Rhinoplasty and Breast Augmentation Together, an Open Rib Revision Case at S45 Clinic
“For this major surgery, I did not just follow trends or think about looking good on stage. It had to be beauty that I could live with in the long term.”
Khun Phaphrae Natkritta (3rd runner-up, Miss Grand Thailand 2026) reflects a modern approach to self-care that is not about following short-lived beauty trends, but about investing in adding ‘definition’ to the face so it looks sharper and stands out, building confidence for every role she takes on. This is the story of her decision to change her look at S45 Clinic, working on both face and body, under the concept ‘Beauty that is truly you, on stage and off screen’.
Open Rib Rhinoplasty and Breast Augmentation, Planning the Face and Body Together
Bringing body and facial proportions into harmony is a medical art that takes skill and careful planning. In her consultation, the surgeons gave advice and designed the nose shape together with her body proportions, so the result would be as balanced as possible.
1. Adding Definition to the Face With Open Rib Rhinoplasty
The face is central to how we express emotion. Khun Phaphrae chose rhinoplasty to reshape the structure to suit her facial proportions.
- Technique: open rhinoplasty combined with her own rib cartilage (open rib rhinoplasty), which helps build a strong supporting framework intended to last in the long term.
- ‘Debut’ nose shape: surgery by Dr. Tune (พญ.ธัญญาวรรณ ประเสริฐกิจพันธุ์) at S45 Clinic, with the design overseen by Dr. Ty (นายแพทย์กิตติศักดิ์ วงค์เทียนชัย, ว.35602), creating a ‘debut’ shape with a soft slope and a well-projected tip that helps the face look more defined on camera.
2. Balancing Proportions With Breast Augmentation
Once the face had clearer definition, balancing the body proportions was important to support her overall look.
- Proportionate breast shape: a surgeon at S45 Clinic assesses and designs a breast size that fits the body, not so large that it looks overfilled, aiming for a balanced, attractive shape.
What Are the Benefits of Having 2 Procedures at the Same Time?
Having rhinoplasty and breast augmentation together at the same time has these medical and self-care benefits:
- One recovery period: saves time off work, and you can look after yourself and recover from both at the same time.
- Overall proportion assessment (holistic design): in one consultation, the surgeons can discuss and design the curves of the breasts to balance with the slope of the face.
- Care by an anaesthetist: a general anaesthetic for surgery done in one session, with one-to-one care from an anaesthetist, helps reduce worry and means fewer general anaesthetics.
- A clear change in look: with a more defined face and balanced body proportions, confidence can grow and the overall look comes together in a shorter time.
Impressed by the Attention to Every Detail
“I had my nose reshaped with Dr. Tune (พญ.ธัญญาวรรณ ประเสริฐกิจพันธุ์), with Dr. Ty looking after the nose design, and breast augmentation with another surgeon at S45 Clinic. From the day of my consultation I felt very confident, because every doctor gave detailed advice, explained each step in a way that was easy to understand, and designed everything to suit my face and body proportions. It was not about following trends but about what suits me. I felt at ease even before the surgery.”
Investing in looking after yourself can be worthwhile. This change was not only a new look for the pageant stage, but a way to bring out her charm and confidence as she steps into new opportunities in the future.
Common Questions About Having Procedures at the Same Time
“Reveal the Beauty Within You”
At S45 Clinic, we do not look only at ‘the area you want to change’, but design the whole face to look ‘well balanced’.
“Because every kind of beauty comes from care.” Let the surgeons at S45 Clinic assess and design a balanced structure for you, whether you want to add definition to your face or balance your body proportions. We look at each case individually, for a result that is the clearest version of you.
To ask about a facial assessment or book an appointment, contact us:
Note: Repeat nose surgery, which many people know as ‘nose reshaping’, is surgery for people who have had nose surgery before and need a further assessment by a surgeon. The approach to care depends on the original problem, the nose structure and the surgeon’s judgement in each case.
