0 00:00:00.000 --> 00:00:01.025 Thank You Plastic Surgery 1 00:00:01.025 --> 00:00:03.825 Hello, this is Dr. Choi Yo-an from Thank You Plastic Surgery 2 00:00:03.825 --> 00:00:08.025 (Non-implant rhinoplasty) Why you need a nasal osteotomy 3 00:00:08.025 --> 00:00:09.526 In the case of non-implant (nose jobs) 4 00:00:09.526 --> 00:00:11.526 (Implants aren’t inserted inside the nose bridge) a basic higher nose bridge is needed 5 00:00:11.526 --> 00:00:13.726 For Asians to have a high nose bridge 6 00:00:13.726 --> 00:00:17.026 (What is nasal osteotomies?) The nosebone that is connected to the cheekbones is wide 7 00:00:17.026 --> 00:00:19.426 So through the nasal osteotomies 8 00:00:19.426 --> 00:00:21.826 we create a slimmer nose 9 00:00:21.826 --> 00:00:24.426 By doing so, even without implants 10 00:00:24.426 --> 00:00:26.926 You could get the result of high-nose bridge 11 00:00:26.926 --> 00:00:29.627 (For your understanding) To give you an example of an actual patient 12 00:00:29.627 --> 00:00:30.777 There is Kendall Jenner 13 00:00:30.777 --> 00:00:33.777 I'm mentioning her because she is a very good example 14 00:00:33.777 --> 00:00:37.827 When you look at the middle, there is a wide area 15 00:00:37.827 --> 00:00:40.177 So through lateral (external) and medial (internal) osteotomies 16 00:00:40.177 --> 00:00:43.177 I believe she adjusted the height of the nose as well 17 00:00:43.177 --> 00:00:47.628 When you see from the front the nose has slimmed down 18 00:00:47.628 --> 00:00:50.478 And the nose bridge looks much better 19 00:00:50.478 --> 00:00:54.078 When it comes to noses, there are expectations regarding their appearance 20 00:00:54.078 --> 00:00:58.028 Because there is a nose that the public deems average in Korea 21 00:00:58.028 --> 00:00:59.978 So if one doesn't have that average nose 22 00:00:59.978 --> 00:01:01.628 it would be perceived as having a unique look 23 00:01:01.628 --> 00:01:05.079 Therefore, in order to have a pretty and handsome face as an Asian 24 00:01:05.079 --> 00:01:08.229 noses are usually high and slim! 25 00:01:08.229 --> 00:01:10.129 There are some men who have hooked noses 26 00:01:10.129 --> 00:01:13.179 But it's rare to see good looking men with wide nose bone 27 00:01:13.179 --> 00:01:15.879 (The bigger the cheekbone, the wider the nose bridge) Because the nose bone is connected to the cheekbones 28 00:01:15.879 --> 00:01:19.829 (Asians have big cheekbones) The majority of Asians can’t achieve 29 00:01:19.829 --> 00:01:22.680 A slim nose without an osteotomy 30 00:01:22.680 --> 00:01:25.180 When you want a natural yet glamorous look 31 00:01:25.180 --> 00:01:28.630 An osteotomy can be a good option 32 00:01:28.630 --> 00:01:31.280 Would the osteotomy be obvious? 33 00:01:31.280 --> 00:01:32.430 No one will know 34 00:01:32.430 --> 00:01:34.430 But the difference between getting it done to not getting it done 35 00:01:34.430 --> 00:01:35.330 As I showed you before 36 00:01:35.330 --> 00:01:38.130 Is very big like this example I showed you 37 00:01:38.130 --> 00:01:42.331 How does a nasal osteotomy work? 38 00:01:42.331 --> 00:01:44.231 Nasal osteotomies in simpler terms 39 00:01:44.231 --> 00:01:46.281 breaks down into two lateral (external) and medial (internal) osteotomies 40 00:01:46.281 --> 00:01:47.181 What this means is 41 00:01:47.181 --> 00:01:49.031 (The anatomy of the nose) The nose is in a triangle 42 00:01:49.031 --> 00:01:50.881 It's a triangle like this 43 