Revision Rhinoplasty and Endoscopic Brow Lift, an Open Rib Case at S45 Clinic
A single allergic reaction to seafood became the start of a ‘severe nasal inflammation and infection’ that spread until pus broke through the skin.
Although Khun Ne tried treatment at several places and spent more than THB 2 million, the problem kept coming back, and her face had also sagged after weight loss, so her confidence gradually faded.
This article looks in detail at how several procedures were planned together to rebalance her face, so she could feel confident again.
When the Problem Is Not Just the ‘Nose’ but the Whole Facial Structure
Khun Ne’s case was a complex one, involving nasal inflammation and sagging skin after weight loss.
Surgeons at S45 Clinic therefore focused on a ‘detailed assessment of the overall facial structure’ to plan treatment that suits each person’s facial proportions.
Surgeons at S45 Clinic Planned the Treatment Together to Adjust the Face as a Whole
Khun Ne’s case was complex, with a history of rhinoplasty with repeated inflammation and sagging skin after weight loss. At S45 Clinic, the team assessed the ‘overall facial structure’ and planned several procedures at the same time so the result looks balanced and recovery is needed only once.
Treating the Inflamed Nose With Open Rib Rhinoplasty by Dr. Ty at S45 Clinic
In cases with chronic inflammation, the priority is safety, so Dr. Ty (นายแพทย์กิตติศักดิ์ วงค์เทียนชัย, ว.35602) at S45 Clinic chose a technique suited to the individual patient.
- Revision rhinoplasty with the open rib technique: her own rib cartilage is used to build a new structure, for strength and to lower the risks linked to synthetic materials, lowering the chance of infection in the future.
- Restoring the skin and the inflamed tissue: scar tissue is released and the wound on the nasal bridge is repaired, and then a tissue tip graft is added to bring back a more usual shape.
- S45 Original shape by Dr. Ty: a sloped bridge with a soft tip, reshaping a tip that was round and thick so it has more definition and suits the face.
Endoscopic Brow Lift and Facelift at S45 Clinic
Apart from the nose structure, Khun Ne also had a sagging face from losing weight too quickly. A surgeon at S45 Clinic treated the sagging skin, drooping brows and double chin to give the face a fresher look.
- Endoscopic brow lift: helps correct drooping brows and drooping outer eye corners, so the eyes look brighter, with small incisions hidden in the hairline.
- Facelift and neck lift: tightens the deep muscle layer (SMAS) to address nasolabial folds (the lines from the nose to the corners of the mouth) and sagging skin on the neck.
- Double chin removal and liposuction under the chin: helps define the jawline so the face looks slimmer and more youthful.
Results and Changes 14 Days After Surgery
- Firmer face: a more defined facial outline, shallower nasolabial folds and a more youthful look.
- Brighter eyes: the brows and outer eye corners are lifted, softening a stern look.
- Discreet scars: fine stitching, with incisions close to the ear and hidden in the hairline.
Planning the Whole Face With Surgeons at S45 Clinic
Frequently Asked Questions About Having Several Procedures at the Same Time
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