Rhinoplasty and Facial Rejuvenation
Patient profile and concerns
Age/Sex: Late 50s, Asian female
Follow-up: 1 year post-operation
Main concerns: Deep nasolabial folds, jowls, wide alar base, bulbous nose, and facial volume loss.
Objective: To restore youthful midface contour, refine nasal shape and alar base, correct jowls and folds, and replenish facial volume for a balanced, natural rejuvenation.
Surgeries performed
01. Extended deep plane facelift: The SMAS and deeper tissues were lifted and repositioned to smooth nasolabial folds, correct jowls, and restore midface structure. Extended deep plane method was used to directly pull anterior part of the face creating deep nasolabial folds.
02. Platysma necklift: Tightening of the platysma and removal of excess skin created a firmer, more defined neckline and jawline. Incision was extended from facelift incision line, hidden inside the hair.
03. Rib cartilage rhinoplasty (with alar reduction): Rib cartilage grafts were used to refine the nasal framework, narrow the wide alar base, and reduce bulbosity for a more elegant, balanced nose. Alar base reduction was performed together, with incision lines on the crease of the alar base. The wide of the alar is significanly reduced.
04. Midface augmentation: Volume and projection of the midface were enhanced to improve sunken mid face and harmonize facial proportions, placing rib cartilage pieces on the base of the nose.
05. Lower blepharoplasty: The under-eye area was smoothed through adjustment and repositioning of fat pads, with removal of excess skin for a brighter appearance.
06. SOOF lift (cheek lift): The sub-orbicularis oculi fat (SOOF) was lifted to correct midface descent and improve lower eyelid–cheek transition, with more volume.
07. Fat transfer: Patient’s own fat was grafted into the cheeks, nasolabial folds, temple, forehead, and hollow areas to restore volume and create a softer, rejuvenated look.
Recovery and outcome
At the 1-year follow-up, the patient maintains natural and stable results. The midface appears lifted with softened nasolabial folds, the jawline and neck are well defined, and the eyes are more youthful and refreshed. Her nose is refined with a narrower alar base and improved tip shape, blending harmoniously with her facial features. Restored volume in the midface and folds contributes to a balanced and rejuvenated appearance.
Disclaimer – All before-and-after photos are unedited. Individual results may vary. This information is intended for educational purposes and does not replace a personalized consultation with a qualified medical professional.
