sweetmalbec Posted December 4, 2017 Posted December 4, 2017 Hi! Does anyone have know about or has gotten the surgery called "복코성형" in Korea? (see attached pics) It involves suturing the tip cartilage together, sometimes adding tip projection with ear cartilage or defatting the tip as well. I'm personally interested in only getting this done to reduce the tip size of my nose and make my round nostrils more oval.. and maybe alarplasty. If you have gotten it done, how are your results? Is it dramatic? I have an "okay" bridge which is not high nor low, but most Korean clinics recommend some bridge augmentation. When I said that I don't want implants, the GNG consultant said ok maybe tipplasty + alarplasty will do. I'll also be consulting April31, Garosu, Cocoline and Ps101. If anyone has more info/recommendations on tip suturing/defatting and alarplasty in Korea please let me know ^^
k-couture Posted December 4, 2017 Posted December 4, 2017 Actually alot of western surgeons use this procedure. They clamp the cartilage together with a surgical tool and then suture it. But its tends to be more suitable under the following conditions: 1) People with who do not require bridge augmentation 2) People who require bridge augmentation BUT doesn't require alot of tip projection required to balance out the nasal aesthetic. 3) People who do not have bulbous tissue (thick fatty tissue etc) 4) People whose nose is blunt is due to cartilage As you can see these conditions are more typical of caucasians than asian ppl
sweetmalbec Posted December 4, 2017 Author Posted December 4, 2017 oh I see! Then I think I failed test 3) already. My nose is bulbous due to thick fatty tissue, lol. Can the thick fatty tissue be removed before suturing then?
k-couture Posted December 5, 2017 Posted December 5, 2017 there's one forumer who used this method actually. her name is koreansaurus if I recall and she did it at JW. Turned out reallly nice. You can go do a search for her name. But her original nose pretty much meets all these conditions. I believe she might have posted pics too so you can see what I mean by meeting the above conditions
k-couture Posted December 5, 2017 Posted December 5, 2017 well it will have to be. But think about it like this. If your current project seems somewhat ok. it means its a combination of your own cartilage plus volume from your bulbous tissue. By excising the tissue it means what remains is largely the cartilage which also means you likely need added projection no? Hence probably need to use autologous graft for the tip like most of us.
sweetmalbec Posted December 5, 2017 Author Posted December 5, 2017 Yup I don't mind adding ear cartilage to my tip because it's soft. My only concern is that if I add projection to the tip without augmenting the bridge, the balance will be very weird. What I hope I can achieve is defatting the tip, suturing them together and adding ear cartilage to it to make up for the defatting.
sweetmalbec Posted December 5, 2017 Author Posted December 5, 2017 On another note, I've been looking at cocoline results and speaking with the consultants there, it seems like they really support you if you decide not to do a bridge augmentation but instead just tip work. It's even on their website. The consultants showed me real reviews and all their noses look EXTREMELY natural. So they're pretty high on my list now.
k-couture Posted December 5, 2017 Posted December 5, 2017 Uhhh its best not to take anything a consultant shows you as real, at least not completely. Just see it as a sales pitch with validity. Thats how I usually take it. I think whats more important is how the surgeon demonstrates objectively he is going to attain the results you want during the consultation. Also, im assuming you dont want any silicone in the bridge yeah. fyi, I know heaps of girls who just didnt want silicone simply because they didn't feel comfortable with it, not because of any legitimate concern. All of them were not happy with their results and ended up using silicone later on. Koreansauraus is probably the only one who didnt use any sort of implant bridge and tip and ended up with a beautiful result. So just something to think about. When you go for your consultations, if majority of the surgeons are recommending silcone for the bridge, perhaps you should ask yourself why that is. If their first recommendation is silicone but in order to have you as a patient they agree to only do the tip, you should perhaps reconsider too.
