Posts

3 Types Face Contouring: For a slimmer face and a short chin

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 Hello, This is Dr. Jongrim Park, the bone specialist at Samsao Plastic Surgery Clinic. Today, I’d like to introduce a patient’s surgical case after a long time. The patient wanted a slimmer face. They had a short and blunt chin, so I recommended extending the chin length along with square jaw reduction and zygoma reduction surgery. Let me show you the before-and-after CT scans. This is a frontal CT scan. You can see that the chin has become slimmer and the length has also increased, right? You can observe the bone graft inserted between the segments. By performing a corticotomy on the mandible, the chin has become slimmer, and you can also see that the zygoma (cheekbones) has been well reduced. Here are the post-operative CT scans of the left and right sides. You can clearly observe that the chin has lengthened. The jawline is also neatly contoured, the cheekbones are well fixed, and the bone contact is very well aligned. Proper bone contact is crucial. The bones need to be well-a...

Zygomatic Reduction Surgery and Lifting - Conference Presentation

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 Hello, This is Dr. Han Kyu-nam from 345 Plastic Surgery. Today, I would like to talk about the presentation I gave at the recent APS 2024 (The Korean Association of Aesthetic and Plastic Surgery) during the Facial Contouring Surgery session. I was invited by the Facial Contouring Research Society to give a presentation on how to manage soft tissue during zygomatic reduction surgery and to highlight the key considerations. I worked hard to prepare and deliver this presentation. As many of you may know, Dr. Park Jong-rim specializes in facial contouring surgery at our clinic. Our clinic is always included in the must-visit list for those considering facial contouring surgery , and we have a large number of patients seeking these procedures. Interestingly, a significant number of patients seeking facial contouring surgery are in their 30s or older . For patients in this age group, skin elasticity tends to decrease , and sagging may have already begun , leading many to conside...

Do facial contouring or zygoma reduction surgeries cause nosebleeds?

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 Hello, This is Dr. Jongrim Park, also known as the "Bone Specialist" at 345 Plastic Surgery. Today, I would like to address a question that patients who have undergone zygoma reduction surgery often ask. "After having zygoma reduction surgery, I’ve been experiencing nosebleeds for a few days. Is this normal?" Here is the explanation and answer to this question. When undergoing zygoma reduction surgery, blood from the surgical area may accumulate in the sinuses . The sinuses are air-filled cavities within the bones, and when fluid or mucus fills these spaces, it leads to conditions commonly referred to as sinusitis or sinus infection . However, even if blood collects in the sinuses, it does not pose a problem . Our  body has a well-designed drainage system! Through the pathways shown in the illustration, blood gradually flows out. As the blood flows out, it mixes with mucus or saliva, appearing as nosebleeds or blood-streaked sputum . However! If you try to clear ...

The effects of endoscopic forehead lifting.

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 Hello, I am Dr. Han Gyunam from 345 Plastic Surgery. When there is drooping of the eyelids, we typically consider upper blepharoplasty (upper eyelid surgery) or browpexy (eyebrow lift). However, sometimes after upper eyelid surgery, the double eyelids become more prominent, and the impression of the face can change for the worse. This typically happens when the eyelid skin is thick and there is excess fat, especially in cases where the eyes appear sunken. But there are also cases where the impression worsens even though there is little fat and the skin is not thick. In these cases, the eyebrow may droop down, bringing the eyebrow closer to the eye, resulting in thick eyelids. In fact, most Westerners have their eyebrows relatively close to their eyes when viewed from the front. However, due to their protruding bones and deep-set eyes, the position of their eyebrows doesn't significantly affect the eyelid. For Korean women, the bones in the eyebrow area tend to be flat, and the for...

Pain in Breast Surgery

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Hello, This is Dr. Han Kyu-Nam from 345 Plastic Surgery. How painful is breast augmentation using implants? Many patients hesitate to undergo secondary breast surgeries, even for relatively simple corrections like asymmetry, upper bulging, or implant displacement. The primary reason for this hesitation is likely pain . The difficult memories of their initial surgery often linger. Many patients report experiencing significant pain after breast surgery. Some even share how challenging it was to perform simple tasks like sitting on the toilet or managing hygiene. On the other hand, some patients mention having very little pain after surgery. Why does this difference in pain levels occur? It’s not just about individual sensitivity to pain or tolerance. Pain after breast surgery depends on factors like: Patients who frequently use their arms and have firm skin tend to experience more pain when large implants are placed under the muscle. Conversely, patients who rarely use their pectoral mus...

Facial Retaining Ligaments - and SMAS (Superficial Musculoaponeurotic System)

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Hello, this is Dr. Han Kyunam from 345 Plastic Surgery. Today, let's learn about the retaining ligaments of the face. Retaining ligaments are structures that help maintain the shape of the face. Typically, ligaments are strong fibrous tissues that connect bones to other bones, primarily located in joints. They have a structure similar to tendons, which are also fibrous tissues but connect muscles to bones. Similarly, retaining ligaments are also fibrous connections, but they differ in that they attach to the skin. In the face, retaining ligaments vary from very firm ones that connect the bone directly to the skin to relatively weaker ones that connect the fascia to the skin. The following true ligaments are the strongest. Because they run vertically from deep to superficial layers, they act like partitions that divide the face into different sections. As shown in this illustration, the facial fat layers are divided by retaining ligaments. The separated fat layers are named as disti...

Why is a small chin often associated with a youthful appearance?

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Hello, This is Dr. Jongrim Park, a specialist in bone structure. Lately, "youthful appearance" has been a hot topic. Regardless of age, people are making efforts to look more youthful. This trend is also noticeable in contouring surgeries, which I frequently perform. Many people want to make their chins shorter and smaller. But why does having a small chin make someone look younger?  The graph above represents the growth curve of our body. It might look complex, but when you break it down, it’s not too difficult to understand. The x-axis represents time. The leftmost point indicates birth, and as you move to the right, it represents aging. The graph for the brain shows a rapid increase right after birth. From the moment we are born, the brain grows significantly, and by around the age of 10, it almost reaches the size of an adult’s head. However, the face grows later than the brain. If you look at the size at age 10, the head is quite large, but the face (especially the chin)...