Questions frequently asked in consultations

Because revision surgery is not about creating something new from scratch, but rather re-evaluating and interpreting structures that have already been altered. A nose that has been operated on once retains traces such as capsules, fibrosis, and adhesions, blurring the original anatomical boundaries. Therefore, SH Plastic Surgery does not look at the external shape first; instead, we use 3D-CT and precise diagnosis to identify what caused the current result. Even if noses look identical on the outside, the materials and design used will vary if the underlying causes are different. Depending on the condition of the tissues, correction in a single stage may be difficult, and recovery speed and final results vary among individuals. Regular follow-up examinations are required even after revision surgery.

In many cases, it is a matter of transition lines rather than height. The nose is a structure formed by several transition points—such as the point transitioning from the bridge to the tip, and from the tip down to the columella. When these boundaries collapse, the nose can look flat or unnatural despite having height. Head Director Kim Sung-hoon views revision rhinoplasty not as a surgery to raise the nose again, but to "re-read" the nose. Therefore, rather than simply increasing height unconditionally, we first review how to realign the angles of the radix, nasal dorsum, nasal tip, and nasolabial angle. However, the extent to which it can be raised may be limited depending on skin thickness and tissue elasticity, and excessive elevation can cause visibility of materials or deformities. Applicable methods vary according to individual anatomical structures.

It is safer not to operate immediately if inflammation remains or if tissues are severely contracted. Inserting structural materials into tissues that are stiffened and have compromised blood circulation increases the risk of recurrent contracture. In such cases, SH Plastic Surgery adopts a staged approach: restoring the tissue environment first and then determining the appropriate timing for surgery. Stem cell therapy can be used as an adjunctive tool if necessary, but it is not applied to every revision surgery. Head Director Kim Sung-hoon considers the decision *not* to use a treatment just as critical as the decision to use it. The period required for tissue recovery and the degree of response vary greatly by individual, and plans may be adjusted according to progress.

Rib cartilage is a material considered when the supporting structure needs to be rebuilt from scratch, and it is not necessary for all revision surgeries. The primary principle is to utilize remaining septal cartilage or ear cartilage first if the issue can be resolved with them. When autologous rib cartilage is used, an incision of approximately 2 to 3 cm is required beneath the chest, and scar recovery varies by individual. Due to the intrinsic nature of rib cartilage, warping (bending over time) may occur, so carving designs are made to balance the grain and fixation methods are thoroughly planned. Nonetheless, the possibility of deformation due to tissue responses cannot be entirely ruled out, necessitating continuous follow-up.

Removal is not the end, but the beginning of recovery. When removing an implant, not only the implant itself but also the surrounding capsule must be meticulously cleared to allow the tissue to stabilize. However, changes such as contraction, upturned nose, or loss of structural support can occur after removal; thus, SH Plastic Surgery plans redesigning alongside removal. The goal is not an absent nose, but a restored nose. Depending on tissue conditions, performing removal and reconstruction simultaneously may be difficult, in which case it is performed in stages over time. Recovery duration and final shape vary among individuals.

The extent of removal varies depending on the type of injected material, the time elapsed, and the degree of adhesion to surrounding tissues. SH Plastic Surgery checks the location, depth, and distribution with ultrasound, prioritizes non-incisional methods, and opts for endoscopic or incisional methods when necessary. Selectively separating foreign substances using LSSA ultrasound helps minimize damage to surrounding blood vessels and nerves. However, if the material has diffused between tissues or undergone fibrosis, it is difficult to guarantee 100% removal of all foreign substances. Since partial depressions or skin changes may remain after removal, complementary plans are discussed together. Results and recovery processes vary from person to person.

It may be a delayed infection where inflammatory symptoms appear years later. It is relatively frequently reported with porous materials like Gore-Tex, often presenting as recurring swelling, pain, and erythema. Waiting with the assumption that it will improve over time can expand the extent of damage to surrounding tissues, so it is best to seek medical evaluation as soon as possible. Following diagnosis, infection control and foreign body removal are prioritized, and reconstruction timing is determined after tissues stabilize. The cause and extent of progression must be confirmed through clinical examination, and treatment outcomes vary by individual.

Around an implant, a capsule forms as a result of inflammatory or foreign-body reactions. If this capsule remains, inflammation, deformation, or irregular contours can persist even after the implant is extracted. SH Plastic Surgery meticulously removes both the implant and, depending on its condition, the capsule to minimize its impact on post-removal nasal shape and recovery. However, the thickness and extent of the capsule vary per patient and require intraoperative judgment; recovery progress also differs by individual.

