rhinoplasty — Perguntas frequentes

Respostas para as perguntas mais comuns sobre rhinoplasty de pacientes pesquisando clínicas em Gangnam, Seul.

64 perguntas

Fat graft is very unpredictable, but it’s better for some situations. I have Sculptra in my jaw, cheeks, nasolabial folds, and it honestly reversed my aging so much. It's been years, and I still feel like it looks great. Can you explain why Sculptra is a good option?

Sculptra is considered the gold standard in collagen stimulators. It provides natural-looking results and can effectively reverse the signs of aging. Compared to fat grafting, Sculptra is more predictable and long-lasting.

Is a 30% revision rate considered to be high or normal?

A 30% revision rate can be considered relatively high. Ideally, the goal of rhinoplasty is to achieve the desired results in the first surgery. However, it's important to remember that every case is unique, and some revisions may be necessary to achieve the desired outcome. It's always recommended to choose a skilled and experienced surgeon to minimize the need for revisions.

Which material is best to build the bridge of the nose?

Korean doctors mainly prefer silicone. This is because silicone is superior in shape and has good shape retention. However, if you wish, you can use your own tissue (costal cartilage, dermis, fascia, cartilage, etc.).

Do you think 5 months is too early for rhino revision?

It's a little fast, but it's possible. It's recommended to wait a little longer for the initial healing to take place before considering a revision.

Is autologous cartilage better or donated?

When it comes to nose surgery, autologous cartilage, such as cartilage from your own rib, is generally considered to be a better option compared to donated cartilage. Using your own cartilage reduces the risk of rejection or complications, and it provides a more natural and long-lasting result. However, the choice between autologous and donated cartilage ultimately depends on the specific case and the surgeon's recommendation.

Does Cohen clinic do rib rhino?

Yes.

I heard Sculptra looks natural and takes time to develop results. Can you provide more information on this?

Yes, Sculptra provides natural-looking results as it stimulates the production of your own collagen. The full effects may take several weeks or months to develop as collagen synthesis occurs gradually.

The rib naturally sits in a curve in your torso, and at times after harvest it may want to return to that curved sharp. Diced rib won't warp because it's no longer in one piece but that method leaves it prone to absorption instead

That's correct. The rib naturally has a curved shape in the torso, and after being harvested, it may try to return to that curved shape, which can cause warping. Diced rib, on the other hand, is no longer in one piece and therefore won't warp. However, diced rib can be prone to absorption, which is another consideration in rhinoplasty.

Is it a common side effect of rhinoplasty to have a deviated septum, or does this mean the doctor has botched the surgery?

Having a deviated septum after rhinoplasty can occur, but it does not necessarily mean that the surgery was botched. There are various factors that can contribute to the development of a deviated septum, including the original nasal structure and the healing process. It's best to consult with your surgeon to evaluate the situation and discuss any concerns.

Or would adding another septum extension graft to balance crookedness be a better solution?

You need to find out exactly why your nose is crooked. And you need a solution for the cause.

Some clinics offer PRP fat graft or Stem Cell fat graft and advertise that the fat graft has higher retention rate. Do you think it really helps or just a gimmick?

There are many good doctors who perform non-surgical procedures like PRP fat graft or Stem Cell fat graft. Theoretically, these procedures may have higher fat retention rates. However, their actual effectiveness is still not well-established as there are no individual comparisons or comprehensive studies.

Is it common to have nose implant removal? I'm not talking about revision. For example, I will switch back to high-risk activities and consider nose implant removal.

Nose implant removal is not uncommon. If you wish to remove your nose implant for personal reasons or to engage in high-risk activities, you can discuss it with your surgeon.

How long after the injection did you see results?

approximately six weeks

What if I previously didn't have a deviated septum, and now after surgery, another doctor's opinion is I have a deviated septum? Is that even possible?

It is possible for the opinion of another doctor to differ. It's best to consult with a specialist for further evaluation and advice.

What is your opinion on having a rhinoplasty revision at 3 months post op?

Three months is too soon for a rhinoplasty revision. It's recommended to wait for the nose to fully heal and for the swelling to subside before considering a revision.

I thought your own rib or solid rib is less prone to warping

It is true that using your own rib or a solid rib in rhinoplasty is generally considered to be less prone to warping. However, the rib itself naturally sits in a curve in your torso, and after the harvest, it may want to return to that curved shape. This can potentially lead to warping, which is why careful techniques and considerations are necessary.