sweetmalbec Posted December 5, 2017 Author Posted December 5, 2017 Yup, I get what you mean. I definitely don’t take the consultant super seriously, but there are consultants that I like and I don’t. I wouldnt know what the doctors recommend until I meet them face to face, which is what I’m going to do. I’m also confused because since young I’ve been told that I have a high nose bridge for an Asian and a pretty side profile. I once e-mailed Dr.Kao in taiwan years ago, and he told me to absolutely avoid alarplasty and that I didnt need bridge augmentation at all, just tip plasty. I wonder it could be because taiwanese doctors are more conservative, while Koreans are known to love high noses. Or did my bridge just shrink lower in the past few years? Regardless, i made a pact to myself since years ago to never put foreign implants in my face or body. But if most doctors says it’s necessary, i’ll probably consider it
k-couture Posted December 5, 2017 Posted December 5, 2017 Hrmm could be a number of reasons why he said that. But maybe your bridge is high enough and just simple tiplasty is needed. Its rare but there are asians who meet those conditions
gats Posted December 5, 2017 Posted December 5, 2017 I tried searching for a member with that name or close to it using the site's member autocomplete but I'm not getting any hits besides your mentions. Can you double check the name? I'm very curious to see her pics and read her story, I'm wondering if her good result without implant had to do with her anatomy or her specific doctor's skill.@Sweetmomof2, I'm in a similar position as you and I'd prefer no implant as well. Do you know of any before/after pics from any Korean clinics which show tipplasty with suture only? I'm curious how common it is for a place like GNG to do that and how big of a difference the result is. If it's very subtle, I think I'd just keep my nose.
sweetmalbec Posted December 5, 2017 Author Posted December 5, 2017 Cocoline has an entire page of B&A nose jobs that use no implants. I’m not sure if im allowed to post links here, just go to their english website and the page under nose that is titled “non-artificial”. They also have plenty of B&As on tipplasty in the other section. Their results are overall VERY subtle though. They might be my first choice if I end up not getting an implant. If I do get an implant it might not be them because I asked they don’t use “ultra soft silicone” , just the normal “soft silicone” I think. Apart from cocoline i’ve never seen any other korean b&as that do tipplasty only without augmentation. The only other ones i saw are from taiwanese doctors. The consultant from GNG sent me bulbous nose b&as but those are done with implant too. And i just found out the consultant is dishonest and send me those photos telling me it’s done by a certain doctor, while she sent the same photos to another forumner telling her it’s done by another doctor. Zz
gossipgirl19 Posted December 13, 2017 Posted December 13, 2017 I had a typical Asian nose (bulbous tip, wide base) and I had rhino-septoplasty in my home country back in 2011 wherein the surgeon did some corrections to my deviated septum, "cinched" in my nostrils and refined my tip (no implant). I recently had revision septoplasty at Banobagi last month where the surgeon broke and reset my nose bones, used ear cartilage to fill in my septum, and further refined my tip. Not sure what either surgeon did to refine my tip, but based on the fact that I didn't have an implant and the location of my incisions, I assume I had some sort of suturing to bind the tip cartilage together. When I went in for my consults I didn't have an idea of preferred methodology, I just spoke to the consultants and then the doctors about the final result that I wanted. Based on their experience, the consultants were able to explain what could and could not be possible with my nose. Then when I met with the doctors, they explained their preferred methodology to achieve my desired look. One doc wanted to use cadaver cartilage, Banobagi said that my own ear was fine. This is a roundabout way of saying don't worry too much about methodology. For each consult, tell the consultant and the doctor what you're looking to achieve and the doctor will present a plan to you, then decide from there. Also, Dr. Hyuntaek Lee at Banobagi is pretty good. Good luck!
sweetmalbec Posted December 13, 2017 Author Posted December 13, 2017 Thanks for the review! Omg breaking nose bones sounds so scary, but I'm glad you're happy with your result! I've heard good things of Dr Lee Hyun Taek too I might be consulting him as well
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