Skip to main content

Doctor's Column

Doctor's Column

DOCTOR'S COLUMN

Doctor's Column

The Doctor's Column is not a place to promote surgery. It is a record of how each face was read and why each judgment was made.

BEST

Featured Columns

Three to read first
FACE DESIGN COLUMN

Facial plastic surgery columns
written by Chief Director Dr. Seonghun Kim

The place where a symptom appears and the place where its cause lies are often different.
Why look at the forehead first when a double eyelid seems to have loosened, or at the tip first when the alae look wide?
Chief Director Dr. Seonghun Kim of SH Plastic Surgery explains, drawing on conversations in the consultation room and anatomical evidence.

Original blogThe Perspective of Face Designer Seonghun Kim

All columns

Loading…
Eye Shape Structure Restored with Endoscopic Forehead Lift, Non-Incisional Double Eyelid Revision, and Sub-Brow Lift
Eye revision surgery2026.03.05

Eye Shape Structure Restored with Endoscopic Forehead Lift, Non-Incisional Double Eyelid Revision, and Sub-Brow Lift

This is a case of a patient whose distance between the eyebrows and eyes appeared narrow, and who experienced severe pressure around the eyes due to sagging upper eyelid skin and a descending forehead. Through an endoscopic forehead lift, the downward pressure from the forehead and eyebrows was relieved, and by combining non-incisional double eyelid revision surgery with upper blepharoplasty, a natural eye shape was achieved…

Chief Director Dr. Seonghun KimRead more →
A Nose Where Alar Reduction Was Desired but Shouldn't Have Been Done! The Reason Why the Nasal Tip Came First
Revision Rhinoplasty2026.02.23

A Nose Where Alar Reduction Was Desired but Shouldn't Have Been Done! The Reason Why the Nasal Tip Came First

This is a case where the patient visited contemplating alar reduction, but in reality, the structure of the nasal tip needed to be addressed before the alar. In cases where the nasal tip is large and the alar base is small, performing an alar reduction first can actually make the appearance look unnatural...

Chief Director Dr. Seonghun KimRead more →
51-year-old with sagging eyes, why it was resolved with an Endotine forehead lift instead of an incisional double eyelid surgery | Combined sub-brow lift and lower blepharoplasty case
Eye revision surgery2026.02.11

51-year-old with sagging eyes, why it was resolved with an Endotine forehead lift instead of an incisional double eyelid surgery | Combined sub-brow lift and lower blepharoplasty case

Sagging eyes in one's 50s and beyond is not a simple double eyelid problem, but a complex aging phenomenon where the forehead, eyebrows, eyelids, and under-eye structures sag together.…

Chief Director Dr. Seonghun KimRead more →
If your double eyelid line keeps collapsing, the cause may be the 'forehead.' Reaching up to the upper face with an Endotine endoscopic forehead lift
Eye revision surgery2026.02.04

If your double eyelid line keeps collapsing, the cause may be the 'forehead.' Reaching up to the upper face with an Endotine endoscopic forehead lift

A 54-year-old female patient considering double eyelid revision surgery. The cause of the problem was not the eyes, but sagging in the forehead and upper face. A structure-centered lifting case by Dr. Kim Seong-hoon of SH Plastic Surgery, reducing the burden on the eyelids and naturally restoring the double eyelid line through an Endotine endoscopic forehead lift…

Chief Director Dr. Seonghun KimRead more →
Why a forehead lift came before double eyelid revision surgery | Real case of an Endotine endoscopic forehead lift
Eye revision surgery2026.02.04

Why a forehead lift came before double eyelid revision surgery | Real case of an Endotine endoscopic forehead lift

A real case of a 51-year-old woman who had non-incisional double eyelid surgery 15 years ago and, upon entering her 50s, experienced a covered double eyelid line, sagging eyelids, and under-eye bulging and hollowing at the same time.…

Chief Director Dr. Seonghun KimRead more →
Revision rhinoplasty review: What if the nostrils look wider after nose surgery? Why silicone replacement and alar reduction are needed together.
Revision Rhinoplasty2026.01.23

Revision rhinoplasty review: What if the nostrils look wider after nose surgery? Why silicone replacement and alar reduction are needed together.