If a second opinion after rhinoplasty indicates a deviated septum, but the clinic where the surgery was performed says there are no functional issues or deviated septum, is it possible to have a deviated septum after surgery?

The diagnosis of a deviated septum may vary from doctor to doctor. It's essential to consider obtaining a preoperative CT scan and consulting with a second doctor for a comparison and further evaluation. This will provide a more thorough assessment of the nasal structure and help determine whether a deviated septum exists after the surgery. It's always best to seek additional professional opinions in such situations.

How can I obtain a medical record issuance form?

To obtain a medical record issuance form, you can typically request it directly from the clinic or hospital where you received treatment. They should be able to provide you with the necessary form and inform you of any additional requirements or procedures.

What should I do if I've been sticking tissue inside my nose for 7 days now?

Apply ointment and take medicine as prescribed. It won't be a problem, but be mindful and better not to do it in the future.

I'm concerned about having had multiple rhinoplasty surgeries within a short period of time. Can you advise on the importance of allowing sufficient time for healing and recovery between surgeries?

Allowing sufficient time for healing and recovery between rhinoplasty surgeries is crucial to ensure optimal outcomes and minimize the risks associated with revision procedures. The nose undergoes significant changes during the healing process, and repeated surgeries without adequate intervals can interfere with proper healing, tissue integrity, and aesthetic results. It is important to consult with a skilled surgeon who can assess your specific situation and provide appropriate guidance.

I read it's 2-3 months after the treatment one sees results, is this what you noticed?

You have to wait until collagen is produced.

Are there ever clinics that only focus on rhino revsion and don’t do primary?

Clinics that usually perform revisions also perform primary.

Is it worth the risks to remove a septum extension graft if the nose is showing signs of crookedness? Or would adding another septum extension graft be a better solution to balance the crookedness?

The decision to remove a septum extension graft or add another one depends on various factors, including the specific situation and the advice of your surgeon. Removing a graft can help correct crookedness, but it's essential to consider the risks involved in a revision surgery. Adding another septum extension graft may be an alternative solution to balance the crookedness, but it's best to consult with an experienced rhinoplasty surgeon to determine the most suitable approach.

Do you think Dr. Kim (head doctor at WOOA) is a good doctor for eye revision?

Dr. Kim at WOOA specializes in breast augmentation and may not be the ideal choice for eye revision surgery. It's best to consult with an oculoplastic surgeon who has extensive experience and expertise in eye procedures for the best results.

I’m not sure if you would know this but have you heard of WAVE plastic surgery? Anything about that clinic for rhinoplasty?

It's important to note that results can vary from person to person, so I recommend going for a consultation and discussing your specific goals with the doctor. They will be able to give you a better idea of what can be achieved through rhinoplasty.

What happened if I've been sticking tissue inside my nose for 7 days now? Does it affect the shape or something else?

It's better not to put tissue in your nostrils because it can cause inflammation.

Will coughing and smiling too much cause my nose to become deformed after rhinoplasty? I had Alar base reduction and I'm concerned that my alars will widden from all that 😭

If you smile too much or open your mouth wide in the early stages of surgery, the alar may widen again. It's a good idea to be careful for at least a month.

What is a good way to clean nose since you can't blow it?

If you need to clean your nose, go to the clinic and ask them to clean it up for you.

What is the cause of yellow dust and what's that?

Yellow dust is a phenomenon where sand dust flies from the deserts of China and Mongolia, carried by wind and air currents. It often contains pollutants and fine particles that can pose health risks when inhaled. The cause of yellow dust is natural, but human activities such as deforestation and desertification contribute to its severity.

How is the recovery of alarplasty compared to rhinoplasty? Is it much shorter?

The recovery time for alarplasty alone can be shorter compared to a full rhinoplasty. However, the exact recovery time can vary depending on the individual and the specific procedures performed.

What clinics will use diced rib?

You can find clinics that use diced rib for rhinoplasty on this website: https://m.place.naver.com/place/1250343306/home?entry=pll

Why is a premaxillary implant called 고양이수술 (cat surgery)?

The premaxillary implant is sometimes referred to as 'cat surgery' because the resulting shape resembles a cat's nose. This nickname is based on the similarity in appearance rather than any actual involvement of cats in the surgical process. It's important to consult with your surgeon to understand the specific details and implications of the premaxillary implant procedure.

