This technique also helps the surgeon design the nose shape and adjust its proportions to suit each person’s face.

How to Choose a Rhinoplasty Look That Suits Your Face

The nose sits in the middle of the face, which is why some people choose rhinoplasty or nose reshaping first, to address concerns or features they are unhappy with. Others have rhinoplasty to change how they look and feel more confident, to follow current beauty trends, or for many other reasons, such as:

1. Rhinoplasty to enhance your looks: this is probably one of the main reasons people want rhinoplasty, to enhance their appearance and give the face a focal point. Rhinoplasty can help the nose look higher, with a sharper bridge and a more upturned tip. Even a large nose can be made to look slimmer or softer.
2. Rhinoplasty to correct an abnormal nose shape: this can have 2 causes. The first is the original structure of the nose, such as a crooked or tilted nose, a curved nose, a misshapen nose, a nose with little soft tissue, a large nose, wide alae, a high dorsal hump, a nose affected by an injury, or cleft lip and palate.
3. The second cause is a previous rhinoplasty, such as a nose contracted by infection, a short, blunt nose, a crooked or tilted nose, a silicone implant that has shifted, silicone implant extrusion, a stiff bridge, nostrils misshapen by broken alar cartilages or pressure from a silicone implant, or a thin nasal tip. These can be corrected with rhinoplasty, and open nose reshaping can help the nose return to a shape that is in proportion and more balanced with the face.

For these reasons, many people are interested in rhinoplasty, which can be done from the age of 18

Does Rhinoplasty to Reshape or Correct the Nose Have Risks?

Revision rhinoplasty is surgery that carries risks at every stage, before, during and after the procedure. It is important to choose an experienced surgeon, so the result is more likely to match your expectations and you are less likely to be disappointed with your new look later.

If you have had rhinoplasty before and want to reshape your nose, wait until your nose has settled and the tissue has healed well, for at least 3 to 6 months (at the surgeon’s discretion), before having reshaping surgery again.

Common Problems That Lead to Nose Reshaping Surgery

• Crooked or tilted nose: this can have many causes, such as the surgeon not placing the silicone implant under the periosteum, an implant that is the wrong size, or contraction of the nasal tissue. The nose may also be crooked or tilted because of its original structure.
• Implant extrusion: caused by a silicone implant that does not fit the nasal tissue, or by infection or inflammation.
• Red, swollen nose: caused by inflammation or infection. If you have redness, swelling, pain or heat that is worse than usual, consult a doctor as soon as possible.
• Nose does not suit the face: this depends on personal satisfaction. Consult your surgeon about further correction. The nose may look stiff or lack a gentle slope, which can make the face look stern.
• Deviated nose: caused by an abnormal nasal bone structure.
• Bulbous nose: caused by thick soft tissue on the nose.
• Short nose: if you have not had rhinoplasty before, it may be caused by a short nasal structure. If you have had rhinoplasty before, it may be caused by scar tissue contracting.
• Droopy nasal tip: if you have not had rhinoplasty before, it may be caused by a high dorsal hump that makes the tip look like it points down. If you have had rhinoplasty before, it may be caused by a silicone implant pressing on the tip, which makes it droop.
• Thin nasal tip: caused by little soft tissue at the tip, or by having had rhinoplasty with an implant for a long time, which makes the skin at the tip tight.

Differences Between Closed and Open Techniques for Rhinoplasty and Nose Reshaping

For nose surgery, there are 2 main techniques in common use: closed rhinoplasty, and open or structural rhinoplasty. Here are the differences between the 2 techniques, with their pros and cons.

1. Structural Technique (Open Rhinoplasty)

This is open surgery on the nasal structure. The surgeon makes an incision on the outside of the nose, so they can clearly see the inner structure and address the problem directly. It suits noses with complex structural problems. Recovery after surgery takes about 2 to 4 weeks.

To shape the tip, surgeons usually use material from your own body, such as ear cartilage, septal cartilage (from the septum) and rib cartilage. For the bridge, a silicone implant, Gore-Tex or another material the surgeon considers suitable is usually used.

2. Closed Technique With a Tip Graft

The surgeon makes an incision inside one nostril. The incision is small and cannot be seen from the outside. It suits noses without complex structural problems. Recovery after surgery takes about 1 to 2 weeks.

Note: after surgery, follow your surgeon’s advice carefully and have your nose checked at the scheduled times.

Differences Between Closed Rhinoplasty and Open Rhinoplasty

Suitable For

• Close rhinoplasty
  • People who already have a good nasal structure
  • People who want a higher bridge or a small change in shape
  • People with no structural nose problems
  • People with thick soft tissue on the nose
• Open Rhinoplasty
  • People with nose concerns such as a crooked nose, a droopy tip, a large nose, a bulbous nose, a short nose, a deviated bridge or a high dorsal hump
  • Cases with previous infection or extrusion, and cleft lip and palate cases
  • People who have had nose reshaping many times, which has damaged the original nasal structure
  • People who have had filler injections that pressed on the septum and damaged the nasal structure

Risks

• Close rhinoplasty
  • There is a chance of extrusion because an L-shaped silicone implant is used, and in the future it may press on the alar cartilages and damage the structure.
• Open Rhinoplasty
  • Because the structure is made from your own tissue, the chance of rejection is low and the chance of extrusion is fairly low.

