[Real Patient Case] Non-Implant Rhinoplasty

#NonImplant #Rhinoplasty #LongNose #HumpNose #ShortNose #GangnamLongNose #GangnamHumpNose #GangnamRhinoplasty #GangnamProtrudingMouthNose #ProtrudingMouthNose #UBER #SeoSeungJo #ShimJungHwan #ParkSunHee #UBERRevisionRhinoplasty #RevisionRhinoplasty #GangnamRevisionRhinoplasty

​

​

Hello~

💎your beauty universe! I am Dr. Shim Jung-hwan, head director of UBER Plastic Surgery :)💎

Today, I would like to review a non-implant rhinoplasty case.

​

​

​

First, let's analyze the issues through the patient's pre-operative photos.

Pre-Operative Analysis

​

The patient had a history of undergoing only alar reduction about 4 years ago.

Since she felt reluctant to undergo further nose surgery, she periodically

received filler injections in her glabella and nasal tip until the end of last year.

​

Her original nasal bone structure is not on the lower side but rather high,

and she has a dorsal hump.

The hump is prominent from the 45-degree and lateral views.

Since her nose is overall large and high, there seems to be a limit to how much smaller it can be made.

​

Diagnosis and Surgical Method

Because the original nose is large and high, there is a limit to making it smaller.

We needed to shave the hump and determine the height of the glabella and nasal tip to match that level.

To achieve a curved look, the nasal tip would have to be raised too much, which would make the nose look even larger

and longer, appearing unnatural. Therefore, we decided on a straight-to-slight-curve (jikban) line that is closer to a straight line.

Since the glabella was relatively sunken, we decided to fill that area with artificial dermis.

​

[OPEN RHINO (SILX)+BULBOUS+HUMP2+LONG+MGD Component humpectomy performed.

Due to concerns about an inverted V deformity and weakening of the keystone area when performing the component humpectomy,

spreader grafts were placed bilaterally using the nasal septum.]

​

To match the lowered nasal bridge height and create a straight-to-slight-curve line, a strut was built using septal extension graft with septal cartilage,

and the nasal tip was elevated using ear cartilage, correcting it to look shorter than the original nose.

The sunken area near the glabella and the rest of the nasal bridge were filled using artificial dermis (Megaderm).

Before Surgery ~ 1 Week Post-Op

Although there is some bruising and swelling around the glabella, the existing hump has been well corrected,

and it has been beautifully corrected into a straight-to-slight-curve line where the nasal tip is only slightly elevated, exactly as intended.

The overall appearance of the nasal tip drooping lengthily after the hump has been improved,

so even though the height has increased, the nose became shorter, balancing the face and giving it a smaller appearance.

​

2 Weeks ~ 2 Months Post-Op

2 Weeks Post-Op

Compared to the first week, the bruising has largely disappeared,

and the swelling has subsided significantly, making the contours of the nasal bridge and tip more defined.

​

2 Months Post-Op

As the swelling reduced further than before, the glabella that appeared high has settled down,

and the overall contour has become more distinct.

Because the strut was built sturdily, there is no severe drooping or lowering of the nasal tip,

and the scar on the columella has faded significantly.

After about 6 months, the columellar scar is expected to fade even more and become almost invisible.

​

Before Surgery / 7 Days / 2 Weeks / 2 Months Post-Op

In this post, we reviewed a non-implant rhinoplasty case.

We will continue to provide more detailed information through various case reviews in the future.

If you have any questions, please leave a comment and we will answer them.

​

Want a quick consultation?

​

Frequently Asked Questions

How do you fill in the sunken area between the eyebrows during non-implant rhinoplasty?

Yes, we fill it using artificial dermis. In this case, after shaving down the dorsal hump, an artificial dermis called Megaderm was inserted into the relatively sunken glabella area to create a natural nose bridge line.

What cartilage is used for the nasal tip during dorsal hump rhinoplasty?

We use both septal cartilage and ear cartilage together. To match the lowered bridge height, a sturdy column is built using septal cartilage for extension, and ear cartilage is placed on the nasal tip to correct it into a semi-upward curved line.

When do bruising and swelling subside after surgery?

Bruising and swelling usually subside significantly by the second week after surgery. In the first week, bruising and swelling may remain around the glabella, but after two weeks, the contours become clearer, and by the second month, the swelling further reduces, making it look more natural.

When do the incision scars on the columella (nasal column) disappear?

The scars become almost invisible after about 6 months post-surgery. Even by the second month, you can see the scars fading significantly, and they gradually heal over time, improving to become unnoticeable.

Will my nose look too long if I undergo dorsal hump rhinoplasty?

No, the length can be corrected to match your facial balance. By shaving down the dorsal hump and designing a semi-upward curved line that slightly lifts the nasal tip, it can actually make your nose appear shorter and smaller to fit your face better than before the surgery.