Rather than the technique of pulling out the implant, the core lies in how well the surrounding soft tissue and skin are preserved. By precisely analyzing skin thickness, degree of soft tissue damage, adhesions, and inflammatory status prior to surgery, unnecessary tissue trauma is minimized, guiding the nose to recover stably post-removal. Depending on tissue conditions, resolving everything in a single stage may be difficult, requiring careful follow-up.

The nose is one of the most anatomically complex structures on the face. It features dense vascular networks, very thin skin, and overlapping layers of cartilage, mucosa, and soft tissues. In such an area, repeated filler or thread procedures often go beyond mere foreign substance retention, blending into tissues and altering the nose's intrinsic anatomy. Therefore, removing foreign substances from the nose is not merely an extraction, but closer to an intricate surgery of separating and deciphering tissues from foreign matter.

It may not be possible to return the nose perfectly to its exact previous state. However, we believe the role of medicine is to prevent further deterioration and restore it to a state capable of healing. What is important in this surgery is not replenishing something new, but precisely clearing out remaining problems. The degree of recovery and final contour vary depending on individual tissue conditions.

It is used to identify the causes of prior surgical failure based on the internal nasal structure rather than superficial appearance alone. Non-visible factors—such as damaged tissues, weakened structural support, scar tissue, and the influence of previous implants—often dictate outcomes. Because SH Plastic Surgery designs around root causes rather than generic categories, the surgical plan will differ even for the same symptom if the underlying cause varies. Necessary diagnostic tests are determined during consultation.

The golden ratio is a concept based on two-dimensional planes, whereas the nose is the most three-dimensional structure on the face. A nose created strictly according to numerical formulas is not necessarily natural or long-term stable. SH Plastic Surgery views ratio not as a mere number, but as the dynamic flow of structural balance continuing from the forehead through the bridge to the nasal tip. Therefore, we analyze vertical and horizontal facial proportions along with profile angles to design a customized range suitable for that specific face. Even with identical measurements, visible outcomes differ according to skeletal frame and skin thickness, resulting in individual variations.

It is a design concept that views the nasal tip not as a single point, but as multiple facets reflecting light. Just as a round sphere reflects light at a single point while a cut gemstone divides light across multiple facets, refining the planes and angles of the nasal tip can make it look less bulbous from the front. To achieve this, the position of the alar cartilages is adjusted and structural support is designed when necessary. However, with thick skin, the boundaries between planes may be less pronounced, changing the extent of achievable improvement. The nasal tip is an area where swelling resolves slowly, requiring time to settle; recovery speed varies individually.

The nasolabial angle formed by the nasal tip and upper lip, along with the position of the columella, often defines the overall impression. If the nasolabial angle is excessively acute, the nasal tip looks drooping, the philtrum appears elongated, and it can contribute to a protruded-mouth appearance. SH Plastic Surgery designs the nasolabial angle within roughly the 98–102 degree range aligned with the lateral facial flow, adjusting the columellar position as needed. Elevating the angle excessively can expose too much nostril, so the range is determined while considering nostril show. Applicable angles and outcomes vary depending on nasal length, lip position, and underlying skeletal structure.

If the cause of nasal congestion is structural, such as a deviated septum or nasal valve stenosis, correction can be considered alongside rhinoplasty. Since a significant number of adults have mild septal deviations, correction is only indicated when symptoms are present. However, symptoms stemming from mucosal issues, such as allergic rhinitis, cannot be resolved through surgery and require medical treatment. Therefore, SH Plastic Surgery first identifies functional causes using 3D-CT before determining the extent of cosmetic and functional interventions. The degree of breathing improvement varies among individuals depending on the cause and condition.

It is less common than expected for nostrils to appear wide solely because they are actually large. If the nasal tip is low or lacks support, the area beneath it appears spread outward; thus, we first examine the angle and support structure of the nasal tip. Head Director Kim Sung-hoon frequently advises against alar reduction during consultations, as refining the nasal tip can often create a well-proportioned impression without tissue excision. Because alar reduction involves excising skin, it leaves scars along the sides of the nostrils and is difficult to reverse, which must be taken into account. Since there are cases where it is genuinely necessary, it is safest to identify the root cause and determine only the required extent. Scar healing varies by individual.

