Revision Rhinoplasty Review From a Big Spender Who Has Spent THB 58 Million
This is the case of Khun Khemjira (the patient), who had revision rhinoplasty more than 20 years after her first rhinoplasty. She decided to have revision rhinoplasty with Dr. Che (นายแพทย์วิทมล รำพึงสุข, ว.36543).
A New Rhinoplasty After More Than 20 Years, From Problems to Solutions
Problems From the Previous Rhinoplasty
Dr. Che (นายแพทย์วิทมล รำพึงสุข), a surgeon at S45 Clinic with experience in rhinoplasty, explains: “Rhinoplasty with a standard silicone implant that has been in place for a long time often causes problems, including:
- scar tissue that pulls and tightens around the silicone implant, so the implant shows as a visible rod
- a face that looks stern and stiff, without depth
- the end of the implant pressing on the cartilage at the nasal tip
- a nose that looks flatter and larger than before
Revision Rhinoplasty Using Your Own Rib Cartilage
For this revision rhinoplasty, Khun Khemjira chose rhinoplasty with her own rib cartilage.
Benefits of the Rib Cartilage Technique
- It strengthens the nasal structure more than using silicone alone.
- It can lengthen the nasal tip for more projection, depending on each person.
- Results suit the face and tend to last longer.
- It lowers the chance of complications that may come from artificial materials.
Skin Elasticity, a Key Factor in Revision Rhinoplasty
Dr. Che at S45 Clinic explains further: “Although rhinoplasty with rib cartilage can give the nose more projection, how high each person’s nose can go depends on several factors, such as:
- the elasticity of the skin at the nasal tip
- the existing nasal bone structure
- how tight the tissue around the nose is
If the skin is very tight, it may not be possible to make the nose as high as you want, because closing the wound may be difficult. The surgeon therefore needs to assess several areas, such as:
- how tight the skin is
- the existing nasal structure
- the patient’s expectations
- whether the technique is suitable
A Real Case, Khun Khemjira’s Revision Rhinoplasty
Why Did Khun Khem Decide to Have Revision Rhinoplasty at S45 Clinic?
“I Wanted to Look Beautiful”
A short but clear answer from Khun Khemjira when asked why she decided to have revision rhinoplasty more than 20 years after her rhinoplasty.
“My Original Nose Was Not Very High or Projected, and the Tip Was Large as Well. I Had Looked at Many Places in Thailand and Korea, but in the End I Chose S45 Clinic Because I Liked Dr. Che’s Rhinoplasty Style”
Why S45 Clinic?
Khun Khemjira says she chose for several reasons: Dr. Che’s previous work, communication, as she could talk with Dr. Che clearly and they understood each other, and the surgeon recommended a technique that suited her problem, which made her confident about her new nose shape.
How Does She Feel After the Operation?
“It Looks Even Nicer Than I First Expected”
“The bridge is high and projected as I wanted, the nasal tip is smaller and slimmer, my face looks softer and not as stern as before, and my confidence has clearly grown. Although rhinoplasty with rib cartilage costs more than a standard silicone implant, for me it was well worth it and I have no regrets.”
“At a fan meeting event I felt really confident. I wanted to go when my nose suited my face. I looked good in photos and in videos, and I really like it. When people saw my pictures from the event, many of them asked where I had my nose done, which made me even happier.”
If you are considering rhinoplasty, whether it is your first rhinoplasty or a revision, you can book a consultation with Dr. Che first. The surgeons at S45 Clinic can give you advice about a nose shape that suits you.
Before You Decide on Rhinoplasty or Revision Rhinoplasty
- Research the different techniques in detail.
- Have consultations with several experienced surgeons.
- Look at previous results and reviews from real patients.
- Assess whether a technique suits your own problem.
- Prepare a budget that suits the quality you want.
Signs You May Want to Consider Revision Rhinoplasty
- Your previous nose looks obviously operated on.
- You have problems from a previous rhinoplasty.
- You want to change your nose shape to look more attractive.
- Your nasal tip is flat or too large.
Rhinoplasty Techniques Commonly Used Today
1. Closed Rhinoplasty
- Suitable for small adjustments.
- Less scarring.
- Usually a shorter recovery time.
2. Open Rhinoplasty
- Suitable for complex revision rhinoplasty.
- The surgeon can see the structure clearly.
- Allows more detailed adjustment.
3. Rhinoplasty With Rib Cartilage
- Results that blend with your own nasal structure.
- Designed to be durable.
- Suitable for revision rhinoplasty that needs more height.
Rhinoplasty or revision rhinoplasty is an important decision that needs careful thought. Khun Khemjira’s case shows that choosing an experienced surgeon and a suitable technique can help you get a result you are happy with, although results depend on each person.
Note: Repeat nose surgery, which many people know as ‘revision rhinoplasty’, 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 nasal structure and the surgeon’s judgement in each case.