Recovery Time

• Close rhinoplasty
  • 1 to 2 weeks
• Open Rhinoplasty
  • 2 weeks to 1 month

Length of Surgery

• Close rhinoplasty
  • 30 minutes to 2 hours
• Open Rhinoplasty
  • 3 to 6 hours

Cost

• Closed rhinoplasty: the cost is not very high
• Open rhinoplasty: the cost is higher than closed rhinoplasty because it includes a general anaesthetic and a more complex surgical procedure

Key Features

• Close rhinoplasty
  • A small incision that cannot be seen from the outside
  • Can help reduce swelling in some cases, with a shorter recovery time than open rhinoplasty
• Open Rhinoplasty
  • The nasal structure can be adjusted in detail
  • The surgeon can see the inner structure of the nose and address the problem directly
  • Suits more complex corrections than the closed technique
  • Can lower the chance of implant extrusion in the future

Tip, choosing a suitable surgical technique depends on what you want and the condition of your nose, so consult a doctor to assess your nose and recommend a suitable technique

Why Choose the Open Technique?

In nose surgery, the structural technique allows detailed reshaping of the nasal structure, with a view of the whole inner structure of the nose, for example:

• reshaping the bridge to the shape you want
• making the tip higher or more upturned
• making the nasal base wider or narrower
• suiting people with complex nose problems
• helping the tip look higher and more projected
• a lower chance of silicone implant extrusion

Open rhinoplasty can therefore help reshape your look for a more balanced face. The surgeon mainly considers the features of your nose and face to decide on a suitable shape, such as a teardrop tip or another shape, to give the face more definition, with a soft look or a sharper, more defined look. The surgeon focuses on a nose shape that suits your face.

Preparing for Structural Rhinoplasty (Open Rhinoplasty)

• Tell the surgeon about all previous surgery in detail, including implants and injections, to help with diagnosis and treatment planning.
• Tell the surgeon about any medical conditions, drug allergies, and supplements or medicines you take.
• Before rhinoplasty, stop aspirin, and vitamins and supplements that affect the blood, such as vitamin C, vitamin E and fish oil.
• If you have an infection on your face, such as sinusitis, a cold, pus or inflamed acne, have it treated first.
• Have a health check before surgery.
• Avoid smoking and alcohol for at least 2 weeks before surgery.
• Cut your nails short and do not wear nail polish, because your oxygen level is measured at your fingertip during surgery, and any oxygen problem can be seen straight away from the colour of your nails.
• For structural rhinoplasty, do not eat or drink for at least 8 hours before surgery, to prevent choking and vomiting.
• **Talk to your surgeon clearly about the result you want and the surgical technique.

Looking After Yourself After Structural Rhinoplasty (Open Rhinoplasty)

• Use cold compresses around the nose straight after surgery and keep going for at least 48 hours, to help the blood clot and reduce swelling.
• Avoid sleeping on your side. Sleep on your back with your head raised, using a neck pillow to stop your face and nose from being knocked or rubbed against anything while you sleep, for at least 2 weeks.
• Avoid coughing, sneezing or strenuous movement.
• Avoid smoking and alcohol for at least 2 weeks.
• Take your medicine as your doctor prescribes. When you finish the course, do not buy more medicine to take yourself, and go to every appointment with your doctor.
• Clean the nose and inside the nostrils regularly with a cotton bud dipped in saline, to keep the wound clean and stop mucus and dried blood from building up.
• Eat healthy food. For at least 1 month, avoid foods traditionally avoided after surgery in Thailand, pickled and fermented food, undercooked food, spicy food, salty food and seafood, which may make your nose swell.
• In the first 2 to 4 weeks, the final shape cannot yet be predicted. Medically, it takes about 3 to 6 months for the shape to settle (depending on each person).
• **Go to every follow-up appointment with your surgeon after surgery.

Note: the cost of rhinoplasty and nose reshaping depends on the technique chosen and the surgeon’s assessment.

Open rhinoplasty and nose reshaping at S45 Clinic, including first-time rhinoplasty, silicone implant revision, revision of open rhinoplasty done elsewhere, complex cases, previous infection and a misshapen nose that affects daily life, so chat with us on LINE to arrange a consultation and treatment plan

<p>The post Open Rhinoplasty Before and After Surgery, What to Know Before You Decide first appeared on s45 clinic.</p>

Why Rhinoplasty Is Not Recommended While You Have Acne

Acne before rhinoplasty may carry a lot of bacteria, which can get into the wound during surgery and may increase the risk of infection and wound inflammation after surgery.

If spots appear on your nose before rhinoplasty or nose reshaping, tell the doctor in advance so they can reassess your surgery. If you have acne before rhinoplasty, we recommend using a spot treatment. Squeezing spots is not recommended, because it can make the tissue inflamed.

To help prevent acne before rhinoplasty, keep your face clean, avoid oily products or products that irritate the skin, avoid touching your face often and apply sunscreen every day. These simple steps can help reduce the causes of acne.

Preparing for Rhinoplasty

• Tell the doctor about any drug allergies, regular medicines, food allergies, medical conditions and previous surgery.
• If you have an infection on the face, such as sinusitis, pus, inflamed acne or a cold, have it fully treated before rhinoplasty or nose reshaping.
• Stop vitamins, supplements, aspirin and medicines that affect blood clotting for at least 2 weeks before surgery, and tell your surgeon if you take contraceptive pills so they can advise whether you need to stop them beforehand.
• Avoid alcohol and smoking for at least 2 weeks before surgery.
• Have a blood test and a health check.
• If you have a fever or feel unwell, please tell our staff beforehand.

What to Do If You Get Acne After Rhinoplasty or Nose Reshaping

Inflammation of the nose after rhinoplasty can happen. Signs that your nose may have a problem include:

1. Swelling of the nose, which is common after surgery. The swelling usually goes down within 1 week and then gradually improves. If the swelling lasts longer than that, tell your doctor.
2. Large, deep spots or inflamed spots that appear after surgery while the wound is drying and scabbing. This can still happen. If it does, do not squeeze or pick them. If you have large, deep spots with more swelling or pain than usual, tell your doctor so you can book an appointment to be checked.
3. Fluid oozing from the wound. See a doctor straight away. Do not leave it, as it may lead to infection and more inflammation.

