Hello
I'm Seo Insoo, a plastic surgery specialist at SOON
Today, we're going to talk about aquiline nose rhinoplasty
(How does aquiline nose rhinoplasty gets performed?)
First, let's take a look at the structure of the nose
The nose is largely divided into three parts
From the top, there's a bone
Next, there's cartilage. Lastly, the nose wing cartilage that makes the tip of the nose
It's divided into three parts like this. But the hooknose means that
the upper bone and the upper cartilage
is protrude and that's what we call hook nose or aquiline nose
So there are cases where only the bones come out or the lower cartilage comes out
Or the two parts sticking out at the same time are called hooked nose
To put it simply, you have to grind it or sharpen it if it's deep to correct it
That's how you can understand
After grinding or sharpening the nose
If the nasal bone is wide
there is a need for an additional bone collection procedure called bonesetting
And when you got rid of the hook, but if the nose bridge is too low
Then there are cases where implants are needed
(Does the removed bone grow back after the surgery?)
No nasal bone or cartilage grows back
But there are cases where some are left behind after the surgery
Patients like that either have thin layer of skin
or during the surgery, the skin can get swollen
And bleeding can lead to severe swelling
So even if the hooked part of the nose were nicely removed
during the process where it starts to heal
you could still see a bit of the shape
And if your nose is bent, the right and left sides are asymmetrical
so you could still see it when you look at it at both angles
It sometimes can look much worse
But that's quite rare
If your skin is too thin
Those who have had swelling or bleeding during surgery may see some of the result
I guess that's how you understand
(Can the surgery be performed by removing the bone without any implants?)
Yes, it's possible
As I said it before, the bridge and the tip of the nose are shaped and high
If the hooknose comes out a bit at that state, you can just remove it
But Asians have a lower nose bridge
with hook nose, so in that case, we use the implants
to raise it a little
Westerners, on the other hand, have hooked nose
with their high nose bridge and tip of the nose
There are many cases where only the bump of the nose is removed
(Is it possible to perform the procedure with just the fillers?)
Yes it is
If the hooked part is not too much or if it's slightly curved
For those people, simple correction is possible through fillers
Those afraid of the surgery or those who want to know what their nose will look like beforehand,
they can try the fillers
but because fillers eventually gets absorbed in the body
it is not recommended as a long term
In my personal opinion, within a year or two, instead of repeating the process,
I recommend getting the surgery according to the shape
so it stays longer and safer in that shape
that’s why I recommend filler for the short term
and surgery for the next 2~3 years
to remove side effects of the filler
is what I would recommend
(How is the revision surgery performed for the hooked nose?)
Identical to the regular revision surgery for nose
and sometimes for those whose nose is bent or the bone is wide
we can reshape it accordingly by adding attachments
or through fixing the nose
so it’s quite similar to a regular nose revision surgery
(Post-surgery care?)
Nothing different from a regular plastic surgery
except maybe a bruise
and the swelling may last longer but that’s it.
Instead, for the places requiring more attachments,
Like braces, splint will be needed
then for a day or two the taping time
could increase.
(What is the recovery period?)
Identical to other rhinoplasty
keep the bandage for 5~7 days
and after 3~4 days of removing the bandage
no one will notice anything so in 10~14 days overall,
So you can think that you'll be back to your daily life
without any issues
(Is there any problem when it gets removed excessively for the sake of K-Beauty?)
If we remove it too much,
the nose my look a bit odd
and the “nose” part
is always connected to the inside
so removing it too much, we call it an “open roof”
meaning it connects to the inside nostrils
which could lead to infections.
Hence, we must cut the part out and reform the opening
and if it’s too short, then we recommend adding attachments again.
(Final words)
So today we learned about aquiline nose rhinoplasty
and I was Seo Insoo of the SOON Plastic Surgery Clinic