
Before surgery

Before surgery

Before surgery

Before surgery
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After surgery

After surgery

After surgery

After surgery

Since this was a revision surgery, I had a lot to think about, but a friend’s surgery turned out so well that I decided to have mine done at Kowon.
Today is day 10, and although there is still a lot of swelling, I feel satisfied because the bulbous-nose improvement seems much better than after my first surgery!
I think the swelling still needs to go down more.
This is the review of "Ddu-ta Ddu-thang-thang"’s revision nose surgery using donated rib cartilage at Kowon Plastic Surgery.
Dr. Kim Hyung-taek of Kowon Plastic Surgery.
The patient I will introduce this time is someone who underwent revision nose surgery.
About 5 to 6 years ago, this person had surgery for a bulbous nose using donated rib cartilage.
At that time, silicone was also used in the surgery.



They wanted the tip of the nose to look sharply lifted and the overall nose to look slimmer and more defined,
but even right after the first surgery, they felt the height was somewhat insufficient,
and as time passed, they said they could feel the tip of the nose gradually drooping.

Before surgery - front
As you can see in the photo below, from the side it is visible that the nasal tip is drooping.
In this patient’s case, they were very stressed about the nose spreading when smiling.
In cases like this, correction and removal of the depressor septi nasi muscle may be necessary.

Before surgery - side
Even if nose surgery is performed to raise the tip of the nose, the muscle that pulls the tip downward acts whenever you smile or talk,
so continuous pressure is created. Compared with someone whose muscle is not developed, the drooping of the tip happens much more frequently,
which is why many patients eventually see the tip fall and consider revision surgery.
If the depressor septi nasi muscle is removed during surgery, the frequency of tip drooping decreases noticeably, so tip maintenance is relatively better.


After surgery - front, side
Since donated rib cartilage was used in the first surgery, donated rib cartilage was also used in the second surgery
to raise the tip of the nose. The surgery was performed using an open approach.
Because nasal base reduction had been done in the first surgery, it was not additionally performed this time.
Looking at the overall result after surgery, you can see that the nasal tip looks slimmer and narrower from the front as well.


Before forehead surgery - front, side
Additionally, the forehead was originally flat, and the area between the eyebrows was especially low, which created a disconnect with the nasal bridge.


After forehead surgery - front, side
To compensate for that and to create a natural look that matches the high, refined nose line from the side,
a forehead fat graft was also performed, and the procedure was completed.
https://blog.naver.com/kowon_note/223330250577