Posts

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)...

Fixation methods after zygoma reduction surgery! Double fixation? Triple fixation?

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Effective Fixation Methods After Zygoma Reduction Surgery by Dr. Park Jonglim As a bone specialist at 345 Plastic Surgery Clinic, I often get asked about the most effective methods of fixation after zygoma reduction surgery. This procedure is designed to reduce and reposition the zygomatic bone, but the fixation techniques used afterward play a crucial role in ensuring proper healing and preventing complications like nonunion. Understanding the Forces Acting on the Zygomatic Bone Post-Surgery After performing osteotomy to reduce the zygoma, two main forces act on the surgically repositioned zygomatic bone. These forces primarily stem from the powerful chewing muscles, namely the masseter and temporalis muscles . Masseter Muscle: This large, powerful muscle connects the zygomatic bone to the mandible and is responsible for chewing. When it contracts, it pulls the zygomatic bone and mandible together, applying a downward force on the zygomatic bone. Temporalis Muscle: Although it does...