One-Week Update After 3D Custom DCF Revision Rhinoplasty
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Approximately 15 years ago, I underwent rhinoplasty using auricular cartilage for tip augmentation.
There were no complications, and it felt like my natural nose for many years.
A few years ago, I began to feel dissatisfied with the width of my nasal bones and alar area.
I considered revision surgery,
but I hesitated because I was worried that an unsatisfactory
outcome might be worse than not having surgery at all.
I attended multiple consultations over the past year, yet none gave me complete confidence.
After consulting at RU Plastic Surgery, however, I finally felt certain that I could proceed with revision surgery.
Because aesthetic standards such as “high,” “dramatic,” or “natural” vary greatly from person to person,
I wanted a surgeon who could precisely understand my preferences and deliver a refined, customized result.
That confidence ultimately led me to Dr. Hyunjoo Kim.
Although I originally thought I only needed osteotomy and alar reduction since my bridge height was adequate,
Dr. Kim recommended smoothing the step-off between the nasal tip and bridge for a more harmonious outcome.
Therefore, I underwent revision surgery using autologous rib cartilage for both the nasal tip and the nasal bridge,
with a 3D custom DCF technique for the bridge.
I am particularly sensitive to foreign materials,
so I appreciated being able to use autologous rib cartilage instead of synthetic implants.
Interestingly, I had previously felt resistance when other clinics suggested bridge surgery,
but Dr. Kim’s explanation and surgical plan gave me complete reassurance.
The first three days after surgery were the most difficult due to dry mouth and throat discomfort.
After that period, recovery became much easier.
Pain at the rib harvest site has been mild,
and I am following the clinic’s postoperative care plan as advised.
Dr. Kim also explained that the rib incision would be designed to minimize visible scarring,
which eased my concerns. Because I bruise easily, I experienced noticeable bruising initially,
but by two weeks postoperatively, most of it has resolved.
Swelling has also significantly decreased compared to the immediate postoperative period.
Although it is still early in the recovery phase, the shape already appears refined and well-balanced.
At each follow-up visit, I receive swelling management treatments, including laser therapy and injections.
I did not want an overly high or dramatic nose; rather, I wanted subtle correction of my concerns
while maintaining harmony with my facial features.
I feel that Dr. Kim accurately understood my aesthetic goals and translated them into the result I had hoped for.



































































