After rhinoplasty, spots can appear on the nose because the skin there has many pores, where blackheads and whiteheads can build up. After rhinoplasty or nose reshaping, the tissue in that area may also swell, or whiteheads may appear.

Because of this, many people who have rhinoplasty worry whether spots on the nose are dangerous, whether they will cause inflammation or infection, and whether they may lead to other damage

However, if you follow the doctor’s advice carefully and look after yourself after rhinoplasty or nose reshaping, there is no need to worry too much. If you get whiteheads or blackheads, avoid touching them or squeezing them yourself. If you get pus-filled spots or large, deep spots with pain, consult a doctor for advice on care to lower these risks. Follow it carefully, take antibiotics as your doctor advises and keep the area clean in the right way. These steps can help lower the risk.

<p>The post Acne Before Rhinoplasty, What to Do and Whether to Treat It Before Surgery first appeared on s45 clinic.</p>

However, after forehead augmentation, some people may still have pain and swelling, which gradually eases within 7 to 14 days. Any bruising gradually fades within 2 to 3 weeks (depending on each person’s body).

How Much Pain Is There With Forehead Augmentation?

Some pain and aching with surgery cannot be avoided, but it gradually improves, and the doctor’s technique helps. Some people may feel only a dull ache for a short time (the first 1 to 3 days). The doctors at S45 Clinic use current medical technology and plan each step of forehead augmentation carefully.

If you have pain or tightness, the doctor will give you pain relief medication to ease it first. The surgeons at S45 Clinic handle the tissue gently at every step, which helps limit tissue trauma, and the incision is small and hidden along the hairline.

At S45 Clinic, forehead augmentation is done under a general anaesthetic, with one-to-one care from an anaesthetist. Prepare before surgery as follows:

Preparing for Forehead Augmentation Surgery

1. Have pre-surgery health checks, such as CBC, BUN, electrolytes, HIV, PT, ECG and a chest X-ray.
2. Tell the doctor about any medical conditions, regular medicines, drug allergies and supplements, including herbal medicines and vitamins you take regularly. If you have a condition such as high blood pressure or diabetes, it must be well controlled before surgery.
3. Tell the doctor if you smoke, use herbal medicines or drink alcohol.
4. Tell the doctor about all previous surgery, including implants and any liquid injections, in full detail, to help with diagnosis and further treatment.
5. Do not eat or drink for at least 6 to 8 hours before surgery.
6. Stop using skin treatments or products that speed up skin cell turnover, such as tretinoin (Retin-A), retinols, retinoids, glycolic acid and all anti-ageing creams or treatments, for about 3 days.
7. Avoid skin treatments, scrubs, exfoliation, shaving and hair removal for about 3 days before your procedure.
8. If you are pregnant, tell us.

*If you have a blood disorder, heart disease, lung disease, cancer or an endocrine (hormone) disorder, you must consult a doctor before treatment.*

Benefits of Silicone Forehead Augmentation at S45 Clinic

For forehead augmentation, S45 Clinic uses the 4D CT FIT technique. The silicone implant is designed one-to-one for each person, based on the proportions of your forehead from a CT scan. The implant size is precise and suited to you, because it is cast from the proportions of your own skull at the forehead, and the silicone implant is made to order in Korea.

What 4D CT Fit Forehead Augmentation Offers

1. It adds fullness to the forehead in proportion with your whole face, for more definition.
2. It can help with a flat, narrow, sunken or uneven forehead.
3. The implant is placed under the periosteum (the membrane covering the bone), which lowers the chance of the silicone implant moving.
4. The incision is hidden along your hairline.
5. It is designed to keep its proportions and last a long time, with a lower chance of sinking or denting, and the shape is less likely to change if your weight goes up or down.
6. Surgery is performed by an experienced doctor.

**Results depend on each person’s underlying bone structure.**

<p>The post Forehead Augmentation Pain, What to Expect If You Are Worried About It first appeared on s45 clinic.</p>

With current technology, there are 2 main forehead augmentation methods. The first uses a silicone implant, either ready-made or custom-cast and designed for each person (4D CT FIT). The other is forehead filler injections. Whichever technique is used, the aim is to reshape the forehead or address concerns such as a flat forehead without definition, deep lines, a narrow forehead, a wide forehead or a high, rounded forehead.

This raises the question of which technique to choose and how they differ, so you get the look you want in a way that suits you.

Differences Between Silicone Forehead Augmentation and Forehead Filler Injections

Forehead Filler Injections

Forehead filler injections use hyaluronic acid, and the change can be clearly seen. For other areas of the face, such as the nasolabial folds or under the eyes, filler injections usually use about 1ml to 2ml, but the forehead may need 3ml to 5ml or more (at the doctor’s discretion).

This method can help soften deep lines and make the skin look firmer and more hydrated, depending on your concerns and the shape of your forehead. If you want the forehead to be more prominent than before, a larger amount is needed. If the shape is not what you want, the injected material can be dissolved.

If forehead filler injections are given by an inexperienced doctor, or with a product that is not registered with the Thai Food and Drug Administration, the injected material may sag or droop out of shape, the skin may look rippled, and there is a risk of affecting your eyesight. This may happen if the injection accidentally goes into a blood vessel or affects muscles in other areas.

Benefits of Forehead Filler Injections

1. It can feel less uncomfortable in some cases and does not need surgery, and recovery time depends on each person.
2. You can choose how prominent the forehead is.
3. It is simple and convenient to have done.
4. It can help soften lines and creases on the forehead.

