Do I have to scrape off all the fillers before rhinoplasty?

The three-dimensional effect of the front and side faces is influenced by the nose line. One of the most important parts of the face is the nose, which is located in the middle of the face. The nose, which plays a very important role in the overall impression, can have a big effect even with small changes, so many people decide to undergo rhinoplasty to transform their image.

The nose plays an important role in the overall impressionㅣSource: Clip Art Korea
Just as fashion and the latest trends exist in culture and fashion, there are trends in plastic surgery. In the past, naturalness was the trend, but recently, the ‘straight half socks’ line, which adds splendor to naturalness, is the trend. However, rather than unconditionally following the trend, it should be molded in harmony with your face. This is because each patient has a different nose shape.

If you have a nose line you want, you should check the characteristics of each hospital in detail. Each hospital and each doctor has their own style, so you need to carefully consider whether it fits the style you want.

Must dissolve nose filler before rhinoplasty
During rhinoplasty consultations, there are many inquiries about whether rhinoplasty can be performed on top of the nose filler after the nose filler procedure. If you have previously had a non-rhinoplasty nose filler procedure, you must melt the remaining filler inside your nose before rhinoplasty.

When a nose filler procedure is performed, the nose rises immediately after the procedure, but as time passes, the nose is often not maintained as the filler is gradually absorbed. If you do a re-treatment on top of that, the filler material gradually spreads to the side, changing the overall shape of the nose. For this reason, many people undergo nose filler surgery and eventually decide on rhinoplasty, and there is a procedure that must be preceded at this time. It is a procedure that dissolves the nose filler as much as possible.

If surgery is performed with the filler left in the nose, there is a high possibility that the desired height or shape of the nose will not come out as the filler is gradually absorbed or spread to the surrounding area. If possible, melt all the filler before rhinoplasty to increase the effect of the rhinoplasty.

Melting nose filler before rhinoplasty
Before rhinoplasty, I work on melting the nose filler. Mainly, the filler remnants are dissolved and removed through filler disassembly injection. It is usually injected 1 or 2 times into the glabella or bridge of the nose, and when all the filler is removed, rhinoplasty can be performed at that time.

One thing to be aware of is that if a permanent nose filler that does not dissolve is injected, it may not be removed cleanly with the filler dissolving injection. At this time, it is recommended to avoid permanent nose filler procedures because it must be scraped through surgery.

It is also important to check the desired shape and nose bridge line before rhinoplasty.
Each individual has a slightly different shape of the nose, so customized rhinoplasty should be performed accordingly. In particular, it is important to perform optimized rhinoplasty by prioritizing harmony with the surrounding eyes, mouth, and facial lines rather than unconditionally building the bridge of the nose.

It is also very important to check the shape of your nose before rhinoplasty. It is also a good idea to check your face from the front, 45 degrees to the right and 45 degrees to the left while holding a mirror, or take a picture with your phone. It is important to meticulously check the overall shape of the upper part of the nose, such as the bridge of the nose, the bridge of the nose, and the tip of the nose, to correctly recognize the areas to be resolved through surgery.

Nose bridge and nose shape checklist
– Check the bridge of the nose and the tip of the nose
– Check the height of the forehead and the starting point of the tip of the nose
– Check if the bridge of the nose is bent from the front (bent nose, deviated septum, etc.)
– Check if the bridge of the nose is bumpy (e.g., bent nose) from the side view
– Diagnosing the height and shape of the tip of the nose

Just as each individual has a different facial shape, so does the shape and size of the nose. It is necessary to identify various types of noses such as curved noses, bent noses, bulging noses, and short noses, and establish a 1:1 customized plan for them. Successful rhinoplasty can be expected only when a custom design that matches the existing nose shape is selected. Therefore, before performing rhinoplasty, it is necessary to check the condition of the internal tissues of the nose and various sizes of cartilage for each patient, and make a suitable surgical plan.

Written = Director Kim Hyung-seok, medical reporter at Haidak (Plastic surgeon)

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