Rhinoplasty & Fat Graft

Make-over at April.31st Clinic!

      Rhinoplasty and fat graft together for a harmonious and more 3-dimensional face!

Dynamic Tip Plasty

What is ‘Dynamic Tip Plasty’?

As the word itself applies, meaning opposite from ‘static’, rather than applying implants all the way to the end of the nasal tip or fixing and maintaining the nasal tip by strong struts(ex.costal cartilage, artificial bone, etc.) merely to meet the aesthetic standards, Dynamic Tip Plasty focuses on creating the utmost natural and unfixed shape of a nose by dynamically transforming and operating autonomic structure tissues such as alar cartilage, nasal septum, etc.

To maintain the nose height considering the angle between the nose(nasal columella) and upper lip and the proportion to the face with sufficient analyze of the shape and condition of one’s own nasal tip alar cartilage, only entirely soft autologous cartilages such as nasal septum and ear-cartilage are being used. In addition, although it reinforces the nasal columella to be strong, doesn’t damage the part keeping the nasal tip soft as much as possible.

                                                        Frontal View Before & After

   Eye contouring and Medial & Lateral canthoplasty for more clear and defined eyes!

                                                           Side View Before & After

Eye Contour Correction

This procedure allows you to open your eyes more clearly and comfortably by tightening loosened eyelid levator or Muller muscle which are the muscles that open an eye. Also, by refining double eyelid fold, it changes the sleepy eyes to big and clear eyes with brighter and younger look. Comfortable and clear opening of the eyes can be felt even right after the operation.

                                                             45 degree Before & After

  See the make-over at once!

Zygoma reduction under just simple IV sedation! No pressure of general anesthesia!

 

High yet natural! Sleek yet natural! Nasal tip is the key!

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Korean Face Lift

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April.31st Clinic

Brian Lee

+82-2-5406-777 / +82-10-6402-8360 (kakao talk & whatsapp)

02-5406-777  (if you are currently in Korea) 

 

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Nasolabial Folds

Deep nasolabial folds make one looks older and careworn.

Surgical Methods

•Exfoliation of subcutaneous adipose tissue down to the nasolabial folds area followed by skin & muscle    pull-up and excess skin removal at behind the ears.

•Stretch of the wrinkles under the eyes and nasolabial folds by pulling them up through the incision under the eyes.

•Nasolabial folds removal by Microfat Graft

Double Chin Wrinkle Surgery – MESH

New Era of V-Line – Tight Mesh Lift

Sagging skin around the jaw can be found not only in seniors but also in a lot of relatively young people. Sagging facial skin can cause loss of V-line of the jaw. This changes the over-all face shape and makes it look square-shaped which makes you look older with a bigger face.If you want to get the V-Line of your youth with tightened skin, Tight Mesh Lift is th most effective way and we know this from the high satisfaction level of our patients.

1. Since the unique ‘mesh-shape’ of polypropylene allows body tissues to grow into it, it can give a very strong and firm pull-up to the skin and semi-permanent sleek face shape, V-Line, can be maintained.

2. No implant can be felt from outside of the skin like traditional thread method.

3. Effective for not only sagging cheek and jaw but also for neck and nasolabial wrinkles, allowing a small and tightened face regardless on one’s age.

4. No visible scar since the incision line is hidden behind the years.

5. No postoperative swelling allows you to be back to your daily life.

6. We, April.31st Aesthetic Plastic Surgery Clinic, introduced Tight Mesh Lift for the first in Korea and have abundant clinical experience, providing the highest satisfaction for our patients.

 

Joo Heon Lee / Director

• Doctor of Medicine

• Specialist Plastic Surgeon

• Served as a professor at Medical College, Soonchunhyang University

• Served as the director of Lee Joo Heon Plastic Surgery Clinic

• Served as the director of Kangnam CLB Plastic Surgery Clinic

• Selected as the Proud Soonchunyang Graduate at the 30th anniversary of      Soonchunhyang University

• Life member of The Korean Society of Plastic and Reconstructive Surgeons

• Regular member of The Korean Society for Aesthetic Plastic Surgery

• Regular member of The Korean Association of Clinical Plastic Surgeons

• Regular member of Korean Cleft Palate-Craniofacial Association

• Regular member of International Society of Plastic and Reconstructive Surgeons

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Korea rhinoplasty - Hump nose rhinoplasty

Hump nose rhinoplasty

Impression change to ‘gentle’ from ‘scary’.