Drawbacks of Forehead Filler Injections

1. The cost is high because a large amount is needed.
2. The injected material may move down with gravity and make the skin uneven, and a bumpy surface is difficult to correct.
3. You need top-up filler injections regularly.
4. There is a chance of effects on the nerves.
5. If a lot is injected, the skin may dent when you press on it.
6. If filler injections are not given correctly, or are repeated many times, there is a chance the forehead may look rippled.

Silicone Forehead Augmentation, Ready-Made vs Personalised Cast Implants (4D CT Fit)

This technique gives a smooth, soft contour that follows your facial structure, especially the silicone forehead augmentation with 4D CT Fit technique, which uses 3D images from a full CT scan, so the implant is detailed and suits your face. How prominent the forehead is can be adjusted to what you want and the doctor’s opinion. Silicone forehead augmentation is also long-lasting and usually does not need repeated correction.

Silicone Forehead Augmentation

1. Ready-made silicone implants (S Nature) come in 3 sizes, S, M and L, depending on how much fullness you want.
2. Personalised silicone forehead implant, 4D CT FIT, is made to order in Korea for each person from implant-grade material, using 3D images from a CT scan and the doctor’s approval. The implant is smooth with thin edges, designed so the edges are less likely to show.
3. Personalised silicone forehead implant, Casting Mold, uses implant-grade material. A plaster mould is sent to Korea to make a silicone implant for each person.

Benefits of Silicone Forehead Augmentation

1. You can choose how prominent the forehead is.
2. It gives a smooth surface with a lower chance of ripples.
3. If you are happy with the result, you do not need further correction.
4. It is designed for each person, so it addresses your specific concerns.
5. The silicone implant sits under the periosteum (the membrane covering the bone) and is held securely, which helps stop it from moving.
6. It can help reduce lines on the forehead for a smoother look.
7. The incision is small and placed where it is hidden.
8. You do not need to have your hair shaved, and no area of hair is removed.
9. Allergy to silicone is very rare.

Drawbacks of Silicone Forehead Augmentation

1. If the surgeon has limited experience, there is a chance of affecting tissue and nerves.
2. Recovery takes a long time, with swelling for 1 to 3 months.
3. If you want to change the silicone implant, you need another operation.
4. If the forehead is too prominent, the face will look unbalanced.
5. In the future, the edges of the silicone implant may become visible in people with thin skin.
6. You may have swelling and bruising after surgery.

Whichever forehead augmentation method you choose, when choosing a beauty clinic that offers plastic surgery, consider the doctor’s experience, the standards of the facility, follow-up care after treatment and detailed consultation and advice, for your own benefit

S45 Clinic has experienced doctors who provide silicone forehead augmentation with attention to every detail, and if a general anaesthetic is used during surgery, an anaesthetist provides one-to-one care

<p>The post Forehead Filler Injections vs Silicone Forehead Augmentation first appeared on s45 clinic.</p>

Medical techniques have developed a lot, and there are now 3 types of forehead augmentation: filler injections, fat grafting using your own fat, and forehead augmentation with a silicone implant. Each of the 3 types gives different results.

Planning forehead augmentation and wondering whether aftercare is difficult? Here are the answers

How to Look After Yourself After Forehead Augmentation

1. Use cold compresses as often as you can, especially in the first 2 days after forehead augmentation, to reduce swelling.
2. Get enough rest. Sleep on your back with high pillows, and avoid sleeping on your front or side for at least 7 to 10 days.
3. Avoid getting the wound wet, and avoid washing your hair for at least 10 days.
4. Avoid touching, holding or moving the forehead area for 1 month.
5. Keep the bandage on for 3 days in a row. On day 4, come to the clinic to have the bandage changed, then keep it on for another 7 days.
6. Have your stitches removed 10 days after forehead augmentation.
7. Avoid exercise for at least 1 month.
8. Avoid undercooked food, pickled and fermented food, seafood, salty food and all foods traditionally avoided after surgery in Thailand for about 1 month.
9. Avoid alcohol and smoking for 1 to 3 months.
10. Go to every appointment with your doctor so your progress can be closely followed.

Preparing for Surgery

Preparing for Surgery With a ‘General Anaesthetic’

Preparing for Surgery With ‘Sedation’

If you are planning or preparing for rhinoplasty, you can have it at the same time as forehead augmentation, which helps the surgeon plan the design of your face in more detail. If you plan to have rhinoplasty after forehead augmentation, tell the surgeon, so the forehead can be designed to suit your new nose in the future, which can help avoid having to reshape or redo the forehead later.

For forehead augmentation, the doctor assesses the implant size and how prominent the forehead should be for each person, depending on the technique used, either a ready-made or a custom silicone implant, and plans where the implant will sit and where the incision will be under the hairline, so you understand the plan too

<p>The post Forehead Augmentation Recovery and How to Look After Yourself first appeared on s45 clinic.</p>

How Many Types of Forehead Augmentation Are There?

Forehead augmentation is divided into 2 main methods: liquid injections, and surgery to place a silicone implant. Both aim to reshape the forehead so it is in proportion with each person’s face.

S45 Clinic offers forehead augmentation with the 4D CT FIT and Casting Mold techniques, using silicone implants made to order in Korea from implant-grade material. Each implant is made for one person, with thin edges that sit smoothly on the forehead. Surgery is done by experienced doctors, who place the implant under the periosteum (the membrane covering the bone) to lower the risks related to the implant, with the incision hidden under the hairline.

*The silicone implant is moulded for each person to match the proportions of their forehead. The doctor considers how prominent the forehead should be for your proportions and discusses what you want, so the plan matches your expectations.

Benefits of Silicone Forehead Augmentation

• It does not need top-ups. The silicone implant sits under the periosteum and is held in place by the tissue that forms around it, which helps stop it from moving.
• It adds fullness to the forehead with a smooth contour, and may help reduce fine lines on the forehead.
• Allergy to silicone is rarely seen.

