0 00:00:00.925 --> 00:00:01.575 Hello 1 00:00:01.575 --> 00:00:04.525 I'm Seo Insoo, a plastic surgery specialist at SOON 2 00:00:04.525 --> 00:00:07.275 Today, we're going to talk about aquiline nose rhinoplasty 3 00:00:07.475 --> 00:00:11.625 (How does aquiline nose rhinoplasty gets performed?) 4 00:00:12.375 --> 00:00:17.126 First, let's take a look at the structure of the nose 5 00:00:18.076 --> 00:00:20.326 The nose is largely divided into three parts 6 00:00:20.476 --> 00:00:22.126 From the top, there's a bone 7 00:00:22.126 --> 00:00:26.376 Next, there's cartilage. Lastly, the nose wing cartilage that makes the tip of the nose 8 00:00:26.826 --> 00:00:30.726 It's divided into three parts like this. But the hooknose means that 9 00:00:31.226 --> 00:00:34.026 the upper bone and the upper cartilage 10 00:00:34.976 --> 00:00:37.526 is protrude and that's what we call hook nose or aquiline nose 11 00:00:37.526 --> 00:00:41.777 So there are cases where only the bones come out or the lower cartilage comes out 12 00:00:42.077 --> 00:00:46.577 Or the two parts sticking out at the same time are called hooked nose 13 00:00:48.177 --> 00:00:54.127 To put it simply, you have to grind it or sharpen it if it's deep to correct it 14 00:00:54.127 --> 00:00:56.127 That's how you can understand 15 00:00:56.127 --> 00:00:58.627 After grinding or sharpening the nose 16 00:00:58.627 --> 00:01:01.527 If the nasal bone is wide 17 00:01:02.077 --> 00:01:04.978 there is a need for an additional bone collection procedure called bonesetting 18 00:01:05.428 --> 00:01:09.528 And when you got rid of the hook, but if the nose bridge is too low 19 00:01:09.878 --> 00:01:14.428 Then there are cases where implants are needed 20 00:01:14.428 --> 00:01:18.578 (Does the removed bone grow back after the surgery?) 21 00:01:19.278 --> 00:01:22.178 No nasal bone or cartilage grows back 22 00:01:23.328 --> 00:01:28.278 But there are cases where some are left behind after the surgery 23 00:01:28.878 --> 00:01:32.579 Patients like that either have thin layer of skin 24 00:01:33.829 --> 00:01:37.629 or during the surgery, the skin can get swollen 25 00:01:37.879 --> 00:01:41.179 And bleeding can lead to severe swelling 26 00:01:41.979 --> 00:01:46.679 So even if the hooked part of the nose were nicely removed 27 00:01:47.579 --> 00:01:50.479 during the process where it starts to heal 28 00:01:51.329 --> 00:01:54.529 you could still see a bit of the shape 29 00:01:54.979 --> 00:01:59.530 And if your nose is bent, the right and left sides are asymmetrical 30 00:01:59.980 --> 00:02:04.380 so you could still see it when you look at it at both angles 31 00:02:05.380 --> 00:02:09.130 It sometimes can look much worse 32 00:02:09.530 --> 00:02:11.830 But that's quite rare 33 00:02:13.230 --> 00:02:15.180 If your skin is too thin 34 00:02:15.180 --> 00:02:19.630 Those who have had swelling or bleeding during surgery may see some of the result 35 00:02:19.630 --> 00:02:21.731 I guess that's how you understand 36 00:02:21.731 --> 00:02:25.431 (Can the surgery be performed by removing the bone without any implants?) 37 00:02:25.630 --> 00:02:26.631 Yes, it's possible 38 00:02:26.631 --> 00:02:31.981 As I said it before, the bridge and the tip of the nose are shaped and high 39 00:02:31.981 --> 00:02:37.431 If the hooknose comes out a bit at that state, you can just remove it 40 00:02:37.781 --> 00:02:42.531 But Asians have a lower nose bridge 41 00:02:42.531 --> 00:02:48.032 with hook nose, so in that case, we use the implants 42 00:02:49.032 --> 00:02:50.782 to raise it a little 43 00:02:50.782 --> 00:02:55.682 Westerners, on the other hand, have hooked nose 44 00:02:56.432 --> 00:02:58.832 with their high nose bridge and tip of the nose 45 00:02:59.232 --> 00:03:02.832 There are many cases where only the bump of the nose is removed 46 00:03:02.832 --> 00:03:07.032 (Is it possible to perform the procedure with just the fillers?) 