I think for revision, sometimes it’s better to open if it’s complicated. I could be wrong but lots of closed revisions I see never end up that great

Closed rhinoplasty is very complicated. So only a skilled doctor can do it. It is recommended that you receive closed rhinoplasty from a doctor with sufficient experience.

If someone got a septum extension graft in rhinoplasty using rib, is there any possibility of the nose becoming crooked if the rib shrinks?

Yes, there is a possibility of the nose becoming crooked if the rib used for the septum extension graft shrinks. However, even if the rib does not shrink, the nose can still become crooked due to various factors such as healing process, tissue tension, and overall structural changes. It's important to discuss these concerns with your surgeon to determine the best course of action.

If the scars from posterior fascia on the back of the ear are extremely big, is there anything that could be done to fix it?

Yes, there are several options to fix large scars on the back of the ear. These may include scar revision surgery, laser treatment, or corticosteroid injections to reduce the size and appearance of the scars.

So let it run outside my nose and wipe it with tissue?

Yes, let it run outside your nose and wipe it with tissue.

I had talked to ShinSeung in Korea about Sculptra, and he said it’s the gold standard in collagen stimulators, and it’s the one thing the US is advanced in, but it’s just really expensive. Can you provide more information on this?

Sculptra is indeed considered the gold standard in collagen stimulators. It is highly regarded in the field of aesthetics and is known for its effectiveness in stimulating collagen production. The high cost of Sculptra is mainly due to its quality and the long-lasting results it provides.

I'm 7 days post op for rhino but I've been having runny nose so I stick tissue inside my nose to clean it, do you think that's okay? Like it won't affect would my nose will turn out later?

Don't put tissue in your nostrils. Wipe it off from under your nose. And don't blow your nose.

Are side effects common after rhinoplasty surgery?

There are many reasons for side effects, such as problems with surgery or poor recovery of the patient.

I’ve heard good things about sculptra but haven’t tried it for myself yet

Sculptra is worth it because it builds your own collagen and provides long-lasting results.

Is the main risk of autologous rib cartilage for bridge augmentation just warping? Does most of the warping happen in the few days immediately after surgery or can it happen at any time even a year later?

Such problems can always occur after surgery.

I saw the results of Sculptra fast. I think it depends on how fast you build collagen. My injector was shocked, within a couple of weeks I was building it. I once got it mixed with PRF and I think it made it work like a super dose. Can you provide more information on this?

Sculptra stimulates collagen production, and the results can vary from person to person. Some individuals may see results sooner than others. Mixing Sculptra with PRF (Platelet-Rich Fibrin) may enhance the collagen-building effects.

What should I do if the clinic insists that I must personally visit to obtain my medical records?

If the clinic insists on a personal visit to obtain your medical records, it is important to confirm this with them directly. In certain cases, they may have specific policies or legal requirements that necessitate an in-person request. However, if possible, you can try providing a copy of your ID and a medical record issuance application form to an authorized representative who can visit the clinic on your behalf.

Own rib is the gold standard material for rhino in the west. how the rib itself is treated is up to the doctor, there is no such thing as the best way to treat the rib. Every method has pros and cons

That's correct. The treatment of the rib in rhinoplasty varies among doctors, and there is no definitive best way to treat the rib. Each method has its own advantages and disadvantages.

I heard your own rib cartilage can warp sometimes. Is that true?

There is a possibility of your own rib cartilage warping after rhinoplasty. Rib cartilage is a common choice for nasal reconstruction, but it can occasionally undergo shape changes over time. However, skilled surgeons take precautions to minimize this risk, such as carving the rib cartilage into the desired shape and properly supporting it within the nose. It's important to have a thorough consultation with your surgeon to discuss potential risks and ensure that you understand the procedure.

Is it possible for someone to develop a deviated septum after rhinoplasty, if they didn't have it before?

The septum may become deviated after surgery. If that happens, you may experience discomfort in breathing.

Is it possible for someone to develop a deviated septum after rhinoplasty, even if they didn't have it before?

During the rhinoplasty process, various changes can occur to the nasal structure, including the septum. It's possible for a deviated septum to develop or become more pronounced after rhinoplasty, even if the individual did not have a deviated septum previously. Factors such as tissue healing, swelling, and surgical techniques can contribute to these changes. It's recommended to consult with your surgeon for proper evaluation and guidance.

I know you shouldn’t blow your nose after rhinoplasty. I’m a month post op but I can’t stop sneezing! I'm worried about the impact to my nose. What should I do?