Among those considering revision rhinoplasty, many feel that the alar base looks wider or more stifling rather than the bridge or the tip. In particular, for those with a history of past implant surgery, changes in the central structure of the nose can make the alar base appear relatively accentuated…

Chief Director Dr. Seonghun KimRead more →
Epiphora (watery eyes) and periorbital sagging in men in their 60s: Why Endotine endoscopic forehead lift, lower blepharoplasty, midface lift, and sub-brow lift are needed together
Forehead Lift · Brow Lift2026.01.20

Epiphora (watery eyes) and periorbital sagging in men in their 60s: Why Endotine endoscopic forehead lift, lower blepharoplasty, midface lift, and sub-brow lift are needed together

Watery eyes and sagging periorbital tissue in men in their 60s are not simply an issue of under-eye fat. Rather than just being caused by excess under-eye fat, the watery eyes, under-eye puffiness, and drooping eyelids commonly seen in men in their 60s are often...

Chief Director Dr. Seonghun KimRead more →
Why the Upper and Midface Must Be Designed Together! Endoscopic Forehead Lift, Brow Lift, Buried Suture Blepharoplasty, Lower Blepharoplasty, Midface Lift, a Unified Facial Design
Forehead Lift · Brow Lift2026.01.14

Why the Upper and Midface Must Be Designed Together! Endoscopic Forehead Lift, Brow Lift, Buried Suture Blepharoplasty, Lower Blepharoplasty, Midface Lift, a Unified Facial Design

An endoscopic forehead lift is not a procedure intended solely for the eyes. In this post, we explain the rationale behind combining an endoscopic forehead lift with thread fixation, brow lift, non-incisional double eyelid surgery, and lower blepharoplasty with a midface lift, based on the anatomical aging process and medical literature...

Chief Director Dr. Seonghun KimRead more →
Endoscopic Forehead Lift, Brow Lift, Non-Incisional Double Eyelid Surgery, Lower Blepharoplasty + Midface Lift — Why We Design from the Upper Face to the Midface as 'A Single Flow'
Forehead Lift · Brow Lift2026.01.09

Endoscopic Forehead Lift, Brow Lift, Non-Incisional Double Eyelid Surgery, Lower Blepharoplasty + Midface Lift — Why We Design from the Upper Face to the Midface as 'A Single Flow'

An endoscopic forehead lift is not a procedure intended solely for the eyes. In this post, we explain the rationale behind combining an endoscopic forehead lift with thread fixation, brow lift, non-incisional double eyelid surgery, and lower blepharoplasty with a midface lift, based on the anatomical aging process and medical literature...

Chief Director Dr. Seonghun KimRead more →
Does the distance between your eyebrows and eyes look narrow? Cases where an endoscopic forehead lift and revision non-incisional double eyelid surgery are needed together
Eye revision surgery2025.12.29

Does the distance between your eyebrows and eyes look narrow? Cases where an endoscopic forehead lift and revision non-incisional double eyelid surgery are needed together

An impression where the distance between the eyebrows and eyes appears narrow is often not merely an issue of the double eyelid line, but a problem with the structure of the upper face and the position of the forehead and eyebrows.…

Chief Director Dr. Seonghun KimRead more →
Alar Reduction vs. Long Nose Surgery: How Should You Decide on Tip Plasty? _ Tip Plasty Reviews, Tip Plasty Recovery
Rhinoplasty2025.12.27

Alar Reduction vs. Long Nose Surgery: How Should You Decide on Tip Plasty? _ Tip Plasty Reviews, Tip Plasty Recovery

Alar reduction is a surgery sought by many for its short recovery period and immediate changes, but it is not suitable for all nose types. Particularly when the nasal tip is large and the alae are already small, alar reduction can instead overemphasize the nasal tip and create an unnatural impression.…