47 00:03:07.382 --> 00:03:08.732 Yes it is 48 00:03:09.332 --> 00:03:12.783 If the hooked part is not too much or if it's slightly curved 49 00:03:13.183 --> 00:03:16.483 For those people, simple correction is possible through fillers 50 00:03:16.933 --> 00:03:22.483 Those afraid of the surgery or those who want to know what their nose will look like beforehand, 51 00:03:22.733 --> 00:03:24.933 they can try the fillers 52 00:03:25.483 --> 00:03:30.583 but because fillers eventually gets absorbed in the body 53 00:03:31.533 --> 00:03:33.933 it is not recommended as a long term 54 00:03:33.933 --> 00:03:38.684 In my personal opinion, within a year or two, instead of repeating the process, 55 00:03:39.234 --> 00:03:42.834 I recommend getting the surgery according to the shape 56 00:03:43.434 --> 00:03:48.034 so it stays longer and safer in that shape 57 00:03:48.984 --> 00:03:51.534 that’s why I recommend filler for the short term 58 00:03:51.884 --> 00:03:56.134 and surgery for the next 2~3 years 59 00:03:56.984 --> 00:04:00.684 to remove side effects of the filler 60 00:04:00.684 --> 00:04:01.834 is what I would recommend 61 00:04:01.834 --> 00:04:05.985 (How is the revision surgery performed for the hooked nose?) 62 00:04:06.385 --> 00:04:09.185 Identical to the regular revision surgery for nose 63 00:04:09.335 --> 00:04:14.735 and sometimes for those whose nose is bent or the bone is wide 64 00:04:15.085 --> 00:04:19.935 we can reshape it accordingly by adding attachments 65 00:04:20.285 --> 00:04:25.585 or through fixing the nose 66 00:04:25.935 --> 00:04:31.236 so it’s quite similar to a regular nose revision surgery 67 00:04:31.236 --> 00:04:35.386 (Post-surgery care?) 68 00:04:35.636 --> 00:04:38.286 Nothing different from a regular plastic surgery 69 00:04:38.736 --> 00:04:41.786 except maybe a bruise 70 00:04:42.286 --> 00:04:47.236 and the swelling may last longer but that’s it. 71 00:04:47.536 --> 00:04:51.236 Instead, for the places requiring more attachments, 72 00:04:51.686 --> 00:04:55.287 Like braces, splint will be needed 73 00:04:55.537 --> 00:04:58.337 then for a day or two the taping time 74 00:04:58.337 --> 00:05:00.237 could increase. 75 00:05:00.237 --> 00:05:04.387 (What is the recovery period?) 76 00:05:05.237 --> 00:05:08.637 Identical to other rhinoplasty 77 00:05:09.237 --> 00:05:13.687 keep the bandage for 5~7 days 78 00:05:13.687 --> 00:05:17.137 and after 3~4 days of removing the bandage 79 00:05:17.737 --> 00:05:21.788 no one will notice anything so in 10~14 days overall, 80 00:05:22.138 --> 00:05:27.388 So you can think that you'll be back to your daily life 81 00:05:27.388 --> 00:05:29.338 without any issues 82 00:05:29.338 --> 00:05:33.488 (Is there any problem when it gets removed excessively for the sake of K-Beauty?) 83 00:05:34.238 --> 00:05:36.638 If we remove it too much, 84 00:05:37.238 --> 00:05:40.588 the nose my look a bit odd 85 00:05:41.038 --> 00:05:45.288 and the “nose” part 86 00:05:45.638 --> 00:05:49.139 is always connected to the inside 87 00:05:49.589 --> 00:05:52.789 so removing it too much, we call it an “open roof” 88 00:05:53.189 --> 00:05:56.039 meaning it connects to the inside nostrils 89 00:05:56.339 --> 00:05:59.989 which could lead to infections. 90 00:06:00.339 --> 00:06:04.789 Hence, we must cut the part out and reform the opening 91 00:06:05.289 --> 00:06:11.689 and if it’s too short, then we recommend adding attachments again. 92 00:06:12.139 --> 00:06:16.290 (Final words) 93 00:06:16.440 --> 00:06:18.740 So today we learned about aquiline nose rhinoplasty 94 00:06:18.740 --> 00:06:23.440 and I was Seo Insoo of the SOON Plastic Surgery Clinic