It refers to a nose with a hump on the nasal bridge. The hump on the nasal bridge often makes the glabella region(between your eyes &above your nose) look flat and the tip relatively droopy.The droopy tip should be highly projected by Dynamic Tip Plasty and the curved nasal bridge should be delicately trimmed.The operation of a hump nose requires skilled technique and meticulous care, so it must be conducted by a surgeon with abundant experience.A careful and deliberate decision must be made beforehand since there are many cases of revision operations due to remaining hump from an erroneous primary operation.In addition, since the nasal bridge itself is already high in most of the hump nose cases, surgical methods of not using implants are widely used not to make it look unnatural due to protruding glabella region.

 

Grinding Reduction Technique for hump nose correction

A hump nose can give too much of a strong impression so people go through rhinoplasty operations to change it to a more gentle one. Hump nose is known to be caused by genetic factors and strong impact during the growth period.The hump gets formed in the middle of the nasal bridge where the nasal bone, lateral cartilage of nose, and septal cartilage meet.For the hump nose correction, osteotomy procedure, breaking the nasal bone, under general anesthesia has been commonly applied so it has been quite burdensome to the patients. April 31st Aesthetic Plastic Surgery Clinic conducts both osteotomy and non-osteotomy procedures; Grinding Reduction Technique is a non-osteotomy procedure that just trims the bone without breaking it.Both procedures are non-incisional and conducted under conscious sedation anesthesia(anesthesia under induced sleep) for the least pressure on the patients.

Recommended Surgical Procedures

1. Overall small-size nose with a slight humpStraight projection from where the nasion starts in the glabella region(between your eyes &above your nose) to the hump on the nasal bridge using autologous tissue.

2. Severe hump noseRemoval of the hump section on the nasal bridge with its bone and cartilage.Even grinding of postoperatively irregular surface of the bone to make the nasal bridge sleek and refined as much as possible.

The bone itself is often wide and big in many cases of severe hump nose.

Meticulous care is needed in these cases since the width of nasal bridge from the front view may look too wide due to the removal of the hump when a proper operation of breaking and narrowing the wide nasal bone isn’t applied together.

          

Jae Hoon Kim / Chief Director

• Doctor of  Medicine      

• Specialist Plastic Surgeon

• Chief Director of April.31st Aesthetic Plastic Surgery Clinic

• Served as the president of Rhinoplasty Research Association,

   The Korean Society   of Plastic and Reconstructive Surgeons (2010~2012)

• Served as the president of the first Seoul Rhinoplasty Forum (2012)

• Served as the executive director of The Korean Society for Aesthetic Plastic Surgery

• Served as the executive director of The Korean Association of Clinical Plastic Surgeons

• Served as a professor at Medical College, Soonchunhyang University

• Served as the director of Kim Jae-Hoon Plastic Surgery Clinic

• Life member of The Korean Society of Plastic and Reconstructive Surgeons

• Regular member of The Korean Society for Aesthetic Plastic Surgery

• Regular member of The Korean Association of Clinical Plastic Surgeons

• Regular member of Korean Cleft Palate-Craniofacial Association

• Regular member of International Society of Plastic and Reconstructive Surgeons

http://april31.com

Face Lift - Double Chin - V-Line

Double Chin Wrinkle Surgery – MESH

New Era of V-Line – Tight Mesh Lift

Sagging skin around the jaw can be found not only in seniors but also in a lot of relatively young people. Sagging facial skin can cause loss of V-line of the jaw. This changes the over-all face shape and makes it look square-shaped which makes you look older with a bigger face.If you want to get the V-Line of your youth with tightened skin, Tight Mesh Lift is th most effective way and we know this from the high satisfaction level of our patients.

1. Since the unique ‘mesh-shape’ of polypropylene allows body tissues to grow into it, it can give a very strong and firm pull-up to the skin    and semi-permanent sleek face shape, V-Line, can be maintained.