Drawbacks of Silicone Forehead Augmentation

• You need time to recover and must take care during the first month after forehead augmentation.
• The result may not suit your face if the surgeon is not experienced, or if the forehead is made too prominent for your facial proportions.
• If you have thin skin on your forehead, the 4D CT FIT technique is recommended to lower the chance of the edges showing in the long term.
• You may see a small surgical scar on the scalp.

4D CT FIT, a Personalised Forehead Augmentation Technique

Forehead augmentation to achieve the shape you want uses a custom-designed silicone implant together with 3D images from a CT scan, a technology that analyses your bone structure to plan a suitable amount of fullness. With this technique, the silicone implant sits smoothly against your skull, so it blends with the shape of your forehead.

Steps of 4D CT FIT Forehead Augmentation

1. Send front and side photos of your face to our team for an initial assessment, and we will book an appointment with the surgeon for advice and a consultation.
2. After the consultation, if you and the doctor agree on the expected result, the doctor will arrange a CT scan for a full assessment.
3. You have the CT scan at a location the clinic arranges.
4. The clinic then sends the forehead design to Korea to make the silicone implant, which takes about 14 days.
5. When the silicone implant arrives, the clinic books your surgery in advance and tells you how to prepare, such as stopping vitamins or supplements.
6. Surgery is performed by an experienced doctor.

Casting Mold Forehead Augmentation Technique

Forehead augmentation with a silicone implant based on a plaster cast of your skull, which is sent to Korea to make the implant to order. The doctor designs a suitable size for each person’s concerns.

Looking After Yourself After Forehead Augmentation

1. Use cold compresses around the head often after forehead augmentation to help the blood clot faster and reduce swelling and bruising. After that, switch to warm compresses.
2. Avoid sleeping on your side. Sleep with your head raised or sleep sitting up, using a neck pillow for support, so your face is not knocked or rubbed against anything while you sleep, for at least 1 to 2 weeks.
3. In the first 3 to 7 days, you may have swelling or bruising around the area, which is normal.
4. Avoid touching your forehead for 1 month.
5. Do not let the surgical wound get wet. Avoid washing your face and hair for at least 7 days or until the forehead stitches are removed. After that, you can wash your hair gently. To clean your face, wipe it with cotton wool or a damp cloth, and take great care not to touch the wound.
6. Keep the bandage wrapped around your head for the first 3 days without removing it, and have it changed at the clinic on day 4. Keep it on for another 7 days after that.
7. Your stitches are removed 10 days after forehead augmentation, or when your doctor schedules.
8. Avoid exercise for at least 1 month.
9. Eat healthy food. For at least 1 month, avoid foods traditionally avoided after surgery in Thailand, pickled and fermented food, undercooked food, spicy food, seafood, salty food that may cause swelling, and hard food that needs a lot of chewing.
10. Avoid alcohol and smoking for 1 to 3 months.
11. If you have unusual symptoms, such as ongoing pain, swelling or redness, contact the clinic promptly and see the doctor to check your symptoms.
12. Go to every appointment with your doctor.

Forehead Augmentation Results With the 4D CT FIT Technique

Interested in forehead augmentation? Consult us for an initial assessment before you see the doctor, with individual advice on what suits you at S45 Clinic

<p>The post Forehead Augmentation for a Small, Flat or Sunken Forehead first appeared on s45 clinic.</p>

Some people who have already had rhinoplasty or nose reshaping may ask: “Why, after rhinoplasty with a tip graft to prevent extrusion, has the skin on my nose become so thin that the tip looks red, as if the implant is about to push through?” The main factors are the surgical technique and the condition of your skin.

Technique in particular may differ from surgeon to surgeon. The surgeon may have limited experience in carving or placing silicone implants, so the implant is too large or stretches the skin too much until it pushes through. Skin condition matters too. This problem mostly happens in people with thin skin and little soft tissue, because the skin has to be stretched during rhinoplasty, so the edges of the silicone implant can be seen more clearly. Nobody wants this to happen, because it affects both physical and mental health and may mean having the nose corrected again. In some cases it may become more serious, causing inflammation in the nose that spreads and leads to infection.

What Causes an Over-Projected Tip With Thinning Skin and Implant Extrusion?

• With silicone implant rhinoplasty, there is a chance that the material pushes through the skin, especially in people with little soft tissue on the nose or a thin nasal tip.
• Using a substandard or counterfeit silicone implant.
• A silicone implant that does not suit the nose or is placed in the wrong position, which can cause inflammation or infection.
• Reshaping the nose too often, so the wounds do not heal well enough. If you are not happy with your nose shape, wait at least 6 months before deciding to reshape it, and consult your surgeon clearly about the problem you have.
• Other complications, such as infection, inflammation, or fluid or blood draining inside the nose.

Signs of an Over-Projected Tip With Thinning Skin

• The tip of the nose reflects light and looks shiny.
• Touching the tip gives a sharp, sensitive feeling, and you can clearly feel the silicone implant, as if only a layer of skin is covering it.
• The tip has a dent or a lump, and the skin does not feel smooth.
• The nose changes colour, or the skin on the nose becomes darker or redder than the skin around it.
• Pus-filled spots or large, deep spots appear on the tip of the nose.
• The tip of the nose hurts for a long time.
• The shape of the nose changes after rhinoplasty.
• The silicone implant can be seen pushing out through the skin.

Do not leave an over-projected tip with thinning skin for so long that tip extrusion happens, because complications may cause inflammation inside the nose and a build-up of germs, so the inflammation spreads and becomes more severe. If you notice signs of a thin nasal tip, consult a doctor straight away to have it corrected or to get the right advice on care.