The golden ratio is a concept largely defined on a two-dimensional plane, whereas the nose is the most three-dimensional structure on the face. Factors such as skin thickness, cartilage elasticity, respiratory structure, and dynamic movements with facial expressions cannot be explained by a single proportional formula. Therefore, a nose strictly fitted to the golden ratio does not necessarily become the most natural or long-term stable nose. The issue lies not within the ratio itself, but in the method of applying that ratio to the face.

In rhinoplasty, what matters is not the momentary shape, but a structure that withstands time. Shape is fleeting while structure endures, and the true results are proven years later. Therefore, SH Plastic Surgery prioritizes designing a supportive structure that does not collapse over time, rather than merely pursuing lines that look good right now. Recovery progression and final results vary by individual.

It refers to the angle descending from the columella to the philtrum. It is a key factor influencing the definition and dimensionality of the facial profile, as well as the perceived protrusion of the mouth. Often, the angle and connection between the nasal tip and the lips dictate one's overall impression more than nasal height alone; thus, SH Plastic Surgery seeks balance within the continuous flow of the nose, philtrum, and lips.

The impression of a facial profile is not determined by the height of the nasal bridge alone. The nasal tip and nasolabial angle must harmonize together for the overall nasal line to flow naturally and complete facial balance. Because altering angles changes the overall impression, we tend to check the angle between the nasal tip and the lips before adding height. However, since the appropriate angle varies depending on facial proportions, an accurate clinical assessment is required.

Even with the exact same shape, results and longevity differ if skin thickness, cartilage elasticity, and respiratory structures vary. Instead of merely tracing an external shape, SH Plastic Surgery designs by dividing the face into reference points and analyzing the role of each anatomical position. While sharing your desired look helps narrow down your preferred aesthetic direction during consultation, we do not perform procedures by directly replicating it.

SH Plastic Surgery does not recommend double eyelid surgery right away. Droopy-looking eyes can stem from various causes: sagging eyelid skin, drooping eyebrows, forehead pressure pushing down on the eyes, or weak levator muscle strength—each requiring a different surgical approach. That is why, during consultations, we first ask where the problem originated rather than simply what you want to change. Failing to pinpoint the exact cause can lead to overly prominent creases, unnatural eye shapes, or the need for revision surgery. Achieving the same clear, defined look requires different methods depending on the starting point, and recovery time and results vary by individual.

Ptosis is a condition where the levator muscle is weak, causing the eyelid to droop over the pupil, whereas eyebrow drooping occurs when the eyebrows and forehead descend, pressing down on the eyelids. You can gauge the direction by looking in the mirror to see how much of the upper pupil is covered, whether you engage your forehead muscles when opening your eyes, and whether forehead wrinkles are deepening. Ptosis correction is considered for the former, while a sub-brow lift or endoscopic forehead lift is evaluated for the latter. Since both conditions often coexist, the definitive decision is made during consultation by directly measuring eyelid muscle strength and eyebrow position. Self-checks serve merely as a reference; diagnoses and surgical plans vary by individual.

In mature eyes, if the primary cause of sagging is the descent of the eyebrows and forehead, creating a double eyelid line alone may leave the eyes looking heavy and crowded. In some cases, a deeply set crease can alter one's impression drastically, making it appear unnatural. For this reason, Head Director Kim Sung-hoon often advises middle-aged patients against incisional double eyelid surgery, first discussing upper blepharoplasty or a sub-brow lift instead. Upper blepharoplasty can refine redundant skin and muscle without causing drastic changes in one's overall look, helping to improve the visual field. The appropriate approach is decided by comprehensively evaluating skin laxity, eyebrow position, and opening strength, with results varying by individual.

An endoscopic forehead lift is accessed through several fine incisions of approximately 1 cm placed within the hairline. Because the incisions are small and executed to minimize damage to hair follicles, concerns regarding hair loss at the incision sites are significantly reduced, and scars remain hidden within the hair. Dissection is performed under direct visualization with an endoscope to identify nerves, and the fixation method is chosen between Endotine or sutures depending on individual conditions. However, temporary scalp numbness, swelling, or a pulling sensation may occur postoperatively, and recovery duration varies by individual. Since healing patterns differ depending on pre-existing hair conditions, this is evaluated in advance during clinical consultation.

Sunken eyes are often not merely a matter of fat volume deficiency. Shadows form due to the combined effects of eyelid fat positioning, eyeball depth, levator muscle strength, and skin thickness. Merely adding fat without proper placement can lead to uneven, bumpy contours or recurrent hollowing over time. SH Plastic Surgery categorizes hollow eyes into fat deficiency, structural depression, aging-related, and asymmetrical types, combining fat repositioning, micro-fat grafting, and structural correction. Because sunken eyes carry a risk of non-incisional creases loosening or lowering, incisional techniques are sometimes recommended. The engraftment rate of transferred fat and final volume vary by individual, and additional touch-ups may be required.