2. No implant can be felt from outside of the skin like traditional thread method.

3. Effective for not only sagging cheek and jaw but also for neck and nasolabial wrinkles, allowing a small and tightened face regardless of    one’s age.

4. No visible scar since the incision line is hidden behind the years.

5. No postoperative swelling allows you to be back to your daily life.

6. We, April.31st Aesthetic Plastic Surgery Clinic, introduced Tight Mesh Lift for the first in Korea and have abundant clinical experience,    providing the highest satisfaction for our patients.

Surgical Procedures

1. Primary surgery for Mesh insertion (20 mins.)

2. 2 outpatient treatments for sterilization

3. Secondary surgery after appr. 2 weeks for the Mesh pull-up (30 mins.)

4. No postoperative swelling allows you to be back to your daily life

5. 2 outpatient treatments for sterilization then it’s done!

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Face Line

          Korean Face Contouring              Face Line Surgery

 

                   V-Line                              Facial Bone Shaving

 

          Narrow Jaw                               Facial Bone Surgery

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Incisional Method - Double Eyelid Surgery

Incisional Method

It’s a procedure commonly applied for the cases of thick or sagging eyelid skin, excessive fat of eyelid, or loosened embedding.

It’s a surgical method of making an incision along the line drawn above the eyelid according to the desired height and shape, followed by removal of excess skin, muscle, fat, and connective tissues to make double eyelid fold for the eyes with thick or sagging eyelid skin, excessive fat or loosened embedding.

Candidates for Incisional Method

Suitable candidates for this procedure are decided considering the size of eyes, condition of eyelid tissues, whether blepharoptosis(cause of sleepy eyes) is accompanied or not, desire and expectation of the patient and etc.Generally, the patients who present difficulty in demo-practice of forming double eyelid line with a simple tool, excessive amount of sagging eyelid skin, history of primary double eyelid incision and considering revision operation, thick components of eyelid(muscle, skin, etc) in preoperative consulting are mainly the candidates for the incisional method.

Procedures

After giving an incision along the pre-arranged eyelid line, an additional removal is given on the parts of excessive muscle and orbital fat as necessary. The sagged skin from the skin incision also gets removed as designed. When the manipulation on eyelid tissues is completed, anatomic and functional aspects of double eyelid including adhesion of the skin and adequate tissue (eyelid plate or muscle) are considered to create natural double eyelid lines.From the various methods of creating double eyelid fold lines such as Levator Muscle Fixation, Tarsal Plate Fixation and etc, April.31st Aesthetic Plastic Surgery Clinic conducts a method that doesn’t leave stitches inside the eyelid tissue to create natural double eyelid fold lines.

 

Advantages of Incisional Method

1. Wide scope for manipulation with direct vision.2. Less weakening and loss of the fold lines compared to the Buried Sutures Method(non-incisional).

INFORMATION

• Duration of Operation : 1 hour

• Anesthesia : IV sedation(under induced sleep) &local anesthesia

• Hospitalization : Unnecessary

• Back to Work : After 4~5 days

• Stitch removal : unnecessary

• Outpatient Treatment : 2~3 times

• Washing Face : after 4~5 days• Make-up : after 4~5 days

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Revision rhinoplasty

Implant Foreign body reaction revision

Revision rhinoplasty

“No more pain for rhinoplasty.”

April.31st Aesthetic Plastic Surgery Clinic’s revision rhinoplasty from various casesRevision rhinoplasty should be treated more carefully than the primary operation. Statistically, the rate of revision rhinoplasty is about 10% and it is mainly about subjective dissatisfaction. The reasons of revision rhinoplasty vary as Self-dissatisfaction, change of the aesthetic criteria with the trends, the implications from one’s surroundings and etc. Some other reasons such as inflammation and severe asymmetry, 1% ~ 2% each, have a low probability. Although there is some individual variation, the stabilization process usually takes about 6 months.A hasty revision rhinoplasty can cause problems of the tissues so sufficient stabilization of the tissues prior to it is recommended.Cases of spotting a problem and undergoing a revision rhinoplasty not long after the primary surgery sometimes happen depending on the cases.Therefore, clear and precise delivery of the patient’s desire to the doctor and finding an expert surgeon for the successful operation are most important.Primary surgery itself is very important too, but if one has to undergo revision rhinoplasty, choosing an expert nose surgeon and a hospital with extensive experience and great skill is essen

                                 

                                                   

                                           Contracted Nose Revision Rhinoplasty

Cases for revision rhinoplasty

Unsatisfying postoperative result.