Chief Director Dr. Seonghun KimRead more →
Blepharoplasty for men in their 60s: The cause of watery eyes, a complex lifting case for middle-aged men
Forehead Lift · Brow Lift2025.12.23

Blepharoplasty for men in their 60s: The cause of watery eyes, a complex lifting case for middle-aged men

Watery eyes, under-eye puffiness, and drooping eyelids commonly observed in men in their 60s are often not just problems of under-eye fat, but stem from an interconnected aging process spanning the forehead, upper eyelids, lower eyelids, and midface...

Chief Director Dr. Seonghun KimRead more →
Revision Rhinoplasty Review: What Has Changed? Tip Plasty, Implant Replacement, and Scar Tissue Removal Require Understanding the Support Structure
Revision Rhinoplasty2025.12.19

Revision Rhinoplasty Review: What Has Changed? Tip Plasty, Implant Replacement, and Scar Tissue Removal Require Understanding the Support Structure

Revision rhinoplasty is not simply a procedure to replace implants. This post covers an actual case of a patient who was suffering from nasal tip instability and scar tissue issues after a previous implant surgery, and underwent a combination of implant replacement + tip plasty (donated costal cartilage + ear cartilage) + scar tissue removal + alar reduction + septal reconstruction + alar rim lowering…

Chief Director Dr. Seonghun KimRead more →
Why revision double eyelid surgery was not the answer: A case of Endotine endoscopic forehead lift in a patient in their 50s
Eye revision surgery2025.12.14

Why revision double eyelid surgery was not the answer: A case of Endotine endoscopic forehead lift in a patient in their 50s

If your double eyelid line repeatedly collapses and your eyes look heavy or hooded, the cause may not be the eyelids, but rather sagging of the forehead and upper face.…

Chief Director Dr. Seonghun KimRead more →
Sub-brow lift, upper epicanthoplasty, and lower blepharoplasty combined surgery: A case analysis of a woman in her 50s
Forehead Lift · Brow Lift2025.12.13

Sub-brow lift, upper epicanthoplasty, and lower blepharoplasty combined surgery: A case analysis of a woman in her 50s

Eye surgery for those in their 50s cannot be resolved simply by creating a larger double eyelid line. This is because over time following non-incisional double eyelid surgery, eyelid drooping, covered eyelid lines, uneven under-eye fat distribution, and midface sagging often occur simultaneously.…

Chief Director Dr. Seonghun KimRead more →
UltraClear: The next-generation laser introduced for the first time in Korea by SH Plastic Surgery; complete guide to the principles and explanations of UltraClear in one go
Facelift · Lifting2025.12.03

UltraClear: The next-generation laser introduced for the first time in Korea by SH Plastic Surgery; complete guide to the principles and explanations of UltraClear in one go

UltraClear™ is the world’s first next-generation fractional laser utilizing a 2910nm wavelength, developed by Acclaro Medical in the United States. It is an innovative device that dramatically improves upon the shortcomings of conventional CO₂ and Erbium lasers.…

Chief Director Dr. Seonghun KimRead more →
Ultherapy vs Oligio – “Lifting devices: results truly differ depending on how much you know.”
Facelift · Lifting2025.12.01

Ultherapy vs Oligio – “Lifting devices: results truly differ depending on how much you know.”

Ultherapy and Oligio are representative non-surgical lifting devices, serving as tightening procedures that boost elasticity by delivering energy to structures at different depths (SMAS, dermis, superficial skin layers)…

Chief Director Dr. Seonghun KimRead more →
Revision forehead lift: When is a revision forehead lift possible, and to what extent can it restore results?
Forehead Lift · Brow Lift2025.11.29

Revision forehead lift: When is a revision forehead lift possible, and to what extent can it restore results?