Because ptosis correction adjusts the strength of the eyelid-opening muscles, how natural it looks when closed depends on the fixation method and position. SH Plastic Surgery delicately places fixation points so they are less noticeable even with eyes closed, and in non-incisional approaches, dual fixations are applied across segmented adhesion points. However, immediately after surgery, swelling may create a sensation that the eyes do not close completely, which can cause dryness or a foreign-body sensation during this stage. Most of these symptoms subside during recovery, but the timeline varies individually. If there is pre-existing asymmetry in muscle strength between the two eyes, slight asymmetry may remain, and adjustments are discussed based on follow-up progress.

Most clinics explain eye procedures by listing surgical techniques, such as non-incisional, incisional, or upper blepharoplasty. However, during consultations, patients mostly express concerns that their eyes appear droopy or sleepy. Rather than focusing simply on the presence or absence of a double eyelid, SH Plastic Surgery first analyzes the origin where the eye is being compressed and pulled down; hence, we name the procedure after the problem itself rather than the surgical technique.

Even if droopy eyes appear similar on the outside, the underlying causes can be entirely different. Causes vary from sagging eyelid skin, drooping eyebrows, and forehead pressure pushing down on the eyes, to weak levator muscle strength. SH Plastic Surgery does not group these distinct conditions into a single standardized eye surgery, but structurally differentiates them under the core issue of "sagging eyes." Thus, the surgical design differs even for the same visible symptom.

They are broadly categorized into four types: the fat deficiency type, where the upper eyelid appears hollow due to a lack of eyelid fat; the structural sunken type, where the eyes look deep-set because the eyeballs are positioned deep within the orbital socket; the aging type, where fat decreases and hollows over time with age; and the asymmetrical sunken type, where only one eye is sunken, creating an uneven depth. Since the surgical approach differs according to the type—such as fat grafting, fat repositioning, or eyelid surgery combined with volume correction—an accurate distinction must be made during the consultation.

The focus is not simply on what to fill in, but on whether the eye structure can naturally sustain that state. Sunken eyes are a condition where the eyes look deep either because they are set back inside the orbital socket or because the upper eyelids lack volume. Therefore, rather than focusing solely on the amount of filler or fat, it is crucial to design a plan that simultaneously takes into account the eyelid volume, structural anatomy, and eye contours. The duration of retention varies from person to person.

The core principle of upper blepharoplasty is not mere tissue removal, but correcting the structures that obscure the eyes. Eyelids that sag due to aging cover the double eyelid line, make the eyes appear droopy, and obstruct the visual field. This surgery smooths out sagging wrinkles to create a clearer, more defined look, addressing both functional aspects—such as securing an unobstructed field of vision—and aesthetic concerns. Incisions and sutures are performed in a manner that minimizes scarring, though scar healing varies individually.

Ptosis correction is a procedure that adjusts the eye-opening power when weak muscles cause the eyelid to cover the pupil, making the eyes appear sleepy and fatigued, thereby allowing the pupils to be clearly visible. Its purpose differs from creating a fold, as it specifically corrects blepharoptosis where the levator muscle is weak. The key to ptosis correction lies not in the eyelid crease itself, but in balancing the functional strength required to open the eyes.

Natural-looking eyes upon closing depend on the delicacy of the fixation technique. At SH Plastic Surgery, we meticulously analyze the ocular anatomy and preferred aesthetics, aiming for natural-looking results even when the eyes are closed through refined fixation techniques. However, because individual tissue conditions and the healing process vary, progress must be monitored over time.

If an excessive amount of fat is removed, the area may look flat initially, but over time it can become hollowed out, creating a more fatigued appearance. The standard SH Plastic Surgery applies when evaluating the under-eye area is not how much fat to remove, but where to relocate that volume. Repositioning the protruding fat into depressed areas, such as the tear trough, helps smooth out harsh contours. At the same time, securing the orbital septum and supporting structures ensures the results are maintained long-term. The treatment method varies depending on fat volume, skin elasticity, and the cause of dark circles, with results varying among individuals.

