Secondary Rhinoplasty for Complex Revision Cases Assessed by Dr. Ty at S45 Clinic
Complex nose reshaping cases at S45 Clinic are assessed by Dr. Ty (นายแพทย์กิตติศักดิ์ วงค์เทียนชัย, ว.35602), who has experience in rhinoplasty and nose reshaping. S45 Clinic is preparing to open as a hospital at the end of this year.
Dr. Ty often corrects complex nose reshaping cases with open structural rhinoplasty, especially the rib cartilage technique (open rib rhinoplasty), for complex concerns such as:
- cases that have had nose reshaping several times
- a short, contracted nasal tip
- cases where the original nasal structure is weak
- cases with little nasal soft tissue and a thin nasal tip

Our surgeons have more than 15 years of experience in nose reshaping. Dr. Ty designs the nose shape to suit each face, with a sloping bridge and a projected tip that does not look overdone or overfilled, so the face stays in balance. Results depend on each person. S45 Clinic has a review score of 4.9/5 from customers on Wongnai, a Thai review website.
If You Have Had Rhinoplasty Before, Reshaping Needs a More Detailed Assessment Than the First Time
Reshaping the nose after previous rhinoplasty is different from a first rhinoplasty, because the original nasal structure, tissue, scar tissue and past surgery may all affect treatment planning.
People who have had nose surgery several times in particular need a detailed assessment of the original nasal structure, to plan a technique that suits each person and to understand the care needed during recovery, following the surgeon’s advice.

How Much Does Secondary Rhinoplasty (Revision Cases) Cost?
Nose reshaping therefore costs more than a first rhinoplasty. Because the surgeon has to analyse different factors depending on each person’s concerns, prices vary. Complex nose reshaping with Dr. Ty costs about THB 400,000, and the final price may be higher or lower. Ask us and book a consultation so the surgeon can assess you in detail and give you a clear price.

How Do You Know If Your Nasal Structure Is a Complex Case?
Complex nose reshaping concerns vary, so they cannot be assessed clearly at a glance. Book a consultation with a surgeon for a detailed assessment. In some cases, open rhinoplasty helps the surgeon see the problem and plan a correction that lowers the chance of it coming back. If you have a contracted nose, a misshapen nose, tip extrusion or other problems that affect your breathing, talk to a surgeon directly.

Concerned After Rhinoplasty? Book a Consultation at S45 Clinic
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 concern, the nasal structure and the surgeon’s judgement in each case.