A revision forehead lift is a high-difficulty surgery that requires thorough re-evaluation when previous results were inadequate due to insufficient temporal dissection, fixation failure, or inadequate ligament release, or when discomfort has arisen from overcorrection.…

Chief Director Dr. Seonghun KimRead more →
Forehead lift reviews: Why do some people not see results from a forehead lift? feat. Forehead Lift Self-Diagnosis Method
Forehead Lift · Brow Lift2025.11.28

Forehead lift reviews: Why do some people not see results from a forehead lift? feat. Forehead Lift Self-Diagnosis Method

Forehead lifting (Endoscopic Brow Lift / Forehead Lift) is one of the facial lifting surgeries that has grown the fastest in Asian regions, including Korea, Japan, and Thailand, throughout 2024–2025.…

Chief Director Dr. Seonghun KimRead more →
Contracted nose revision surgery: Can a collapsed nose be restored again?
Revision Rhinoplasty2025.11.23

Contracted nose revision surgery: Can a collapsed nose be restored again?

A contracted nose is one of the most severe complications following rhinoplasty. It is characterized by the nasal bridge becoming hard and pulled upward, the nasal tip curling up (upturned nose), and deforming into a short, upturned nose where the nostrils are excessively visible. In addition, the columella becomes higher than the alar…

Chief Director Dr. Seonghun KimRead more →
Rhinoplasty Revision Side Effects & Case Studies _ When is it possible and how can it change?
Revision Rhinoplasty2025.11.21

Rhinoplasty Revision Side Effects & Case Studies _ When is it possible and how can it change?

Rhinoplasty revision is a high-difficulty surgery that corrects problems that were not resolved with a single procedure. A shortened nose, a lowered nasal tip, an upturned nose due to capsular contracture, cartilage absorption, visible implants, inflammation, and increased scar tissue develop over time after the primary surgery…

Chief Director Dr. Seonghun KimRead more →
Revision rhinoplasty reviews: How much can it change?
Revision Rhinoplasty2025.11.15

Revision rhinoplasty reviews: How much can it change?

Revision rhinoplasty is not simply a 'reshaping surgery.' It is a high-difficulty surgery that anatomically analyzes complex issues resulting from prior surgery—such as contracture, a shortened nose, visible nasal tip materials, and side effects from foreign implants—to reconstruct the compromised framework.…

Chief Director Dr. Seonghun KimRead more →
How to Correct Asymmetrical Eyes Without Ptosis Correction — Face Designer Dr. Kim Seong-hoon's Symmetrical Design
Eye revision surgery2025.11.11

How to Correct Asymmetrical Eyes Without Ptosis Correction — Face Designer Dr. Kim Seong-hoon's Symmetrical Design

Asymmetrical eyes are often the first facial imbalance people notice when looking in the mirror. While most believe they need "asymmetric eye correction surgery (ptosis correction)," design approaches do exist that can alleviate asymmetry even without surgery.…

Chief Director Dr. Seonghun KimRead more →
Double eyelid surgery swelling: How long does it last, and how should it be managed?
Eye revision surgery2025.11.08

Double eyelid surgery swelling: How long does it last, and how should it be managed?

Swelling after double eyelid surgery is one of the top concerns for patients during recovery. Dr. Sung-hoon Kim, Director of Face Designer Plastic Surgery, explains the anatomical causes of swelling and specific management methods to be undertaken collaboratively by both the patient and the clinic.…

Chief Director Dr. Seonghun KimRead more →
SH Plastic Surgery Face Designer Dr. Sung-hoon Kim: "Faces are remembered by 'structure,' not 'trends'" — Watching Perfect Glow..
Other Information2025.11.03

SH Plastic Surgery Face Designer Dr. Sung-hoon Kim: "Faces are remembered by 'structure,' not 'trends'" — Watching Perfect Glow..