The criterion is whether the sagging is confined to the under-eye area or extends down to the cheeks. If the issue is limited to the under-eye, lower blepharoplasty is sufficient; however, if the under-eye sagging is accompanied by a descent of the anterior cheekbones and cheeks that deepens the nasolabial folds, a midface lift is considered as well. Leaving sagging cheeks unaddressed while flattening only the under-eye area can leave an unnatural step-off between the two regions. During the consultation, the location of under-eye fat, the projection of the front cheekbones, and skin laxity are thoroughly evaluated to determine the surgical scope. A more extensive surgical area entails a longer recovery period, which will be discussed alongside your schedule; healing speeds vary by individual.

Dark circles stem from diverse causes, so it is necessary to distinguish between what can and cannot be addressed surgically. If protruding under-eye fat casts a shadow underneath, or if a deep tear trough creates darkness, improvement can be expected through fat repositioning and structural correction. On the other hand, if pigmentation or thin skin revealing underlying blood vessels is the cause, surgery is not the solution, and dermatological treatments are considered instead. Therefore, the consultation begins by identifying whether the darkness is due to shadowing or discoloration. Many cases involve a combination of both, and the degree of improvement varies individually.

Under-eye fat bulging again is usually not because the fat has regenerated, but because the orbital septum that holds the fat in place has weakened once more. Therefore, SH Plastic Surgery places great importance not only on relocating the fat, but also on reinforcing and anchoring the septum. This step helps lower the likelihood of recurrence over time. However, because the aging process continues, the possibility of recurrence cannot be completely ruled out. The longevity of results varies depending on skin elasticity, lifestyle habits, and age, and regular follow-ups are recommended.

The aegyo-sal is formed by the volume of the muscle beneath the eyes, so it must be treated separately from orbital fat. By preserving the necessary muscle volume and repositioning only the protruding fat, the procedure can be designed to smooth the contours while keeping the aegyo-sal intact. Depending on the patient's condition, the incision is made either just beneath the eyelashes or inside the conjunctiva; a transconjunctival incision leaves no external scars. Even when a skin incision is necessary, it is sutured along natural wrinkle lines to become less noticeable over time. However, individual variations exist regarding the rate of scar maturation, swelling, and temporary lower-eyelid tightness.

The core of the procedure is not removal, but redistributing the balance of volume. While excess fat may occasionally be trimmed, the procedure primarily involves moving fat to adjust the under-eye contour. The fat is relocated through micro-incisions to smooth the under-eye area, with the specific technique tailored to each individual's anatomical state.

Rather than merely moving the fat, SH Plastic Surgery enhances longevity by firmly reinforcing and anchoring the orbital septum. However, because aging is an ongoing process, the under-eye condition may change over time, and the duration of results varies individually.

Under-eye aging is rarely an isolated issue of under-eye fat; it often occurs as the midfacial tissues sag together. When the anterior cheekbones and cheeks beneath the eyes droop, under-eye hollowing, tear troughs, sagging cheeks, and prominent nasolabial folds appear simultaneously. In such cases, performing lower blepharoplasty alone will only flatten the under-eye area while leaving the sagging cheeks intact, potentially creating an unnatural appearance. When both conditions coexist, addressing them together can yield much more effective results, which is determined during the consultation.

Lower blepharoplasty smooths protruding under-eye fat and loose skin, while a midface lift elevates and anchors the sagging tissues from beneath the eyes down through the anterior cheekbones and cheeks. Rather than simply pulling the skin, this method comprehensively corrects the skin, fat, and SMAS layer, refining the entire continuous contour from the lower eyelids to the cheeks and nasolabial folds. Recovery time and outcomes vary by individual.

Protruding under-eye fat casts a shadow, giving a dark and fatigued impression. In such instances, smoothing and evening out the bulging area can noticeably refresh one's appearance. However, because dark under-eyes can also be caused by factors other than protrusion—such as pigmentation or visible blood vessels—the treatment approach will vary depending on the underlying cause.

SH Plastic Surgery views a facelift not as an operation of how much you pull, but as a surgery that restores descended tissue back to its original position. Pulling only the skin tightly makes facial expressions unnatural, and it easily sags again over time. Therefore, the procedure is carried out in the order of dissecting the SMAS layer beneath the skin to set the direction and fix it, and then trimming only the excess skin. The criterion for judgment is not how much it was pulled, but whether the structure has been made so that the sagging tissue can settle stably once again. The range of possible changes varies depending on facial bone structure and skin thickness, and recovery periods for swelling and sensation also vary from person to person.

Since thread lifts work by physically pulling up tissue, the longevity may feel short if there is a large amount of sagging and the tissue is heavy. Head Director Sung-hoon Kim believes it is more honest to discuss surgery rather than devices or threads if aging has progressed considerably. Conversely, in the early stages of sagging, a non-incisional method may be considered first instead of surgery. The criterion is not age, but the condition of the SMAS layer, the retaining ligaments, and the amount of excess skin. No method can stop aging itself, so changes will reappear over time, and the duration of results varies from person to person.

