Nose Surgery

Flat Nose (Augmentation Rhinoplasty)

Augmentation Rhinoplasty creates a balanced face

What is Augmentation Rhinoplasty?

Natural-looking and Beautiful Nose

Your facial appearance could be changed by augmentation rhinoplasty. By raising the nose though nose surgery, the face will look slimmer. Augmentation rhinoplasty is not only about augmenting the nasal bridge for it to be high but the important point is to keep the facial balance and deciding the height of the nose based on that balance.

  • Surgery Duration1 - 1.5 hours
  • HospitalizationNot Required
  • # of Postoperative visits2 - 3 Visits
  • AnesthesiaSedation
  • Removal of Stitches5 - 7 days after the operation
  • Recovery PeriodReturn to normal life after removal of stitches
We recommend Augmentation Rhinoplasty to:
  • Those whose nose is small and low.
  • Those whose nasal tip is bulbous and low.

Operation Methods

Closed Rhinoplasty
Open rhinoplasty

Most surgical incisions are made inside the nostrils for the scars not to be seen. Closed rhinoplasty should be performed by well-experienced specialist plastic surgeons due to the limited access to the cartilage and bones of the nose.

With open rhinoplasty, a plastic surgeon can precisely correct each cartilage and bone by making incisions on the nasal bridge and completely exposing the structure of a nose. One of its advantages is that a surgeon can easily see the internal structure of a nose and perform a precise procedure. Open rhinoplasty is generally used for a more precise nose tip correction.


Those who have been suffering from a serious sinus infection or have troubles in breathing due to a stuffy nose may have augmentation rhinoplasty with other functional rhinoplasty can be performed simultaneously.

Various Rhinoplasty Materials

Donated Tissue
Dermal Fat Graft/Fascia
Autologous Cartilages

Silicone Implants

A silicone implant is the most common and long-used implant for rhinoplasty. Silicone implants are not absorbed and do not change in shape over time. In addition, they are easy to manipulate into various shapes according to patients’ facial characteristics.

If the patient’s skin is too thin, an implant may sometimes show through. Proper implants should be used, taking into account the patient’s skin thickness and conditions.

Gore-Tex (Surge Gore-Tex, Pure Gore-Tex)

Gore-Tex has been proven to be safe and is widely used during vascular surgery,. As Gore-Tex is softer than silicone, it can be used for those who have thin skin, and looks very natural.

Gore-Tex easily assimilates into facial tissues, and its rarely causes adverse, foreign-body reactions. Its soft texture, however, means it is sometimes difficult to sculpt into the desired shape or facial location. Surgery involving Gore-Tex, therefore, should only be performed by a well-experienced and skilled rhinoplasty specialist.


Silitex is an implant consisting of a frontal part made of silicone and a rear section made of Gore-Tex. It has the advantages of both silicone and Gore-Tex. If the patient has extremely thin skin, autologous fascia or dermis may be added to the front of the implant, to substitute Gore-Tex.

Donated Rib Cartilage

If you are not comfortable with autologous cartilage or afraid of scars or pain, donated cartilages may be used. Donated cartilages are used as a rhinoplasty material after being disinfected and stabilized. Approved by FDA in U.S.A.

Donated dermis (AlloDerm, MegaDerm)

Human dermis is processed to prevent rejection reactions. Using donated dermis, we can create a beautiful and natural-looking nose.

Autologous dermis

Autologous dermis, collected from the buttock or the groin, is used for nasal bridge augmentation of those who have extremely thin skin.

Publications relating to Dorsal augmentation using autogenous tissues by Dr. Man Koon Suh:

1Facial Plastic Surgery Clinics of North America (Link)


A fascia is a sheet surrounding muscles. Fascia used for rhinoplasty are collected from the inside of the scalp above the ears. As surgical incisions are made on the scalp, they are easy to be collected. In addition, surgery using fascia is simple and the scars are not easily seen. Fascia are generally applied to patients with thin skin.

Ear Cartilages

Ear cartilage, the most widely used autologous cartilages, can be collected easily without leaving any scarring. Ear cartilage is generally used for nose-tip augmentation, and sometimes for precise nasal bridge augmentation.

Septal Nasal (Nose) Cartilage

Septal nasal cartilage, collected from the inside of the nostrils, does not require any incisions to collect. As this cartilage is straight, it is used as a nasal bridge support to create a sharp and prominent nose.

Rib Cartilage

When septal nasal cartilage or ear cartilage is insufficient, rib cartilage can be collected and used. Rib cartilage is used to extend a firm and extremely short nose, or a nose that has shrunk or upturned due to the side effects of a previous operation.

JW Plastic Surgery offers special operative techniques to prevent the warping of rib cartilage after a graft, including a ‘concentric carving technique’ and ‘multi-layered graft technique.’

We minimize side effects by using autologous cartilage or by using fascia and cartilage together.

1. Autologous cartilage or a dermofat graft may be used for both acute inflammation, accompanied by swelling, pain, pus, and chronic inflammation, such as a contracture.

2. Autologous cartilage is broken into tiny pieces and covered with fascia. These make good implants for both a first rhinoplasty and revision rhinoplasty.

Cautions Before Rhinoplasty

  • You must stop taking medications that interfere with hemostasis (oral contraceptive pills, hormone drugs, vitamin E, aspirin, etc.) at least two weeks before an operation. If you are currently receiving treatment for high blood pressure, heart disease, diabetes, or thyroid disease, you must inform your doctor or consultant in advance.
  • Cigarettes may cause phlegm, sneezing, or bleeding after an operation. We strongly recommend that you stop smoking for two weeks before an operation. A serious cold may reduce your trachea and respiratory functions. Please inform your consultant or doctor in advance if you happen to be suffering from a serious cold on the day of surgery.
  • Before you come to the hospital, you must remove makeup, contact lenses, any accessories, nail polish, and pedicure on the day of surgery.
  • You must stop eating any food at least four hours before an operation.
  • We recommend you to wear comfortable clothes, which will not irritate the surgical sites, a mask, a cap, and sunglasses. In addition, we advise you to come with a guardian or use public transportation.

Post-Operative Management

  • Placing the surgical sites on a higher position than your heart helps to reduce swelling.
  • Apply an ice pack on the surgical site for the first two or three days.
  • Avoid severe friction and acupressure massage around the surgical sites for at least one month after an operation. Use a sauna or take a hot bath at least one month later.
  • Refrain from smoking or drinking, which may delay your recovery, for at least four weeks after an operation.
  • You may engage in some light exercise such as a walk right after an operation. However, you must refrain from heavy exercise such as aerobics, tennis, and swimming, for at least three to four weeks after an operation.

With more than 18 years of experience, Surgeons specialized in Nose Surgery.

JW nose team constitutes 3 nose specialists with know-how from various clinical experiences, as well as dedication to achieving the best result by medical research.