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Rhinoplasty with 3-D scan: Safer surgery for nasal problems

Interest in “two-jaw operation” has been steadily growing among those who have bimaxillary protrusion, a dentofacial deformity commonly found among Asians where the upper and lower incisors emerge forward, making the teeth and lips protrude. The operation, however, is a surgical method neither designed to correct the facial distortion nor to improve a person’s facial image. It was actually devised to treat diverse functional inconvenience such as the misalignment of the teeth.

A facial contouring surgery is performed often to surgically correct the bimaxillary protrusion, but many find it difficult and painful since it is a type of bone surgery. The facial deformity can be improved through orthodontics, but it requires a long period of time and consistent care.
A 3-D CT scan image of a patient with bimaxillary protrusion. (Braun Plastic Surgery)
A 3-D CT scan image of a patient with bimaxillary protrusion. (Braun Plastic Surgery)

Rhinoplasty, a surgery that reshapes the nose, has been grabbing attention, as an alternative to the two procedures.

The surgery alters the size or shape of the nose by using the patient’s soft bone, rearranges soft tissue surrounding the nose, and extends the shortened philtrum. The surgery not only improves the nose aesthetically but also makes the lip area less protruded.

“Rhinoplasty can have more a precise result, minimize side effects and complete a harmonious and balanced nose shape for patients,” said Kim Gui-rak, a doctor and a director of the rhinoplasty center at Braun Plastic Surgery.

“It is important to find a proper nose shape for each patient rather than recommending just a big and pretty nose,” Kim said.
Kim Gui-rak, director of the rhinoplasty center at Braun Plastic Surgery (Braun Plastic Surgery)
Kim Gui-rak, director of the rhinoplasty center at Braun Plastic Surgery (Braun Plastic Surgery)

Unlike other surgeries, rhinoplasty demands a three-dimensional approach. Cartilage of the nasal septum, alar cartilage and nasal bone form the three-dimensional structure. It is difficult to understand such complicated nasal structure by just looking at its external condition or having a simple X-ray.

In order to solve the problem, Seoul’s Braun Plastic Surgery uses a 3-D CT scan. With the 3-D CT scan, the hospital precisely checks the condition of the cartilage of nasal septum and the bone, Kim said

“To have satisfactory surgery, patients need to pick a hospital that has experienced doctors as well as a state-of-the-art 3-D CT equipment,” he added.

By Cho Chung-un (christory@heraldcorp.com)
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