The SMAS is a thin layer of muscle and aponeurosis beneath the skin that serves as the structure that actually supports facial tissue. With age, this layer and the retaining ligaments weaken, causing fat to descend and manifesting as changes in nasolabial folds and the jawline. A method that pulls only the skin merely rearranges the surface while leaving this structure intact, which can limit its longevity. Dissecting the SMAS layer, adjusting its direction, and fixing it to the periosteum or a sturdy layer helps ensure lasting results. As the scope of dissection widens, swelling, bruising, and temporary numbness may occur, and recovery periods vary from person to person.

The incision line is designed along the contours of the ear and the hairline to conceal it so that it is less noticeable from the front. In the case of a midface lift, the incision area can be reduced because it can be accessed through the temple line or a micro-incision beneath the eyelashes. During suturing, sharing the supporting tension first in the SMAS layer to prevent tension from concentrating on the skin is helpful for scar management. After surgery, the process of scar thickening is managed early through post-care such as scar-reducing injections and laser treatments. Nevertheless, scars heal differently depending on individual constitution and post-care conditions, and we cannot guarantee that they will become completely invisible.

Substances that are not absorbed by the body—such as paraffin, petroleum jelly, or fillers of uncertain origin—can sometimes manifest as inflammation, nodules, or deformities after a long time. Even if you experience no discomfort now, it is safer to check the location, depth, and degree of adhesion using ultrasound at least once. SH Plastic Surgery explains skin tissue by comparing it to a honeycomb structure. Forcefully scraping it out all at once damages normal tissue as well, which is why we choose a method that selectively removes the foreign material after breaking it down. Non-incisional methods are considered first while incisional methods are determined carefully; any hollows or sagging left after removal may require separate supplementation. The removable range and the recovery progress vary from person to person.

Midface sagging is not merely a skin issue; it occurs due to structural aging. As retaining ligaments that once supported fat and muscle weaken and the cheek fat descends, nasolabial folds form, compounded by decreased skin elasticity and changes in the supporting structures around the cheekbones. In this case, an approach that only fills volume leaves the descended structure itself intact. A midface lift is a surgery that restores volume and elasticity by repositioning the sagging tissue upward.

The key to a midface lift is not pulling more strongly, but restoring the descended midface structure back upward. Unlike a lift that simply pulls the skin, it repositions sagging extending from under the eyes to the anterior cheeks and nasolabial folds at the tissue level. Rather than the pulling force, where and how it is restored determines the outcome.

The most important thing in foreign substance removal is not how much is removed, but restoring the facial structure without damaging skin tissue. Fillers, fat, or illegal substances injected into the face permeate between tissues and change shape over time, blending with surrounding tissues; forcefully removing them in this state can damage normal tissue as well. The safe method is to preserve normal tissue as much as possible while selectively removing only the problematic areas.

If past fillers, fat grafts, or illegal injectables remain inside the face, facial deformity, sagging, inflammation, and foreign-body sensation can appear over time. However, because symptoms do not occur in every case, SH Plastic Surgery first checks the location and depth of the foreign material through precise structural analysis before deciding whether and how to remove it.

That is why recent foreign substance removal is not performed through simple incisional excision, but through a method that identifies the location via precise diagnosis and removes it safely to protect both the facial structure and the tissue. How the structure is restored after removal is just as important as the removal itself, and the recovery period and results vary from person to person depending on individual conditions.

A facelift is a surgery that makes skin incisions to pull and fix sagging tissue. Renuvion is a non-incisional procedure that inserts a fine cannula of about 3–4 mm to contract the fibroseptal network beneath the dermis. In other words, you can understand it as a method that tightens the tissue itself rather than pulling the skin. Just as a stretched rubber band does not return on its own, it is a concept that helps the stretched fibroseptal network regain its elasticity. The appropriate method differs depending on the degree of sagging and skin thickness, and we evaluate during consultation to determine which one is needed by comparing the two. Swelling and bruising may occur after the procedure, and recovery periods vary from person to person.