• postoperative creation of a deviated nose

• unfixed implant

• palpable nose implant

• a postoperative nose that is too high or low

• artificial look due to visible demarcation lines along the sides of the nose

• thinned skin of the tip or bridge / stiffness and immobility of the tip or bridge

• having allergic reaction to the silicone

• unsatisfying postoperative result of nasal tip correction

• unnatural and unrefined nose shape

                           

                                                                      

                                           Contracted Nose Revision Rhinoplasty

 

Timing for revision rhinoplasty

Whatever the reason of it is, revision rhinoplasty is recommended to be given right after just 1-2 weeks or after waiting 3-6 months.Exception: an inflamed nose needs an immediate operation.

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Buried Suture Method (non-incision)

“No artificialness, natural double eyelid”

It’s a method widely being used recently with minimal swelling and scar.Adequate for people with thin eyelids and not much of palpebral fat to get natural double eyelids. It’s a non-incisional method; making three small holes on the eyelid and connecting it with the muscle that opens an eye to make double eyelid fold.It’s a simple procedure with a short operating time and the revision operation of it isn’t very difficult. It accompanies minimal postoperative swelling and bruises compared to incisional double eyelid surgery.Although the facts that it has more cases of loosened double eyelid fold compared to the incisional method and creation of a bulge at the area of fixation sutures when the eye is closed may happen can be counted as its demerits, the actual chance of them happening is very rare.Cases of loosened double eyelid fold due to the gradual elasticity decrease of eyes and the aging process of eyelids sometimes happen but they are not caused from the unraveling of the sutures. For these cases, Buried Suture Method procedure on the upper part of the previous one or the incisional/partial incisional method can be done as the revision surgery so there won’t be much of problems.

Candidates for Buried Suture Method

The candidates for incisional and non-incisional methods are mainly divided regarding the severity of eyelid skin sagging, thickness of the eyelid tissue such as skin, muscle and etc, size of eyes and whether blepharoptosis(cause of sleepy eyes) is accompanied or not. Buried Suture Method is also called as ‘Embedding procedure’ since it embeds the sutures and doesn’t conduct much of manipulation on the eyelid skin itself. Therefore, the incisional method that removes sagging skin is more appropriate for the eyes with any amount of sagging skin. However, since double eyelid surgery itself gives elevation of slightly sagging skin as an additional achievement in the process of connecting the skin with the muscle that opens an eye, a light sagging of eyelid skin can be sufficiently taken care of by Buried Suture Method as well. Hence, the eyelid skin looking comparatively droopy doesn’t necessarily mean a candidate for the incisional method.

Advantages of Buried Suture Method

One of the biggest merits of Buried Suture Method is that it’s reversible.

This means that if one isn’t sure about double eyelid surgery or has hard time getting used to the postoperative self-appearance, removal of the sutures will bring back the original eyelids. Of course, having an operation expecting the other-wise situation isn’t very desirable and doesn’t happen often. However, you can say Buried Suture Method has high level of availability and use with its reversibility.Since Buried Suture Method is conducted through very small incision (average 1-2mm), no scar will be visible after a bit of postoperative time. Although the scar isn’t much of a problem in the incisional method since it will be hidden under the double eyelid fold, no scar will be detected whatsoever from Buried Suture Method even when one looks down without any make-up. Therefore, it is suitable for the people who want the utmost naturalness.Buried Suture Method also has merits of a short operating time (20-30 mins) and quick recovery with minimal postoperative swelling since not much of surgical manipulation is done on the eyelid tissues. Generally, it takes about 4~7 days for the acute swelling to be gone and additional off from work is unnecessary since being back to work on Monday after having the operation on previous Saturday is possible. Hence, it’s one of the double eyelid surgery methods suitable for busy contemporary people. There are various surgical methods for Buried Suture Method such as making a single loop, locating the knot on the conjuctiva area, making three short loops, continuous embedding of single knots and etc. Some may use new terms such as ‘quick double eyelid’, ‘Diamond procedure’ and etc. to promote them as if they are new surgical methods but they all fall under the category of Buried Suture Method with just slight changes of details from the original methods.All the methods mentioned above are within the category of Buried Suture Method using its principle with some surgical manipulation differences regarding the shape and maintenance of the postoperative double eyelid.

