Q. During nose revision surgery, can I make it into a straight nose and also have nose filler augmentation?

Hello.

I’m Kim Hyung-taek, CEO of Kowon Plastic Surgery.

Many people are considering nose revision surgery because they are not satisfied with the results of a previous nose surgery or because the shape has changed over time. In particular, among men or those who want a natural-looking impression, many prefer a straight nose line.

Also, some people want to combine nose filler augmentation after surgery to make fine balance adjustments or supplement volume. In such cases, the timing of the filler, the proper area, and the choice of material are very important.

Today, for those with these concerns, I will briefly explain from an expert’s perspective what kind of surgery or procedure may be appropriate.

I hope this will be helpful for those who want natural results while considering both safety and function.

Q. Last year, I had nose surgery with 3mm silicone + ear cartilage.

Last year, I had nose surgery using 3mm silicone and ear cartilage. My original nose was short, low, and slightly upturned, so it had been a complex of mine for quite a long time.

During the first surgery, the doctor asked, "What kind of look do you want, natural or sharp?"

and I naturally chose natural.

As a result, my current nose doesn’t look obviously operated on, and it matches my facial structure well,

people around me say it turned out well, and I also think it is a successful case that I’m fairly satisfied with.

But as time went by, I realized that what I had wanted from the beginning was a straight-nose surgery feel,

and now that the tip of my nose is a little upturned, I feel disappointed that my nose overall looks short. So recently, I’ve been seriously considering nose revision surgery again.

If I undergo nose revision surgery,

can the ear cartilage that was used before be reused as it is?

At the time, I was told that the nasal tip had been lowered as much as possible,

but in my eyes now, I still want the tip to come down a little more. I’m wondering whether it is possible to lower it further from the current state.

To achieve the feel of a straight-nose surgery from my current nose condition,

what kind of surgery would be needed? Personally, I feel like it might just be a matter of adding a little more silicone...

Could it really be that simple?

I have a bit of extra tissue around the tip of my nose, and that may be why a straight line doesn’t come out well. Is it possible to slightly reduce only the nasal tip with fat-dissolving injections or another method?

Lastly, for a nose that has already had surgery like mine,

I’m wondering whether it is possible to supplement it or adjust part of the shape with nose filler augmentation.

My current condition is not completely unsatisfactory,

but I still have lingering feelings about straight-nose surgery, and if nose filler augmentation is possible, I’m wondering whether I could try that before going into nose revision surgery. Please give me your expert advice.

#nose revision surgery #straight nose surgery #nose filler augmentation #nasal tip surgery #ear cartilage surgery #Kowon Plastic Surgery

Hello. This is Kim Hyung-taek, a plastic surgery consultant on HiDoc-Naver Knowledge iN. Based on your question, I will explain nose revision surgery and the related surgical methods.

1. If I have revision surgery, can I keep using the ear cartilage from before?

→ Yes, in general, it is possible to reuse the ear cartilage from the previous surgery during nose revision surgery. However, whether it can be used depends on the condition of the cartilage and whether it has been absorbed, so this will be determined after examination.

2. You said the nasal tip was lowered as much as possible during the surgery. Can it be lowered more than that?

→ This can only be judged accurately after seeing and examining the actual nose directly. The possibility of straight-nose surgery should be assessed by considering the flexibility of the soft tissue at the tip, skin thickness, support structure, and related factors.

3. What kind of surgery is needed to make it into a straight nose from the current state? Is it enough to just add silicone?

→ Since I have not seen your nose directly, I cannot say for certain,

but simply adding more silicone alone does not complete the straight-nose surgery you want. A stable result requires considering several factors together, including tip support, cartilage arrangement, and skin condition.

4. It seems the straight line does not appear because there is a bit of extra tissue at the nasal tip. Is correction possible with fat-dissolving injections?

→ In theory, it is possible to try fat-dissolving injections at the nasal tip,

but because the tip tissues become more sensitive after nose surgery, this must be approached very carefully. If injections are done too aggressively, the shape may become distorted or tissue damage may occur, so caution is needed.

5. Can I still get nose filler after nose surgery?

→ Nose filler augmentation is possible, but it must be decided very carefully.

If filler is added when implants or cartilage are already in place, rare complications such as skin necrosis or blocked blood flow may occur, so you must consult carefully with an experienced medical professional.

For people like the questioner who are disappointed with the shape after surgery or need additional correction,

you may also consider nose revision surgery, straight-nose surgery, or combining it with nose filler augmentation. What matters most is an accurate diagnosis and finding the surgical direction that suits you.

I hope you have a good result. Thank you.

Source:

https://kin.naver.com/qna/detail.naver?d1id=7&dirId=70110&docId=183355261&page=1#answer4

From the side as well, a noticeable change could be confirmed.

Fortunately, the saddle nose concern that the patient had worried about before surgery did not occur, and they expressed satisfaction that the surgical result came closer to the image they wanted.

In particular, before surgery, the nose tip looked round and overall thick,

but after the procedure, it changed to a sharper and more elongated impression, giving a more refined look.

Also, before, the nasolabial angle was narrow, making the mouth look protruded,

but through surgery, that angle was adjusted naturally, improving the features into a harmonious and three-dimensional appearance.

Since this was a nose revision case, sensitivity to postoperative pain was high, so, at the patient’s request, the surgery was performed under sleep anesthesia.

Also, because there was a possibility that the amount of cartilage needed might be insufficient, we informed the patient in advance that additional ear cartilage could be harvested before surgery, and proceeded after obtaining consent.

To improve the overall impression from stuffy to sharp, we used about 3–4 mm of silicone to create a natural and harmonious line.

This case is a revision surgery case that included narrowing the bridge of the nose, and it may be helpful for those who are worried about a similar nose shape or who feel a complex for other reasons.

If you are actually considering surgery, reviewing various cases may help you find the direction that is most suitable for you.

A more specific surgical plan can be provided after you visit in person and receive an accurate diagnosis, with a detailed plan tailored to your individual condition. If you have any questions, please feel free to visit by making an appointment for consultation.

Book a consultation at Kowon!

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