The most common revisional surgeries are double eyelids that come undone, rhinoplasty with changing trends and grafting of fats which become reabsorbed
Among all the different kinds of plastic surgery procedures, which do you think are the most commonly revised?
13.5 plastic surgery procedures are performed for every 1,000 people in South Korea, which is the highest ratio in the world. The rise in the number of plastic surgeries has led to a corresponding rise in revisional surgeries. Recently, comedienne Shin Bong-seon came out to the public about her revisional nose surgery while actress Kim Jun-hee confessed to having had two nose jobs, once to augment her nose bridge and another to refine her nose tip. Actress Jeong Ga-eun professed candidly that she had three surgeries on her eyes alone.
Doctor Park Yang-soo of Dream Plastic Surgery says, “Because
eyelid and nose surgeries are the most common plastic surgery procedures,
revisional surgeries for these areas are the most common as well.” He added, “In
the past, revisional cases were mostly due to adverse aftereffects, these days,
more people are seeking revisional surgery to increase satisfaction or change
their features to better match changing trends in beauty.”
Unsophisticated line, line coming undone or reversion to original position after canthoplasty
There are two kinds of revisional surgery for eyelids-
one is when the line becomes undone and the other is when the patients want to
revise the existing line from the primary surgery. As the double eyelid surgery
has a long history, trends have changed a lot since it first began. In the past,
patients preferred a high western fold but trends have changed these days to
favor a more sophisticated and natural vertical elongation.
Median and lateral canthoplasty comes with the risk of
reversion and scar formation. According to Dr. Park, it is important to
minimize incision in both median and lateral canthoplasty to make the scars as
inconspicuous as possible. He says. “Lateral canthoplasty should be done
through an incision in the outer part of the conjunctiva and firmly suturing
the outer corners to the periosteum to prevent both scarring and reversion.”
From a semi-upturned curve to a straight line, trends
change fast in rhinoplasty
Trends change faster for rhinoplasty than any other surgery. One moment, a
western style nose high bridge is all the rage, and before you know it, the
relatively shorter nose with a slightly upturned tip is the style to go for.
Now, the trend has shifted again to favor straight noses such as those of Kim
Tae-hee and Song Hye-gyo.
Doctor Park added, “If you keep pursuing the latest trends, chances are that you will need revisions in the future. It is more important to consult with the surgeon who will recommend the best line for you based on the balance of ratios in your overall facial structure including your forehead, chin and cheekbones.”
In autologous fat grafting, stem cell therapy reduces the risk of reabsorption
As the youthful face continues to be a golden standard of beauty, fat grafting is one surgery which has risen in popularity. By pumping up volume in areas such as the forehead, cheeks and chin, the procedure makes the face look livelier and younger. The recent trend is to graft stem cells together with autologous fat cells to increase patient satisfaction.
Doctor Kim Hyeon-seok at Dream Plastic Surgery says, “If
you are concerned about needing secondary grafts due to low cell survival
rates, you should consider the stem cell autologous fat graft,” adding, “Although
results can differ from person to person, the stem cells allow fat grafting to
have semi-permanent effect just from a single primary procedure, unlike
ordinary fat grafts in which second and third grafts are needed.”
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