Renuvion is a plasma-based medical device approved by the US FDA and cleared by the Ministry of Food and Drug Safety (MFDS) of the Republic of Korea. It uses both helium plasma and radiofrequency (RF) energy to rapidly contract tissue, and it is designed to reduce thermal damage to surrounding tissue thanks to its cooling properties. However, the device's clearance does not guarantee identical results for everyone. Because where and how much energy is delivered to which layer dictates the outcome, planning that takes anatomical structures into account is essential. Swelling, bruising, and temporary sensory changes may occur after the procedure, and the degree of response varies from person to person.

There are cases where a tightening sensation is felt immediately after the procedure, and most bruising and swelling subside within 1 to 2 weeks, allowing a return to daily life. Afterward, tissue remodeling progresses over 1 to 2 months, and gradual changes can be expected as collagen production becomes active after 3 months. The duration of results varies depending on skin condition, age, and lifestyle habits, but is generally guided in terms of several years. However, because aging continues, we cannot say that it will never return to the pre-procedure state. A period of compression care and avoiding irritation is required after the procedure, and recovery speed varies from person to person.

If there is a large amount of stretched skin and the tissue itself has descended, it may be difficult to obtain satisfactory changes through tightening methods alone. In such cases, Head Director Sung-hoon Kim tends to discuss a facelift rather than recommending device-based procedures. Conversely, if sagging is in its early stages or if there is significant hesitation regarding incisions, Renuvion can be a suitable choice, and it can also be planned in combination with other lifting devices as needed. The standard is not what procedure is trending, but the right timing and structural fit for this face right now. With any method, the range of expected change and the recovery process vary from person to person.

Renuvion is a technology that delivers plasma energy created by combining radiofrequency (RF) energy and helium gas to the tissues beneath the skin. This energy rapidly contracts the fibroseptal network (FSN) and connective tissue, inducing a tightening effect. The difference lies in the fact that it is a method of reorganizing the subsurface structures rather than a lift that pulls the surface. The degree of response varies from person to person.

It is a minimally invasive method that accesses beneath the skin using a microcannula of about 3 to 4 mm. It combines radiofrequency and helium gas to generate stable energy, three-dimensionally tightening the fibroseptal network to induce lifting. A rapid cooling system is designed into it to reduce thermal damage to surrounding tissues.

The layers they act upon are different. LSSA is a contouring procedure that selectively stimulates facial fat layers using ultrasonic energy to refine stubborn fat, such as a double chin or lower face fat. On the other hand, Renuvion is a tightening procedure that contracts the tissues beneath the skin using radiofrequency and helium plasma. Because cases where fat blurs the facial contour differ from cases where sagging is the issue, determining the right approach depends on the facial shape and fat distribution.

The double chin and lower face area belong to regions that are difficult to improve through exercise or routine care alone. LSSA helps streamline the facial line by selectively eliminating fat in these areas. However, what is important in facial contouring is not merely reducing fat, but also restoring skin elasticity and tissue support, meaning the approach varies depending on your condition.

The core of a thread lift is not just pulling, but creating a structure that stably supports the tissue. It is a procedure that improves wrinkles by inserting medical-grade threads without incisions to pull sagging skin, while collagen is produced as the inserted threads dissolve, thereby helping skin elasticity. SH Plastic Surgery uses only approved, specialized medical-grade lifting threads. The duration of results varies among individuals.

Because there are no incisions, the recovery period is relatively short, and the procedure is performed quickly to reduce the burden of swelling and bruising. However, the rate at which swelling and bruising subside and the time required for tissues to settle vary depending on the tissue's condition, so it is best to confirm your expected timeline during the consultation.

Having records of past surgeries or procedures is the most helpful. Knowing the timing of the surgery, the materials used, the specific surgical names, and any history of side effects makes it much easier to narrow down the cause. Please also inform us in advance of any medications you are taking, underlying medical conditions, and allergy history. If you have past photos, they will serve as a helpful reference to understand the progression of changes. Even if you do not have records, you do not need to worry, as we can check your current condition through precise diagnostic methods like 3D-CT scans and ultrasounds.

You are welcome to bring them, as they help us understand the aesthetic direction you desire. However, the nose or eyes in a photo are results built upon that person's unique bone structure and skin, so replicating the exact same shape will not produce the same impression. SH Plastic Surgery uses photos not as an absolute goal, but as reference material to understand your preferences. Therefore, during the consultation, we ask what specific aspects of the photo you like, and we discuss the range of what can be realized within your current facial structure. Sometimes, we help distinguish between surgeries you want and those that are better left undone. The applicable range varies for each individual.

