Nose Reshaping (Rhinoplasty)
Surgery to reshape the nose is among the most common plastic surgery procedures. This procedure can reduce or increase the size of the nose, remove an unwanted hump, change the shape of the tip or the bridge, and/or narrow the width of the nostrils.
There are two types of rhinoplasty surgeries: The Open Technique and The Closed Technique.
During the Open Technique, the plastic surgeon makes an incision just inside the nostrils and connects the two incisions via a cut on the columella (the skin that separates the two nostrils). The surgeon then peels the skin back, revealing the inner nasal anatomy. Alterations are made to the bone and cartilage under direct vision to alter it to the desired shape. Once the surgeon is done, the skin is laid back down and the incisions are sutured together. The open technique allows better control and visualization of the procedure for the plastic surgeon, but has the drawback of a visible columella scar and longer swelling.
During the Closed Technique, the plastic surgeon makes incisions only inside the nostrils. He or she then shapes the nose by performing procedures under the skin. While this technique does not allow as much visualization of the internal nasal anatomy, many experienced plastic surgeons can achieve nice results with less scar and less swelling. Dr. Youn uses this technique almost exclusively, but with the knowledge that it can be limited.
Most plastic surgeons have their patients wear a splint on their nose (typically made of plastic, metal, or plaster) for at least a week after surgery. If your nasal bones are broken during the procedure (used to straighten or thin the nose) then you will likely have some bruising around your eyes. This bruising can last 2-4 weeks. Some plastic surgeons put packing or splints inside the nose as well, for varied amounts of time. Most rhinoplasty patients do not have a lot of pain with the procedure, and often take only a handful of pain pills.
Chin augmentation can change the shape of the chin to extend the chin from the face. The contour of the chin can be reshaped to be smoother or more angular in appearance. Dr. Youn performs this procedure using either the patient’s own fat or a small implant placed through the mouth with no external scars. Chin augmentation can be tailored to create a more balanced yet feminine look in females, and a stronger, more masculine appearance in males. Swelling is usually minimal, and most patients can return to work within a few days.
Full and vivacious lips have always been recognized as aesthetically important features which signify youth and beauty. Some of us however, are born with thin, ill-defined lips, or lose the fullness in their lips as they grow older. Dr. Youn performs lip enhancement in a variety of ways, including using fat grafting or injectables like Juvederm, Restylane, and Prevelle to increase the fullness and enhance the shape of lips.
Corner Mouthlift (A.K.A The Grin Lift)
The corners of the mouth tend to droop as people age. Dr. Youn corrects this in two different ways. For minor drooping, injections of Restylane, Juvederm, or fat can provide a lift for the corners of the mouth. For patients with more severe drooping, a surgical corner mouthlift (a.k.a. the grinlift) can be performed. It is a procedure which can be performed in the office under local anesthetic, and can result in a significant lift with a small scar.