I am Face Designer Dr. Sung-hoon Kim. Practicing in Gangnam, I see that trends always change rapidly. While 'defined and prominent lines' were the trend just a few months ago, these days I hear 'natural, yet long-lasting' much more frequently.…

Chief Director Dr. Seonghun KimRead more →
Rhinoplasty and nasal tip graft materials: One must understand nasal structure first
Revision Rhinoplasty2025.11.02

Rhinoplasty and nasal tip graft materials: One must understand nasal structure first

The true essence of rhinoplasty lies in 'structure,' not 'height.' Rather than simply elevating the nasal tip and raising the bridge, natural and long-lasting surgical results require an understanding of the nose's anatomical structure and function.…

Chief Director Dr. Seonghun KimRead more →
Revision rhinoplasty caused by artificial implant complications: All about rhinoplasty materials 3/3
Revision Rhinoplasty2025.11.02

Revision rhinoplasty caused by artificial implant complications: All about rhinoplasty materials 3/3

Rhinoplasty utilizing artificial materials such as Medpor®, Mesh, and silicone in the nasal tip often necessitates revision surgery over time due to complications like inflammation, capsular contracture, extrusion, and skin thinning.…

Chief Director Dr. Seonghun KimRead more →
Revision rhinoplasty with donated rib cartilage: If you are concerned about donor site pain from autologous rib cartilage _ All about rhinoplasty materials 2/3
Revision Rhinoplasty2025.11.01

Revision rhinoplasty with donated rib cartilage: If you are concerned about donor site pain from autologous rib cartilage _ All about rhinoplasty materials 2/3

One of the biggest dilemmas for patients facing revision rhinoplasty is, "Which cartilage should I use?" While it is well known that autologous rib cartilage is the strongest and most stable option, its use can be challenging or undesirable depending on the circumstances.…

Chief Director Dr. Seonghun KimRead more →
Reasons for autologous rib cartilage in revision rhinoplasty: How to perform rhinoplasty without side effects _ All about rhinoplasty materials 1/3
Revision Rhinoplasty2025.10.20

Reasons for autologous rib cartilage in revision rhinoplasty: How to perform rhinoplasty without side effects _ All about rhinoplasty materials 1/3

Revision tip rhinoplasty: which material is safe to use? In the past, artificial materials such as silicone, Medpor®, and mesh were commonly used, but nowadays, as side effects have been reported among revision patients, a shift toward using autologous materials derived from the human body is being emphasized…

Chief Director Dr. Seonghun KimRead more →
Choices in Lower Blepharoplasty – Fat Removal vs. Under-Eye Fat Repositioning: Differences and Limitations
Lower Eyelid · Under-Eye2025.09.30

Choices in Lower Blepharoplasty – Fat Removal vs. Under-Eye Fat Repositioning: Differences and Limitations

The most debated topic in lower blepharoplasty is 'fat removal' versus 'under-eye fat repositioning'. Some doctors argue that fat must be removed, while others say it should never be removed.…

Chief Director Dr. Seonghun KimRead more →
Under-Eye Wrinkles and Bulging, the Truth About Lower Blepharoplasty
Lower Eyelid · Under-Eye2025.09.30

Under-Eye Wrinkles and Bulging, the Truth About Lower Blepharoplasty

Lower blepharoplasty cannot be solved simply by removing fat or injecting fillers. To fundamentally improve under-eye wrinkles, bulging, and sunken tear troughs, a comprehensive approach including fat repositioning, septal reinforcement, and mid-cheek lifting must be performed to achieve long-term satisfaction…

Chief Director Dr. Seonghun KimRead more →
Successful Upper Blepharoplasty Case: "In the end, it all comes down to the details!"
Forehead Lift · Brow Lift2025.09.24

Successful Upper Blepharoplasty Case: "In the end, it all comes down to the details!"

