Total Anti-Aging Surgeries with Rib Cartilage Rhinoplasty

This case, performed by Dr. Myung Ju Lee MD PhD, involves an Asian female patient in her 50s who underwent a comprehensive set of anti-aging facial surgeries in combination with structural rhinoplasty. At one year post-operation, the patient shows stable and harmonious results. The surgical plan aimed to refine facial contours, soften a previously strong impression, and enhance feminine features through volume restoration, soft tissue repositioning, and nasal refinement.

Patient Profile and Concerns

Age/Sex: 50s, Female
Main Concerns: Strong facial impression, heavy cheeks contributing to jowling, short and bulbous nose, and lower eyelid fat bulging (eye bags).
Objective: Create a softer and more feminine appearance by reducing heavy soft tissue along the jawline and nasolabial folds, lifting sagging areas, and enhancing overall facial harmony.

Procedures Performed

01. Autologous rib cartilage rhinoplasty was performed to lengthen and refine the nasal structure, achieving a more projected and defined nasal profile.
02. Midface augmentation using rib cartilage addressed midfacial volume deficiency and improved the transition between the lower eyelid and cheek.
03. Deep plane facelift lifted deeper facial layers to correct jowls and restore youthful facial proportions.
04. Platysmal necklift eliminated neck laxity and enhanced jawline definition by tightening underlying muscle and removing excess skin.
05. Lower blepharoplasty removed herniated fat pads under the eyes and tightened the lower eyelid skin.
06. Facial liposuction targeted buccal and submental fat, contouring the cheeks and jawline.
07. Fat grafting restored volume in deficient areas such as the temples, cheeks, and perioral region for a fuller, softer appearance.
08. Collagen injections were administered to improve horizontal neck lines and skin texture.

Recovery and Results

Anesthesia: General anesthesia with IV sedation (TIVA)
Recovery Time: Two weeks of immediate postoperative care in Jeju; final results expected between four to six months for anti-aging procedures and six to twelve months for rhinoplasty. The accompanying photo reflects the patient’s condition at one year post-operation.

Outcome

Redundant soft tissue along the jawline was removed, and the overall facial impression became more refined and softened. The neckline was significantly improved, the nose achieved a more elegant and slimmer projection, and the under-eye bags were successfully eliminated. Lax skin was effectively lifted, resulting in a youthful, feminine, and balanced 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.