For these reasons, before you decide, consider the surgeon, the surgical technique to be used, whether the clinic meets standards and other medical techniques. After rhinoplasty or nose reshaping, follow your surgeon’s advice carefully to lower the chance of a thin nasal tip.

Looking After Yourself After Rhinoplasty

1. Use cold compresses often until the day the nasal splint is removed.
2. Get enough rest. Sleep on your back with high pillows so your head is raised at about 45 degrees.
3. Take great care not to let the wound get wet.
4. Clean the wound every day with a cotton bud dipped in saline.
5. Avoid picking inside the nose with your fingers or with any cotton bud other than those the clinic gives you for cleaning.
6. Avoid alcohol, smoking, spicy food, pickled and fermented food, seafood, raw food and undercooked food.
7. Avoid wearing glasses for at least 2 months.
8. Take your medicine exactly as your doctor prescribes.
9. Avoid exercise for at least 2 months.
10. Avoid supplements for 1 month.
11. Go to every appointment with your doctor.

If the tip of your nose looks over-projected, thin and red, as if the implant is about to push through, or you notice any worrying signs inside your nose, the most important thing is not to squeeze, pick or push anything out yourself. Take only the anti-inflammatory or pain relief medication your doctor has prescribed to ease symptoms, and see a doctor as soon as possible.

With silicone implant rhinoplasty, there is a risk of thin skin and tip extrusion, and this problem is often seen in people who come for revision surgery. Open rhinoplasty, a structural technique, may be a suitable option that can help lower the chance of a thin nasal tip. This depends on each person’s assessment and the surgeon’s advice.

How to Prevent an Over-Projected Tip With Thinning Skin and Tip Extrusion

• Rhinoplasty is a type of plastic surgery that has risks, and if problems happen, they cost you time, opportunities and money. Before deciding on rhinoplasty or nose reshaping, find out as much as you can first.
• Consider the surgeon’s experience, the technique they use and whether the results of each surgeon’s cases match what you want.
• Find out which materials the surgeon uses for rhinoplasty, such as a silicone implant, rib cartilage, septum cartilage or ear cartilage.
• See the surgeon for an assessment in person and have a thorough examination. Bring pictures of the nose shape you want so you can consult the surgeon about what is likely or possible for your new nose.
• Choose a clinic or beauty clinic that meets standards and offers suitable care.

Nose Reshaping Results (A Tip Extrusion Case)

S45 Clinic is a clinic that performs rhinoplasty, with doctors who give consultations and advice suited to each person’s needs and lifestyle, using medical techniques planned for each person.

S45 Clinic provides follow-up care under the clinic’s terms for 1 year from the date of surgery, under these conditions:

• Follow-up care covers problems caused by the surgery (not including extra materials and consumables needed during the surgery, the cost of changing surgeon if you want to change, or the cost of changing technique if you want to change it).
• If you do not follow the advice given, for example about food, smoking or activities, and this causes a problem, the clinic will treat it as not covered by follow-up care.
• If you have rhinoplasty or nose reshaping at S45 Clinic and then want the nose corrected at another clinic or beauty clinic, follow-up care under the clinic’s terms ends.

S45 Clinic is a rhinoplasty clinic with doctors who give consultations and advice suited to each person’s needs and lifestyle, using medical techniques planned for each person

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Braces move the teeth into place and reduce problems such as crowded teeth or an overbite, so the teeth line up neatly. However, when teeth are removed and pulled into line, a mouth that looked full because of protruding teeth may become less full, which changes the proportions of the face.

Braces and rhinoplasty are both treatments that can help give the face more definition, which can help boost your confidence and how you feel about your appearance.

Some people finish braces and may still not be happy with the shape of their face, because the teeth are in place but the facial structure may still lack definition. They may then want surgery for a softer, more refined look. This raises the question of whether rhinoplasty and braces can be done at the same time, or whether it is better to finish braces first and then have rhinoplasty, to get the look you want without problems later.

Rhinoplasty is another option that can help you feel more confident. It can also help correct nose concerns, such as a deviated, crooked or tilted nose, a thin tip, a large nose, a thick tip, a dorsal hump, a short nasal tip, uneven nostrils, or wide alae that can be reduced with alar base reduction.

Rhinoplasty can also help with breathing problems, which may be caused by an abnormal nasal structure.

Rhinoplasty and Braces, Which Should You Have First?

If you have to choose, we recommend having braces before rhinoplasty. Braces help move your facial structure and teeth into a suitable position, which may benefit the result of rhinoplasty, for example by helping your nose look more in proportion with your face.

However, rhinoplasty before braces is also possible, but consult your dentist and doctor first so they can assess the risks and plan suitable treatment.

Benefits of Having Braces Before Rhinoplasty

• Your facial structure and teeth are in a suitable position, which benefits the result of rhinoplasty.
• It lowers the chance that rhinoplasty and braces treatment affect each other, which could leave the nose crooked, tilted or misshapen.
• It lowers the chance of complications after rhinoplasty.

How Long to Wait After Braces Before Rhinoplasty

When your braces treatment is finished, allow your teeth and jawbone to settle for at least 3 to 6 months. This helps an experienced doctor assess your facial structure and plan surgery accurately.

However, how long you need to wait may vary from person to person, depending on how complex your braces treatment was.

Further Advice

• Before deciding on treatment, consult a dentist and an experienced doctor so they can assess your teeth and face in detail, plan suitable treatment and lower the chance of complications.
• Follow your doctor’s advice carefully.

Rhinoplasty and braces can be done in either order, depending on what suits each person, and you can consult a dentist or an experienced doctor for advice that suits you

How Many Types of Rhinoplasty Are There?