Upper blepharoplasty is a completely different procedure from simple incisional double eyelid surgery. In this article, along with three success cases, we introduce a detailed surgical design—including differences from incisional double eyelid surgery, anatomical considerations, brow compensatory movement, and strategic approaches based on skin thickness distribution—to achieve natural-looking double eyelids…

Chief Director Dr. Seonghun KimRead more →
Upper blepharoplasty? Causes and analysis of upper blepharoplasty failures
Upper Blepharoplasty · Eye Shape Correction2025.09.20

Upper blepharoplasty? Causes and analysis of upper blepharoplasty failures

Double eyelid surgery and upper blepharoplasty may look similar, but their essence is different. Dr. Sung-hoon Kim of SH Plastic Surgery anatomically analyzes the causes of upper blepharoplasty failure and explains the decisive differences from incisional double eyelid surgery…

Chief Director Dr. Seonghun KimRead more →
What happens to sub-brow lift scars?
Forehead Lift · Brow Lift2025.09.12

What happens to sub-brow lift scars?

Are you worried about scarring after a sub-brow lift? As facial designer Dr. Sung-hoon Kim, I will explain in detail the causes of brow lift scars and the recovery process based on anatomical analysis…

Chief Director Dr. Seonghun KimRead more →
Correcting asymmetrical eyes with a sub-brow lift
Forehead Lift · Brow Lift2025.09.10

Correcting asymmetrical eyes with a sub-brow lift

If you are concerned about asymmetrical eyes, you must first find the cause. There are various causes, such as eyelid skin thickness, eyebrow height, and differences in eyelid-opening muscles; after an accurate diagnosis, double eyelid asymmetry can be effectively corrected through a sub-brow lift (or brow lift)…

Chief Director Dr. Seonghun KimRead more →
Sub-brow lift surgery: Why should it be combined with an upper epicanthoplasty?
Eye revision surgery2025.09.04

Sub-brow lift surgery: Why should it be combined with an upper epicanthoplasty?

SH Plastic Surgery's sub-brow lift goes beyond simply correcting drooping eyelids; by performing it alongside an upper epicanthoplasty, it also compensates for a stuffy eye appearance and sagging at the inner corners of the eyes…

Chief Director Dr. Seonghun KimRead more →
Facial designer Dr. Sung-hoon Kim sits before the blog again! After 7 years...
Forehead Lift · Brow Lift2025.09.03

Facial designer Dr. Sung-hoon Kim sits before the blog again! After 7 years...

"Rewriting after 7 years: Notes outside the consultation room by facial designer Dr. Sung-hoon Kim" Seven years have passed. During that time, perspectives on plastic surgery and the way patients ask questions have changed significantly…

Chief Director Dr. Seonghun KimRead more →

If you are not sure which column to read first

Start with the symptoms that concern you right now. If you click on the number of posts, the list above will show only the columns in that category, and the right side will lead to the corresponding treatment page.

Treatment AreaIt starts with these concernsColumnsRelated treatments
Forehead Lift · Brow LiftThe double eyelid keeps coming undone and the upper eyelid feels heavy and droopingEndoscopic Forehead Lift
Revision RhinoplastyThe shape of the nose is crooked or the outline of the implant is visible through the skin.Redesign Revision Rhinoplasty
Eye revision surgeryAfter previous eye surgery, the line collapsed or the left and right sides became asymmetricalUnderstanding Eye Surgery
Facelift · LiftingThe facial contour has blurred as the cheeks and the areas around the mouth have begun to sag.Facelift
Lower Eyelid · Under-EyeThe under-eye area is bulging and has dark shadows, making me look tired.Lower Blepharoplasty + Midface Lift
Upper Blepharoplasty · Eye Shape CorrectionThe skin of the upper eyelid covers the eyelashes, making the field of vision feel obstructed.Upper Blepharoplasty
RhinoplastyI want to redefine the tip height and bridge line of my nose from scratch.SH Rhinoplasty
Other InformationGeneral stories before and after surgery, including the recovery process and aftercare—

Please check where the visible problem originated first — Before recommending surgery, SH Plastic Surgery reads facial structure first. ※ Surgical or procedural results may vary by individual, and recovery periods and progress may differ depending on tissue condition.

[View details]