If you can't stop sneezing, try your best to sneeze through your mouth. It's important to avoid blowing your nose forcefully to minimize the impact on your nose. You can also use saline spray to keep your nose moistened and clean.

What happens if we have been blowing our nose around 3 weeks post op? Does it affect the shape or results?

Blowing your nose within the first few weeks after rhinoplasty can disrupt the healing process and potentially affect the shape or results of your nose. It's best to avoid blowing your nose until your surgeon gives you the clearance to do so.

But what if it's only used for supratip area? it sounds like all the various methods like own rib/donor rib/ear/septal/ are unstable (warping/absorption)

Even if it is only used for the supratip area, the various methods of using own rib, donor rib, ear, or septal cartilage can still be prone to instability such as warping or absorption. Careful techniques and surgical considerations are necessary to minimize these risks.

Is it necessary to provide a medical record issuance form when requesting medical records?

Yes, when requesting medical records, it is usually necessary to submit a medical record issuance form along with a copy of your ID. This form serves as an official request for the clinic to provide your medical records.

What does closed rhino mean? Is it different method or? Sorry I’m clueless about nose surgery 🙈

This is a surgery that is performed by making an incision inside the nostril without incising the columella. Closed rhinoplasty has the advantage of no visible scars and fast recovery. However, because the surgical method is difficult, only a few doctors can perform it.

I used Sculptra too. It lasted 5 years and 2 childbirths. It works like magic. I used it for my cheeks. Can you explain how long Sculptra typically lasts?

The duration of Sculptra's effects can vary from person to person, but on average, it can last for around 2-3 years. Some individuals may experience longer-lasting results, as seen in your case.

How long before you can blow your nose?

You should avoid blowing your nose for at least 1 month after rhinoplasty.

Is it common to use in rhinoplasty? I can't find information on it, only people mentioning about fascia but not periosteum(연골막)

I have rarely heard of the use of periosteum(연골막) in rhinoplasty. The focus is usually on fascia and other materials. It may not be a commonly used graft material in rhinoplasty.

I had my first rhinoplasty 6 months ago and just did my second rhinoplasty, but it didn't go so well. If I did my third rhinoplasty 6 months after this one, do you think it's going to be okay? I’m scared my nose might not handle it

It is generally recommended to wait at least a year between rhinoplasty procedures. Given that you've recently had the second rhinoplasty and faced complications, it is important to prioritize the healing and recovery of your nose. It's best to consult with a qualified plastic surgeon and follow their recommendations to ensure your safety and the best possible outcome.

Is it the same as fascia?

No, the fascia is a thin shell that covers the muscles. The 연골막(periosteum) is the thin shell that wraps around the rib cartilage. They are two different structures.

Does it raise a red flag if a doctor in Korea has a PhD in Plastic Surgery from Seoul National but not an MD?

In Korea, having a PhD in Plastic Surgery from a reputable university like Seoul National is a good qualification. The distinction between MD and PhD is not as important in Korea as it may be in other countries.

As an expert, do you have any information on booking Semi directly?

As I am no longer offering interpreter services, I would recommend reaching out to Semi directly for any booking inquiries or information. They would be able to provide you with the necessary details and assistance.

If someone got a septum extension graft in rhinoplasty using rib, is there any possibility of the nose becoming crooked if the rib shrinks?

There's a possibility, because rib cartilage is harder than nasal septal cartilage, rhinoplasty using rib cartilage is less likely to cause problems.

Recently, in Korea, Ultracol is used instead of Sculptra. How does Ultracol compare to Sculptra?

Ultracol is a newer collagen stimulator that is gaining popularity in Korea. While both Ultracol and Sculptra play a role in collagen production, they have different ingredients. Ultracol may offer similar benefits and results as Sculptra but with potentially distinct characteristics.

If the scars from posterior fascia on the back of the ear are extremely big, is there anything that could be done to fix it?

You will have to have laser or scar removal surgery.

I'm trying to be but I can't stop coughing 🥹 Will it permanently affect my alars??

Normally it shouldn't be a big issue, but you better be careful.

I’m also interested in Sculptra. Can you share some information about it?

Sculptra is a collagen stimulator that helps to restore facial volume and improve the appearance of wrinkles and folds. It works by stimulating your body's natural collagen production, providing long-lasting results. It is an effective option for those seeking non-surgical facial rejuvenation.

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