SH Plastic Surgery operates under a dedicated, fully responsible medical team system from consultation and surgery to post-operative follow-up care. Through our operating room real-name system, you can verify which medical staff participate in your surgery. This is because we believe it is essential that consultation and surgery are not separated, ensuring that the assessments made during the design phase are accurately reflected in the surgery. The surgical technique, type of anesthesia, and expected duration will be explained during the pre-operative consultation. However, the surgery schedule or methods may be adjusted depending on your general health condition or test results.

It varies depending on the surgical site and extent, but stitches are generally removed 5 to 7 days after surgery. For eye or nose surgeries, visible swelling noticeably subsides after about two weeks, whereas surgeries involving extensive dissection, such as facelifts, require more time. However, it takes several months for the tissues to fully settle and the final shape to refine, and areas where swelling subsides slowly, such as the tip of the nose, take longer. It is generally advisable to avoid strenuous exercise for at least 2 weeks, and alcohol and saunas for about 1 to 2 weeks. SH Plastic Surgery also runs recovery management programs, including de-swelling injections, lasers, and LDM ultrasound. The speed of recovery and the degree of swelling and bruising vary greatly among individuals.

Smoking impairs tissue blood circulation, delaying recovery and potentially affecting wound healing; therefore, it must be stopped for a certain period before and after surgery. Alcohol consumption is also recommended to be restricted as it can increase swelling and bleeding tendencies. Since aspirin, anticoagulants, and certain health supplements can affect bleeding, please inform us of all medications you are currently taking. For women, scheduling the surgery to avoid your menstrual period is beneficial for recovery. If you have underlying medical conditions, the possibility and timing of the surgery will be reassessed based on pre-operative test results.

First, it is crucial to distinguish whether what you currently see is part of the swelling process or a structural issue. In the early stages of recovery, asymmetry or unnaturalness can be temporarily pronounced, so we make assessments by monitoring progress according to a scheduled timeline. Rushing into revision surgery before tissues have stabilized can actually make recovery more difficult. If correction is deemed necessary even after monitoring progress, we re-identify the cause and explain the available methods and timing. Head Director Kim Sung-hoon sets the benchmark of surgery not on whether it looks pretty right now, but on whether the structure will hold up years later. All surgeries carry the potential for side effects and revisions, and results and recovery vary by individual.

As a principle, the operating surgeon at SH Plastic Surgery directly explains and designs every step, from consultation and design to surgery and recovery management. Especially in revision surgery, because the causes vary from person to person, the plan must be designed around the root cause rather than a generic category, so the process is never divided among different doctors.

Rather than mentioning specific surgery names, it is more helpful to start by describing what feels uncomfortable right now. Statements like "my eyes look droopy" or "I look sleepy"—expressing exactly what you feel—serve as clues to find the starting point of the problem. Because SH Plastic Surgery analyzes where pressure and sagging originate rather than simply listing surgeries, your symptoms and when they began are crucial pieces of information.

That is why SH Plastic Surgery aims for a structure that will not collapse over time, rather than a shape that only looks pretty right now. Shape is momentary, but structure is enduring, and we believe results are proven years later. However, aging continues, and tissue conditions vary per person, meaning the longevity of the results varies among individuals, requiring regular follow-up observations.

Traces of past procedures may manifest over time as deformities, sagging, inflammation, or foreign body sensations, even if there are no symptoms at present. However, because symptoms do not develop in every case, it is safer to first identify the location and depth to determine whether action is currently necessary. Recklessly attempting removal without proper confirmation can damage normal tissue.

Depending on the condition of the tissues, it may be difficult to correct everything at once. In particular, if there are traces of previous surgeries, adhesions, or inflammation, we divide the plan into what can be done now and what requires waiting for recovery. The recovery speed and final shape vary from person to person, and regular follow-up observations are necessary even after surgery.

Instead of applying a fixed formula, we divide the face into reference points and analyze what role each position plays. This is because even for the same area, the design varies if the skin thickness, tissue elasticity, and functional conditions are different. Therefore, rather than following trendy shapes, SH Plastic Surgery first looks at the timing and structure that suit this current face.

It depends on the degree and cause of sagging. There are cases where methods that support or contract tissues without incisions are sufficient, and there are cases where structurally descended tissues must be repositioned. While we first consider options with less burden, the desired change may not occur if it does not fit your current condition; thus, the priority is to define what problem you are trying to solve.

Rather than evaluating the results of the previous surgery, we first check what the current condition is and what caused that outcome. We view this not as a process of erasing a failed surgery, but as a process of re-understanding and organizing the disrupted tissues, structure, and balance. However, since the possible scope varies depending on the tissue condition, a consultation and examination are required first.