0 00:00:00.000 --> 00:00:03.025 Thank you Plastic Surgery Clinic 1 00:00:03.025 --> 00:00:04.725 There are a lot of patients who would 2 00:00:04.725 --> 00:00:06.225 get both eye and nose procedure together 3 00:00:09.325 --> 00:00:11.825 THANK YOU PLASTIC SURGERY 4 00:00:11.825 --> 00:00:14.525 Hello, this is Dr. Kim Hyung-seok from Thank You Plastic Surgery 5 00:00:14.525 --> 00:00:17.525 Today, we'll have a look at some of the 6 00:00:17.525 --> 00:00:19.925 cases regarding eye and nose procedures 7 00:00:19.925 --> 00:00:21.525 In this case, 8 00:00:21.525 --> 00:00:25.475 the patient visited us to improve 9 00:00:25.475 --> 00:00:29.274 her asymmetric eye folds, hooked nose 10 00:00:29.274 --> 00:00:31.874 and the blunt tip of her nose 11 00:00:31.874 --> 00:00:34.524 The patient originally had high eye folds 12 00:00:34.524 --> 00:00:37.524 so she wanted a slightly higher double eyelid crease 13 00:00:37.524 --> 00:00:40.474 So with a slight in-out fold 14 00:00:40.474 --> 00:00:42.024 by slightly lifting the corner of the eye 15 00:00:42.024 --> 00:00:44.674 we could create the crease extending out 16 00:00:44.674 --> 00:00:47.724 and improved the symmetry of both crease 17 00:00:47.724 --> 00:00:50.724 And this patient has a history of previous injury to the nose 18 00:00:50.724 --> 00:00:54.024 And I believe when her nose was broken 19 00:00:54.024 --> 00:00:57.574 bone fragments were sticking out giving that hooked nose appearance 20 00:00:57.574 --> 00:01:00.674 (A hooked beak that got worse due to trauma) There was a protrusion in the injured area 21 00:01:00.674 --> 00:01:03.724 And when you see it, you can also see a wound on the bridge of her nose 22 00:01:03.724 --> 00:01:05.624 So for those who have experienced such injuries 23 00:01:05.624 --> 00:01:07.724 their skin may have become thinner 24 00:01:07.724 --> 00:01:10.574 So when using implants or undergoing surgery 25 00:01:10.574 --> 00:01:11.774 in terms of exposing that area 26 00:01:11.774 --> 00:01:13.824 a more cautious approach is needed 27 00:01:13.824 --> 00:01:17.723 Also, it is necessary to check to see if the bone condition 28 00:01:17.723 --> 00:01:19.923 is maintaining accurate support before the procedure 29 00:01:19.923 --> 00:01:25.423 Therefore for this patient, we proceeded with a CT scan before the surgery 30 00:01:25.423 --> 00:01:27.123 When performing most nose surgeries 31 00:01:27.123 --> 00:01:29.873 Nasal endoscopy and CT scan are performed together 32 00:01:29.873 --> 00:01:33.973 When performing a nasal endoscopy, you can check the condition of the inside of the nose 33 00:01:33.973 --> 00:01:37.923 while CT scans can detect asymmetry of the bones or changes in facial tissues 34 00:01:37.923 --> 00:01:40.673 which cannot be determined by nasal endoscopy or examination 35 00:01:40.673 --> 00:01:42.873 And it can also help 36 00:01:42.873 --> 00:01:47.273 being aware and handling of issues inside the nose 37 00:01:47.273 --> 00:01:49.773 before the procedure 38 00:01:49.773 --> 00:01:53.323 This photo was taken when she was getting her stitches removed 39 00:01:53.323 --> 00:01:56.273 The swelling is not as severe 40 00:01:56.273 --> 00:01:59.473 With some bruises around the eyes 41 00:01:59.473 --> 00:02:02.473 You can see a clear defined crease 42 00:02:02.473 --> 00:02:05.423 By the 7th day, there was some swelling on the bridge of the nose 43 00:02:05.423 --> 00:02:10.372 and might also appear as if the top of the nose is slightly lifted 44 00:02:10.372 --> 00:02:12.872 If we look at it from the side, it looks more prominent 45 00:02:12.872 --> 00:02:14.422 On the 7th day after surgery, the original hooked nose 46 00:02:14.422 --> 00:02:17.172 and upon closer inspection, these bone fragments are quite prominent 47 00:02:17.172 --> 00:02:18.972 while the tip of her nose dropped like this 48 00:02:18.972 --> 00:02:22.422 On the 7th day, the tip of the nose remains slightly lifted 49 00:02:22.422 --> 00:02:25.322 and the bridge of the nose is in a even line 50 00:02:25.322 --> 00:02:29.972 This photo was taken about 3 weeks after the surgery 51 00:02:29.972 --> 00:02:32.822 Compared to how much the tip of the nose was lifted on the 7th day 52 00:02:32.822 --> 00:02:35.772 (3 weeks later) You can see that the tip of the nose is slightly lowering 53 00:02:35.772 --> 00:02:37.972 The tip does not continue to drop 54 00:02:37.972 --> 00:02:40.272 After 3 months, once it settles in place 55 00:02:40.272 --> 00:02:43.272 the position of the tip of the nose is maintained to some extent 56 00:02:43.272 --> 00:02:46.622 So once the tip of the nose is well settled to some extent, 57 00:02:46.622 --> 00:02:49.822 and the appearance of the hooked beak subsides the tip of the nose 58 00:02:49.822 --> 00:02:52.122 will also maintain its shape 59 00:02:52.122 --> 00:02:56.522 So here, you can see a smooth bridge with a nice lift to the tip 60 00:02:56.522 --> 00:02:59.621 is achieved just like the way the patient wanted 61 00:02:59.621 --> 00:03:00.871 And, also 62 00:03:00.871 --> 00:03:04.221 The scarring on the incision area is not very visible 63 00:03:04.221 --> 00:03:06.171 Even with a columella incision 64 00:03:06.171 --> 00:03:09.871 There comes a point where you don’t have to worry too much about scars 65 00:03:09.871 --> 00:03:11.821 So, the crooked area and 66 00:03:11.821 --> 00:03:13.871 areas where the cartilage was spread out has improved 67 00:03:13.871 --> 00:03:17.771 while the nostrils are well spread out with nicely defined lines 68 00:03:17.771 --> 00:03:21.071 We will closely check until the end of 6 months 69 00:03:21.071 --> 00:03:23.321 but it is expected that it will go well 70 00:03:23.321 --> 00:03:27.721 Like this, there are a lot of patients who undergo eye and nose procedure together 71 00:03:27.721 --> 00:03:31.821 The eyes and nose are very closely related to each other 72 00:03:31.821 --> 00:03:37.021 Your eyes are dramatic but if the nose is too plain, there may be a sense of incongruity 73 00:03:37.021 --> 00:03:39.721 On the other hand, if both the eyes and nose are dramatic 74 00:03:39.721 --> 00:03:41.971 It may give a slightly overwhelming impression 75 00:03:41.971 --> 00:03:45.971 In some ways, it may be a little overwhelming to have both eye and nose surgery at the same time 76 00:03:45.971 --> 00:03:48.971 But you can also fix the concerned areas 77 00:03:48.971 --> 00:03:50.970 at one go 78 00:03:50.970 --> 00:03:53.670 so please consider the desired direction you want to achieve 79 00:03:53.670 --> 00:03:57.370 And I hope you can achieve a nice natural-looking results 80 00:03:57.370 --> 00:04:05.320 Thank You Plastic Surgery ★Subscribe★ Previous video / Recommended video