Nose (Rhinoplasty)

Rhinoplasty in Korea

Since long before we had the technology to shape faces with medical procedures, artists have been obsessed with the pursuit of defining what constitutes beauty. Dating back to ancient times, artists romanticized the perfect facial proportions in their work.

Unfortunately, the perfect nose does not exist as there is no universally accepted standard of what defines the most aesthetic nasal features. Therefore, at Shin Medical we only work with surgeons who understand that each patient and every need is unique. The surgeons recommended by Shin Medical will always strive to get you the perfect look based on what you want, rather than sticking to a one-size-fits-all model.



Long or downward pointing nose

A downward pointed nose is the case where the tip of the nose is slightly lower than the nostrils giving the nose an elongated appearance. This “long nose” effect causes an imbalance to the proportions of the face. Two methods for this surgery are:

  • Cartilage repositioning – During this standard procedure the surgeon removes some cartilage from the nasal tip and implants it near the septum in order to reinforce the new angle of the nose tip.
  • Cartilage repositioning and bridge implant – This procedure is more intricate than the simple cartilage repositioning as it requires the surgeon to remove nasal tip cartilage and reposition it to the nasal tip as well as implanting a bridge in the nose in order to support the nose.
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Short Upturned nose

The short nose or upturned nose is usually characterized by an upward pointing nose with nostrils being very noticeable. This surgery is a particularly complex procedure but you don’t have to worry because our recommended surgeon will always be a top tier rhinoplasty specialist. Three methods depending on severity:

  • Cartilage repositioning – In a simple situation cartilage will be removed from the nose tip and then relocated downwards to bring the nose into proportion with the face.
  • Additional septal cartilage – Using this method the surgeon will use a portion of carved septal cartilage and graft it to the existing nasal septum, to lengthen the front edge of the nose.
  • Additional autoplasty – In this case the surgeon will use additional cartilage either from the ear or rib and implant it into the front of the nose.
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Nose tip

Nose tip surgery is ideal if you are not satisfied with the overall shape or size of the nose tip. This could be due to a nose with a blunt or bulbous tip or a nose tip that is asymmetrical. Tip rhinoplasty is a procedure which aims to create a more natural, sharp and symmetrical nasal tip with the appropriate projection and proportion in relation to other parts of the nose. The surgeon will reshape cartilage or remove extra cartilage from the nose tip if necessary. In some cases, the surgeon might need to use implants to extend the tip of the nose. Depending on the surgeon’s recommendation he may also lift the tip and refine the nostrils. Three Methods depending on the individual’s nose:

  • Cartilage repositioning – In most cases the surgeon will use removed septal cartilage that is repositioned in such a way that it will give the nose a sharper look.
  • Internal cartilage trimmed – In these circumstances the surgeon will reposition excised cartilage and distribute it evenly inside the nose. The nose is then sutured in position to make it more symmetrical and sharper looking. This is usually done through a process known as tying.
  • Tip plasty – Tip plasty is utilized when you want to reduce the width of the nose just a little bit and reshape the nose tip to make it slightly sharper. This is done via tying or can be done by implantation.
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Deviated nose

A deviated nose or crooked nose refers to a nose that does not follow a straight line down the center of your face. The degree of crookedness ranges from imperceptible to more severe. While most of the time crooked noses are cosmetic concerns (how they look), sometimes they may also affect your breathing and cause other side-effects such as headaches and nosebleeds. Causes of a crooked nose include: injuries, birth defects, previous surgery, and a deviated septum (the inside of the nose wall leaning towards one side).

Septoplasty is the general way in which a surgeon will repair a deviated septum. During septoplasty, your nasal septum is straightened and repositioned in the center of your nose. This may require your surgeon to cut and remove parts of your septum or bone before reinserting them in the proper position.

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Alar reduction

The alar base is a complex three-dimensional shape between the nostrils, columella (tissue that links the nasal tip to the nasal base), cheek and upper lip. An alar base reduction is a special procedure designed to narrow the width of the nostril base. In this way, the surgery minimizes the appearance of overly prominent nostrils and achieves a more attractive and harmonious overall look. There are two surgical methods for alar reduction:

  • Excision - The surgeon will cut away some skin from the inner side of the alar base and the cut will be closed with a delicate suture.
  • Excision and tying - Using this method the surgeon will make a small excision on the inner side of the nostrils and two points will be tied inwards with a thread.
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Wide bridge nose

The wide nasal bridge is characterized by a nose that looks broad and thick around the center of the bridge. It is most noticeable on frontal view. This problem is due to the excess width or thickness of the nasal bones.

This undesirable width is typically treated using a technique called osteotomy. This involves making controlled bone fractures which allows the nasal bones to be positioned inward thereby narrowing the appearance of the nose. In some cases, further modification might be necessary and the surgeon will use an implant.

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This video illustrates a wide bridge nose surgery

Hump nose

Often described as a hooked or Roman nose, a nose with a marked bump on the bridge is most often the result of genetics meaning you inherited it from either side of your family. It could also be due to injury from earlier in life. Hump nose surgery is the procedure whereby your surgeon will reduce the pronounced hump, also called dorsal hump, on the bridge of the nose. Two methods exist for this issue:

  • Nose rasping – The first method is suited if you only have a very minor case of dorsal hump. The surgeon will use a technique called rasping to shave of some of the nasal bone to create a more even surface.
  • Fracturing – Cases in which the hump is more noticeable, the surgeon will be required to surgically fracture the nose in addition to rasping the nose bridge bone. The nose tip while also be elevated in order to balance the overall proportion of the face.
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This video illustrates a hump nose surgery

Revision

These are among the most difficult cases aesthetic plastic surgeons face today. Revision rhinoplasty applies to any patient who has previously undergone rhinoplasty and desires improvement in the appearance and often the function of the nose. This is why it is so important that you do very thorough research about your desired procedure and make absolutely sure that you use the services of the most skilled and experienced surgeons at the most reputable clinics. And even more importantly that you use a medical agency you can trust with proven results.

Due to the extremely delicate nature of revision surgery, Shin Medical takes extra care firstly; to make absolutely sure that patients are viable candidates for a revision surgery and secondly; that we recommend only the best rhinoplasty specialists for your individual case.

Before Surgery

Do Do not
Stop taking all non-prescribed and unnecessary medication such as: ibuprofen, aspirin, anti-inflammatory medication. Smoke or drink two weeks before your scheduled procedure
Keep taking normal prescribed medication Wear make-up, jewelry, or contacts
Disclose to clinic staff if you’re taking any medication, including: birth control, and hormone medication Wear tight-fitting, uncomfortable clothes
Disclose all medical and physical conditions (i.e. diabetes, heart-disease etc.) and medical history (including allergies) to clinic and doctor Drive after procedure under any circumstance
Diabetes patients: consult primary physician before undergoing any procedure
Wear comfortable and loose clothes on the day of your procedure
Fast 4-8 hours before procedure (depending on physicians instructions)

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