Rhinoplasty is divided into 2 main types:

• Closed rhinoplasty is a technique where the doctor places silicone or another synthetic material under the skin of the nose. An L-shaped silicone implant is used, with tip graft material such as acellular dermal matrix (a processed tissue graft), ear cartilage or a dermofat graft from the tailbone area, without a general anaesthetic.
• Structural rhinoplasty (open rhinoplasty) is a technique where an experienced doctor makes an incision at the front of the nose to reshape the inner structure. This technique uses cartilage from other parts of the body, such as ear cartilage or rib cartilage, to reshape the nasal structure. This lowers the chance of implant extrusion (the implant pushing through the skin), and the shape, with a soft look and a projected tip, is planned to suit Asian facial features.

Recovery Time

After rhinoplasty, recovery takes about 1 to 2 weeks. You may have swelling, bruising or pain around the nose, which gradually goes away over time.

Looking After Yourself After Rhinoplasty

Recovery after rhinoplasty takes 7 to 14 days, depending on each person. After surgery you may have symptoms such as swelling, bruising or redness at the tip of the nose, which gradually improve. To look after yourself:

• Use cold compresses for the first 7 to 10 days to reduce swelling and bruising.
• Get enough rest. Sleep on a high pillow and use pillows for support to stop you turning onto your side for the first month. Avoid sleeping on your front, and sleep with your head raised at 45 degrees to reduce swelling.
• Avoid touching or rubbing your nose.
• Avoid lifting heavy objects and exercising for at least 4 weeks.
• Avoid swimming, facial steam saunas, ozone saunas and hot baths in the early period.
• Keep the surgical wound dry for 7 days. If it gets wet by accident, pat it dry with a clean cloth. If your surgery used your own rib cartilage, wipe your body with a damp cloth instead of showering for the first 3 days. After that, you can shower as normal, but put a waterproof plaster on before showering, then remove it afterwards and pat the area dry.
• In the early period, clean your face with saline, and take care not to let the wound get wet at all.
• See your doctor at your follow-up appointments to check your progress.
• Avoid pickled and fermented foods, seafood, vitamins, supplements, alcohol and smoking for at least 1 month.
• If more blood or fluid than usual comes out, tell our staff first. This may happen in the first 7 days because the inner structure is quite swollen. You can gently wipe it away with a cotton bud.
• Avoid wearing glasses for the first 4 weeks. If you have eyesight problems, consult your doctor for advice.
• Avoid clothes that you pull on over your head, to lower the chance of touching your nose.

S45 Clinic has experienced doctors who perform rhinoplasty, and you can discuss the nose shape you want, such as a teardrop tip or a soft, subtle shape, so contact us to find out more

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Rhinoplasty has developed over time, and surgeons have adapted their techniques. ‘Structural rhinoplasty’ is a technique that combines implant materials with your own tissue. Materials used on the nasal bridge include silicone and Gore-Tex, while the tip uses your own tissue, such as fat tissue, ear cartilage, septal cartilage and your own rib cartilage.

Rhinoplasty and nose reshaping can give the face more depth, help you feel more confident and deal with the areas that concern you, so they look normal again.

Rhinoplasty can reshape the nose, adjust its structure and lengthen it for more height, creating the look you want. For example, the bridge can slope to meet the forehead and the tip can be lifted and projected for a softer look, but not so high that it strains the tissue.

How Old Do You Need to Be to Have Rhinoplasty?

Rhinoplasty can be done from the age of 18, when you are legally an adult who can make your own decisions and your body and bones are strong enough. Surgeons do not recommend it for younger people, because the nasal structure and bones are not yet fully developed, and the tissue and bone are still changing.

Which Health Conditions Increase the Risks of Nose Surgery?

Rhinoplasty has become very common and more accepted in society, but plastic surgery can sometimes carry risks. Conditions that need care, or that need discussing with the surgeon before nose surgery, include:

• diabetes
• high or low blood pressure
• heart disease
• blood clots (thrombosis)
• taking medicines that prevent blood clotting
• conditions that need ongoing treatment plans
• blood disorders
• pregnancy
• other conditions

If you have any of these conditions, tell the surgeon so they can assess the risks.

Also, if you have a cold, a fever, spots or a wound on your nose before surgery, wait until it has healed before having rhinoplasty or nose reshaping.

Which Nose Problems Mean It Is Time for Revision Rhinoplasty?

1. Tip extrusion, swelling, redness or fluid oozing from the wound inside the nose
2. A floating silicone implant
3. A misshapen nose, or a contracted, shortened nose
4. A crooked or tilted nose that affects your confidence
5. Cases with long-term bio or semi-bio injections, liquid silicone or filler injections
6. Pain, sensitivity or tightness at the tip
7. Signs of infection
8. You are not happy with the shape. Over time, as the tissue tightens around the framework, you may feel the nose is still not the shape you wanted, and you may need a consultation with the surgeon about correcting it.

If you have had rhinoplasty before and are deciding on nose reshaping, choose a surgeon experienced in nose surgery, to help get the result you want and keep the need for further revision as low as possible.

Warning Signs of Problems After Rhinoplasty

If you notice any of these signs, see a surgeon as soon as possible to have your nose assessed and treated.

1. Tip extrusion
2. An abnormal nose shape, such as a crooked, tilted or short nose or a droopy nasal tip
3. Difficulty breathing or a bad smell
4. Bleeding from the nose that does not stop 1 month after surgery

Common Reasons a Nose Needs Correcting After Rhinoplasty

• An incorrect rhinoplasty technique that does not address the problem
• An unsuitable implant size or position, which may make the silicone implant float and not sit close to the tissue
• Thin nasal tissue
• Incorrect aftercare following rhinoplasty

For these problems, the surgeon may recommend nose reshaping to help the nose regain the shape you want and to avoid effects on your daily life.