                                

                                 

                                    

                                      

Misconception about Buried Suture Method

Many people think of it as a method with high rates of loosened double eyelids. It was true in the beginning stage of its introduction to Korea with its unsuitable application and inadequate surgical manipulations. This problem sure was troublesome for both patients and surgeons. Therefore, constant efforts to solve this problem have been made and allowed current Buried Suture Method that lowered the chance of loosening through improvements of the procedures and materials. That’s why the idea of ‘Buried Suture Method = easily loosening double eyelids’ is a misconception and even if the loosening happens by any possibility, a simple additional fixation of the sutures can revise it.

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Flat nose rhinoplasty / Augmentation rhinoplasty

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Flat nose rhinoplasty / Augmentation Rhinoplasty

 

The most common rhinoplasty; heightening the flat nose

boost your nose height and self esteem!

Low nasal bridge!

 

Nose projection/augmentation to make a nose as of the Caucasian has always been popular among Asians due to the Asian nose characteristic of comparatively low nasal bridge. However, compared to how a sharp and Caucasian-like nose for an Asian face was preferred in the past, the preference is recently changing to a high nose which is yet suitable for an Asian face.April 31st Aesthetic Plastic Surgery Clinic, with its extensive operation cases as its renown, has put up constant effort to achieve more harmonious and natural nose.Augmentation Rhinoplasty is a procedure of using implants(silicone, Gore-Tex, surgiform, etc.) for the nasal bridge and autologous tissue for the nasal tip to raise the nasal height.

 

Recommended surgical procedures : Augmentation Rhinoplasty +Dynamic Tip Plasty

Low nasal bridge

Raising just the nasal ridge height can be done by using implants such as Gore-Tex but for most of a flat nose cases, it will make an unnatural nose with an artificial look since its ridge will be high starting from the forehead region yet the tip will remain low. Thus, choosing the nose shape most suitable for your face is the most important step.

Weak and flat nasal tip

As the tip plasty is considered very important in rhinoplasty, just a change of the tip can make the overall impression very refined and gentle.

Dynamic Tip Plasty for the flat tip projection

A mere nasal tip plasty for the nose projection can lead on to side effects such as a creation of an unpturned nose or a bulbous nose.Since April 31st Aesthetic Plastic Surgery Clinic’s own Dynamic Tip Plasty preserves and uses one’s own tip alar cartilage(cartilage forming the nasal tip) as much as possible for the projection and allows free mobility of the tip, it can change an upturned or droopy nasal tip to a beautiful and natural one.

                                 

Dynamic Tip Plasty and overall rhinoplasty for a flat nose

Rhinoplasty is the second most performed plastic surgery after double eyelid surgery, yet it still has a high revision surgery rate.Unlike blepharoplasty(eye plastic surgery), rhinoplasty involves use of implants. It means that even after a certain period of time with a satisfying postoperative nose, cases of revision surgery due to side effects or deformity of the nasal shape caused by over-inserted foreign substance or over-manipulation of peri-implant tissue may happen. Therefore, sufficient preoperative consulting about what you want and specific details regarding the operation procedures and result is recommended.

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Hump nose rhinoplasty

Korean rhinoplasty, hump nose rhinoplasty  http://april31.com

Face Line

V-line, face contouring, http://april31.com

Korean Jaw Surgery

V-line, Korean Jaw surgery

V-line

V-line. Korean plastic surgery  http://april31.com

Korean Eye Contouring

korean plastic surgery, eye contouring.  http://april31.com

Revision Rhinoplasty

Revision rhinoplasty, contracted nose surgery http://april31.com

Korean plastic surgery

Face Lift in http://april31.com

Korean plastic surgery

Korean plastic surgery  http://april31.com

Mini-Face Lift

Face lift, mini-face lift.   http://april31.com