[Dr. Seungjo's Lecture Notes] Non-Implant Rhinoplasty Part 1👃

#HumpNose #DorsalHump #NonImplant #NonImplantRhinoplasty #Silicone #NoseBridge #NoseTip #NonImplantSideEffects #EarCartilage #SeptalCartilage #LowHumpNose #HighHumpNose #GangnamStation #NoseSeungjo #Rhinoplasty #NoseSurgery #HumpNoseBeforeAndAfter #UBerPlasticSurgery

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Hello~

🥳Your beauty universe! I am Dr. Seo Seungjo, head director of UBer Plastic Surgery :)🥳

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Did you all know my nickname is 'Nose Seungjo'?

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Today, I would like to have a very honest talk

about non-implant rhinoplasty~ ^^

When getting rhinoplasty,

there are many people who say, "I hate silicone~~😭".

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I really like non-implant rhinoplasty, which means surgery without silicone.

There is a sense of satisfaction in just having nose surgery without silicone,

and I truly believe I have performed more non-implant rhinoplasties than anyone else.

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However, in reality, after undergoing non-implant rhinoplasty,

there have also been many patients who expressed dissatisfaction.

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So, I will explain why non-implant nose surgery is good

and what aspects often lead to complaints.

We can divide cases into those where a non-implant approach is good and where it is not.

A good case is when the nose bridge needs to be shaved down a lot.

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If we are shaving down a lot while creating a shape,

it is very easy and ideal to perform the surgery without implants.

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However, many people with a dorsal hump want non-implant surgery,

and I've noticed that people with hump noses always have the same concerns.

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They think it will look better if the hump is shaved down,

but for low hump noses, there are times when the sunken areas need to be filled.

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If a lot needs to be filled, you must know that

there will inevitably be shortcomings when using a non-implant method.

Even when filling is needed, if you only need to fill above and below

centering around the hump, it is still worth trying.

If you take a CT scan of this hump, the bone looks like this.

(Red area)

What this means is that the skin right above the hump is very thin.

The skin in this area is relatively thicker. (Red hatched area)

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So even if the cartilage is a bit angular, it can look less bumpy.

The moment cartilage goes into this area, it becomes a real disaster.

Sometimes patients think, 'If the skin is thin, shouldn't we avoid using silicone even more?'

and have this concern.

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Assuming the skin is thin, is cartilage okay while silicone will show through?

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The cartilage will show through much more awkwardly.

Because while silicone shows through smoothly,

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cartilage can show through unevenly like this from the front,

and it can also show through like this from the side.

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Therefore, even when the skin is thin,

cartilage should not be placed on the hump where the skin is thinnest,

and even if the skin is thin overall, it might be better to use silicone.

If you still want to go with a non-implant method,

dermal reinforcement is absolutely necessary,

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and you must know that either donated dermis or autologous dermis will be required.

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After consulting and explaining the above, I finally give the patients

the right to decide whether to use implants or go non-implant,

and patients ask this question:

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Doctor, isn't non-implant still safer?

In terms of infection, it might be statistically a bit safer.

However, in all other aspects, implants are statistically better.

I tell them that implants are actually safer.

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When considering the shape and various other factors,

I believe the possibility of infection caused by the silicone itself is not as high as you might think.

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Rather than that, if bacteria enter during surgery,

the risk of infection is the same for both non-implant and implant methods.

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You can think of building a nose as being exactly like building a house.

Ultimately, it's about this support structure remaining stable and not collapsing.

Only when it doesn't collapse can the silicone rest comfortably, and if it does,

I tell them that the likelihood of infection drops significantly.

When silicone is inserted, our body encapsulates it,

and as long as a dead space

does not occur, silicone is also very safe.

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In the end, what's important for safety is not whether there is silicone or not,

but whether the structure of the nose is stably maintained or not.

This is the core point.

What's more important is whether the nasal tip is structurally and stably holding up,

which is the biggest key.

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So, if the nasal tip surgery is maintained stably as a priority,

and the silicone is well-seated on the nose bridge,

I hope you remember that you can live without any problems.

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Therefore, there is no need to stubbornly insist on a non-implant method.

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★Non-Implant Rhinoplasty Part 1 Core Summary★

Recommended Cases

Hump nose with a high bridge

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Requires significant shaving of the bridge

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Highly suitable for non-implant method

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Not Recommended Cases

Hump nose with many areas to fill

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Possible, but satisfaction may be low or implant (silicone) use is advised

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Satisfaction UP!

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Is non-implant really safer?

✅For infection occurrence, bacteria management during surgery is more important than the presence of an implant

✅It is important that the nasal tip support is built sturdily so the nose structure is stably maintained

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https://www.youtube.com/watch?v=mKvxBsrL7mc&t=24s

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💖If you have any more questions?

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