cutting the necessary bone areas without side effects,

which also became popular in the United States and Europe.

I am the type who enjoys investing in good equipment

and investing in learning new things,

so it has now been about four years since I brought in the Piezotome machine,

and after traveling between the United States and Europe,

learning this new medical technology from world-renowned masters,

and often practicing on cadavers,

I think it has been more than three years since I became proficient with the ‘preservation rhinoplasty’ technique.

Medicine keeps developing.

If a clinic stays up to date with evolving surgical techniques

and uses them appropriately,

then even if the hump nose rhinoplasty cost is not the lowest,

I think it is worth considering at least once for a better result.

Another important point in hump nose rhinoplasty cost is that

even at the same clinic,

the surgical method may differ depending on the patient,

which can also create price differences.

But in that case, you should pay close attention to which item caused the price to go up.

Let me give a few examples.

  1. The price increased because septal cartilage or ear cartilage had to be harvested?
  • Reasonable.
  1. The price went up because autologous rib cartilage was harvested?
  • Very reasonable.

  • Even among doctors who perform nose surgery, there are many who have never harvested autologous rib cartilage even once.

  1. Cartilage suturing is needed to support a blunt nose tip?
  • That’s wordplay. Cartilage suturing is a basic step that should be done in most cases when needed.
  1. Additional cost is charged because short nose correction is needed?
  • No, then you should make the short nose look better, not leave it short and send the patient out.

  • This is something the doctor should be working on as a matter of course, using the harvested cartilage as material to create a more beautiful shape.

  1. Additional cost is charged for crooked nose correction?
  • Then do you leave it crooked? If you’re just going to close it while leaving it crooked, why did the patient even have surgery in the first place?

Why is that an optional choice?

  • It is true that crooked nose correction requires extra effort from the doctor, but if it were me, I would still try to make it straighter even if I did not receive extra payment.

  • To be precise, properly correcting a crooked nose requires strong materials such as rib cartilage, and charging extra for harvesting such rib cartilage is reasonable.

  1. Additional cost is charged because a flaring graft technique is needed?
  • If I found our clinic charging money for that technique itself,

I would seriously scold the consulting manager and tell them never to do that again.

  • A flaring graft has several benefits, such as helping correct a crooked nose and serving as a support point that more firmly reinforces septal extension grafting. If performing it helps the patient for the rest of their life, then it is only natural to do it even if it was not originally in the plan.

Everyone has a truly different nose shape,

different skin thickness, fat thickness, cartilage condition,

bone length and height, and so on.

Because there are so many variables,

the surgical techniques that need to be applied to each individual

are naturally bound to differ as well.

That is why I think nose surgery has far more variables than other surgeries.

For that reason, before nose surgery I become a bit more

tense and carefully build the preoperative plan,

so if someone wants to have surgery on the same day as their consultation,

I refuse immediately.

We need to take CT scans in advance, take photos from multiple angles,

and think things through calmly even until the day before surgery.

And when performing surgery,

I often encounter moments when materials are insufficient.

For example,

I may anticipate that a certain surgical method will give a good result,

and I explain it to the patient beforehand.

I charge a fee that matches that plan,

but when I actually go into surgery,

the septal cartilage we planned to harvest may be too thin or too bent,

and if we harvest too much ear cartilage, there is concern about deforming the ear,

so there are times when the situation becomes difficult.

But that does not mean I can just do a careless job and come out saying,

"I did my best, but there was nothing I could do."

The result must be good if at all possible.

Usually, in situations like this, I wish I had just a little more of the safe, sturdy material.

At that point, I may use high-end materials that I had only explained could be used if necessary,

but for which I had not charged extra, such as donated dermis or mesh.

If I were not the head of the clinic but rather a salaried physician employed somewhere,

I might probably have to read the room, do only what was already decided,

and if materials were unavailable, give up under time pressure and close up,

but

as the person in charge, I like that no one can interfere.

Even if the surgery takes longer,

or additional high-end materials increase the expenses,

the fact that I can provide the best treatment I believe in

without worrying about anyone’s opinion

feels truly satisfying.

I think complaints from patients that arise even after I did my best are unavoidable,

but

complaints that arise when I did not do my best are something I absolutely hate facing.

That is why our clinic’s salaried doctors are also praised when they use more materials or take longer in surgery,

as long as it was done to produce a better result.

Finally,

my rough estimate of average nose surgery costs is as follows.

I have not checked every clinic, so please take this only as a general sense.

If you search for hump nose rhinoplasty cost on various apps,

you will probably see a prominently displayed lowest price,

but when you actually go for a consultation,

it will not be that price.

Somehow or another, the total will end up above the roughly established average price.

Honestly, if a clinic performed surgery at the lowest price shown in the ad,

it would not even cover operating costs...

Even just the base cost of anesthesia or surgical materials would far exceed that amount.

Usually, if it is your first nose surgery rather than a revision,

then a typical hump nose rhinoplasty cost is around 2 to 4 million KRW.

If there is additional cartilage harvesting,

a corresponding increase in cost may occur.

When deciding on surgery,

do not limit your consultation to just one place.

Visiting several clinics and hearing the opinions of several plastic surgery specialists

is also a way to improve your ability to judge.

I hope you get a good result. :)

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Roy Plastic Surgery complies with medical laws.

The photos in this post were taken under identical conditions,

(in this patient’s case, the postoperative photo was taken with an iPhone camera with the correction features turned off)

and were taken with the patient’s prior consent.

Also, after plastic surgery or procedures, side effects such as bleeding, infection, and inflammation may occur depending on the individual, so caution is required.

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