00:01:50.881 --> 00:01:53.081 The lateral (external) osteotomy is done here 44 00:01:53.081 --> 00:01:55.281 The part that we need to preserve is the tip of the nose 45 00:01:55.281 --> 00:01:58.382 The triangle needs to be kept when performing the osteotomy 46 00:01:58.382 --> 00:02:00.682 This is crucial. While preserving this 47 00:02:00.682 --> 00:02:03.632 The lateral (external) osteotomy starts here and goes outward 48 00:02:03.632 --> 00:02:05.732 Like the famous shoe brand 49 00:02:05.732 --> 00:02:08.482 Connecting the line and the osteotomy is performed to here 50 00:02:08.482 --> 00:02:11.082 While medial (internal) osteotomy starts here 51 00:02:11.082 --> 00:02:13.682 and all the way to the exterior 52 00:02:13.682 --> 00:02:16.183 These two parts are adjacent 53 00:02:16.183 --> 00:02:19.983 so the inner bone won't fracture or collapse 54 00:02:19.983 --> 00:02:22.283 I would say that osteotomy means 55 00:02:22.283 --> 00:02:25.833 cutting in your preferred shape and creating a parallel line 56 00:02:25.833 --> 00:02:28.383 lateral (external) and medial (internal) osteotomies are differentiated 57 00:02:28.383 --> 00:02:31.333 but they both aim to make the nasal bone 58 00:02:31.333 --> 00:02:33.984 symmetrical and slimmer 59 00:02:33.984 --> 00:02:36.484 so I don't think the differentiation is necessary 60 00:02:36.484 --> 00:02:40.684 How to successfully do a non-implant rhinoplasty 61 00:02:40.684 --> 00:02:42.834 This is the ideal nose shape 62 00:02:42.834 --> 00:02:45.934 Starting at the glabella and falling straight 63 00:02:45.934 --> 00:02:49.384 but when low-bridge people choose to skip implanting 64 00:02:49.384 --> 00:02:52.085 It goes like this, and only the nose tip is elevated 65 00:02:52.085 --> 00:02:54.335 Then the bridge looks too flat 66 00:02:54.335 --> 00:02:58.085 and a lot of people are unsatisfied with the resulting bridge shape 67 00:02:58.085 --> 00:03:01.185 Since the nose is a combination of the nose bridge and tip 68 00:03:01.185 --> 00:03:02.535 (Non-implant rhinoplasty osteotomy) the importance when it comes to nose bridge 69 00:03:02.535 --> 00:03:04.435 is the nose width in the end 70 00:03:04.435 --> 00:03:05.635 which is why osteotomy is important 71 00:03:05.635 --> 00:03:08.435 (Is osteotomy very painful?) The biggest reason people are afraid of osteotomy 72 00:03:08.435 --> 00:03:12.336 is that it's scary because it feels like breaking the bone 73 00:03:12.336 --> 00:03:14.186 and that it will take a long time to recover 74 00:03:14.186 --> 00:03:16.036 But the recovery period is not long with osteotomy 75 00:03:16.036 --> 00:03:17.086 There is one downside though 76 00:03:17.086 --> 00:03:19.236 There's a lot of bruising for about a week 77 00:03:19.236 --> 00:03:22.636 That is a process that I can't help you with 78 00:03:22.636 --> 00:03:25.486 But even with that since you'll need to 79 00:03:25.486 --> 00:03:27.837 wear a splint for almost a week anyway 80 00:03:27.837 --> 00:03:29.387 It won't be that noticeable 81 00:03:29.387 --> 00:03:31.737 Also, osteotomies are not painful at all 82 00:03:31.737 --> 00:03:33.587 There is no palpable pain 83 00:03:33.587 --> 00:03:34.987 So don't be so afraid of osteotomies 84 00:03:34.987 --> 00:03:37.787 You can get a lot out of osteotomy 85 00:03:37.787 --> 00:03:41.737 and you can lower the chances of side effects 86 00:03:41.737 --> 00:03:49.663 Thank You Plastic Surgery Previous Video ★Subscribe★ Recommended Video