To Stop Rhinoplasty Problems Growing, Consider These Points

• Choose a surgeon experienced in nose surgery.
• Read up on rhinoplasty in detail.
• Talk to the surgeon about the risks and side effects that may happen.
• Follow the surgeon’s advice closely.
• Choose rhinoplasty with rib cartilage to help lower future risks.

If you have questions or concerns about your nose, talk to a surgeon for advice and a suitable treatment plan. At S45 Clinic, experienced surgeons plan your care during and after rhinoplasty, aiming for a result you are happy with and a lower chance of the shape needing correction later.

Why Choose S45 Clinic for Rhinoplasty

• Experience of the surgeons who operate, especially with rib cartilage rhinoplasty
• Operating facility that meets standards, with modern medical instruments and equipment and medical staff skilled in nose surgery
• Revision rhinoplasty technique using rib cartilage, which can reshape the inner structure more effectively than silicone augmentation and lower the chance of inflammation, infection or extrusion

Benefits of Rib Cartilage Rhinoplasty at S45 Clinic

Structural rhinoplasty with rib cartilage lowers the chance of allergy or infection, because it uses your own tissue.

• Rib cartilage is strong and flexible, which helps the nasal structure last a long time
• An incision of only 1cm to 3cm under the right or left breast fold
• The 6th, 7th or 8th rib is used, and removing the cartilage usually does not cause health problems, so you can go about daily life as normal
• A general anaesthetic is used, with one-to-one care from an anaesthetist
• Because it is your own tissue, it can blend smoothly with the nasal structure

S45 Clinic offers structural rhinoplasty with more than 10 years of experience in nose plastic surgery. Our surgeons are skilled in structural rhinoplasty, nose refinement and shaping the nose to suit the face, and we aim to give you good quality care. Rhinoplasty promotion price THB 179,000

Note: Revision rhinoplasty, which many people know as ‘nose reshaping’, is surgery for people who have had nose surgery before and need a further assessment by the surgeon. The approach to care depends on the original problem, the nasal structure and the surgeon’s judgement in each case.

<p>The post Do I Need Revision Rhinoplasty? Which Nose Problems to Correct Before They Grow first appeared on s45 clinic.</p>

Facial balance, often linked with the golden ratio (1:1 proportions), is measured by these distances:

• hairline to the point between the eyebrows
• point between the eyebrows to the tip of the nose
• tip of the nose to the tip of the chin

If you measure your face and the distances are equal or close to it, your face is considered well proportioned. However, women and men generally differ. A man’s forehead is usually more prominent and slopes back more, while a woman’s forehead is rounder and less prominent, which can make it look flat. Forehead augmentation can help add depth.

Who Is Forehead Augmentation Suitable For?

• People with a protruding forehead bone
• People with an uneven or tilted forehead
• People with a dented or hollow forehead
• People with a wide or narrow forehead
• People with a flat forehead
• People whose facial proportions are out of balance
• People who want augmentation to improve how their forehead looks

What Concerns Lead People to Have Forehead Augmentation to Reshape the Face?

• A flat forehead, which is inherited
• A wavy forehead, which may come from health problems or the forehead bone sinking
• Wanting to give the face more depth. Some people have a bony bump that makes the forehead higher than the rest of the face, and silicone forehead augmentation to reshape the face can reduce this extra height so it looks softer.

Forehead Augmentation Techniques at S45 Clinic

There are 3 types of silicone forehead augmentation:

1. Ready-Made Silicone Implant

Several sizes are available, S, M and L. Ready-made silicone forehead augmentation places a silicone implant of a set size and shape over the forehead to add depth and a rounded curve to the face. It takes about 1 to 2 hours (depending on how complex it is). Ready-made forehead implants are moulded from medical-grade silicone. The size depends on your concern and the surgeon’s assessment of what suits you.

• Key point: a short operation, suitable for people with a narrow, flat or dented forehead

2. Custom-Made Silicone Forehead Implant, Casting Mold

Implant-grade material moulded from a plaster cast of your skull and custom-made in Korea. The surgeon sets and designs the implant size to match your forehead concern, because moulding helps the implant fit each person’s face.

3. Custom-Made Silicone Forehead Implant, 4D CT FIT

Designed for your proportions, with the fullness you choose, and custom-made in Korea from implant-grade material using detailed, accurate 3D images from a CT scan. The implant is smooth with thin edges. The scar is hidden at the hairline and is usually hard to see, and the edges usually stay hard to see over time.

Forehead Augmentation Reviews at S45 Clinic

Silicone forehead augmentation is done once and lasts a long time. The soft silicone can give a good result, and a custom-made implant in particular can fit smoothly and closely with less chance of visible edges, helping the face look softer with more depth. It can also reduce lines on the forehead, and it is planned to avoid affecting the nerves.

Rest for at least 1 week after silicone forehead augmentation and follow the surgeon’s advice closely. If there is swelling in the first 3 days, it gradually improves and the forehead settles into shape.

How to Prepare for Forehead Augmentation

1. Tell the surgeon if you have any health conditions or take medicines regularly, such as for high blood pressure or diabetes.
2. Tell the surgeon if you have any drug allergies.
3. Stop antiplatelet medicines or blood thinners 14 days before surgery.
4. Do not smoke for at least 7 days before and after surgery.
5. If you need a general anaesthetic, do not eat or drink for at least 6 to 8 hours before surgery.

If you are interested in forehead augmentation to give your face more depth, the surgeons at S45 Clinic are experienced in forehead augmentation and can give advice for each person, with a plan based on what you want.

For advice and more information, contact us on LINE @S45clinic or S45 Clinic on Facebook

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