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Aesthetic Plastic Surgery of the East Asian Face Hong Ryul Jin, MD, PhD Professor and Chair Department of Otorhinolaryngology–Head and Neck Surgery Boramae Medical Center Seoul National University College of Medicine Seoul, Republic of Korea 956 illustrations Thieme New York • Stuttgart • Delhi • Rio de Janeiro Executive Editor: Timothy Y Hiscock Managing Editor: J Owen Zurhellen IV Editorial Assistant: Naamah Schwartz Director, Editorial Services: Mary Jo Casey Production Editor: Kenneth L Chumbley International Production Director: Andreas Schabert Vice President, Editorial and E-Product Development: Vera Spillner International Marketing Director: Fiona Henderson International Sales Director: Louisa Turrell Director of Sales, North America: Mike Roseman Senior Vice President and Chief Operating Officer: Sarah Vanderbilt President: Brian D Scanlan Medical Illustrators: Hyun-Hang Lee Library of Congress Cataloging-in-Publication Data Names: Jin, Hong Ryul, editor Title: Aesthetic plastic surgery of the East Asian face / [edited by] Hong Ryul Jin Description: New York : Thieme, [2016] | Includes bibliographical references and index Identifiers: LCCN 2015048817| ISBN 9781626231436 (hardcover : alk paper) | ISBN 9781626231443 (eISBN) Subjects: | MESH: Reconstructive Surgical Procedures | Cosmetic Techniques | Surgery, Plastic methods | Face surgery | Asian Continental Ancestry Group Classification: LCC RD119 | NLM WO 600 | DDC 617.9/52—dc23 LC record available at http://lccn.loc.gov/2015048817 Important note: Medicine is an ever-changing science undergoing continual development Research and clinical experience are continually expanding our knowledge, in particular our knowledge of proper treatment and drug therapy Insofar as this book mentions any dosage or application, readers may rest assured that the authors, editors, and publishers have made every effort to ensure that such references are in accordance with the state of knowledge at the time of production of the book Nevertheless, this does not involve, imply, or express any guarantee or responsibility on the part of the publishers in respect to any dosage instructions and forms of applications stated in the book Every user is requested to examine carefully the manufacturers’ leaflets accompanying each drug and to check, if necessary in consultation with a physician or specialist, whether the dosage schedules mentioned therein or the contraindications stated by the manufacturers differ from the statements made in the present book Such examination is particularly important with drugs that are either rarely used or have been newly released on the market Every dosage schedule or every form of application used is entirely at the user’s own risk and responsibility The authors and publishers request every user to report to the publishers any discrepancies or inaccuracies noticed If errors in this work are found after publication, errata will be posted at www.thieme.com on the product description page Some of the product names, patents, and registered designs referred to in this book are in fact registered trademarks or proprietary names even though specific reference to this fact is not always made in the text Therefore, the appearance of a name without designation as proprietary is not to be construed as a representation by the publisher that it is in the public domain © 2016 Thieme Medical Publishers, Inc Thieme Publishers New York 333 Seventh Avenue, New York, NY 10001 USA +1 800 782 3488, customerservice@thieme.com Thieme Publishers Stuttgart Rüdigerstrasse 14, 70469 Stuttgart, Germany +49 [0]711 8931 421, customerservice@thieme.de Thieme Publishers Delhi A-12, Second Floor, Sector-2, Noida-201301 Uttar Pradesh, India +91 120 45 566 00, customerservice@thieme.in Thieme Publishers Rio de Janeiro, Thieme Publicaỗừes Ltda Edifớcio Rodolpho de Paoli, 25 andar Av Nilo Peỗanha, 50 – Sala 2508 Rio de Janeiro 20020-906, Brasil +55 21 3172 2297 Cover design: Thieme Publishing Group Typesetting by Prairie Papers Printed in China by Asia Pacific Offset ISBN 978-1-62623-143-6 Also available as an e-book: eISBN 978-1-62623-144-3 54321 This book, including all parts thereof, is legally protected by copyright Any use, exploitation, or commercialization outside the narrow limits set by copyright legislation without the publisher’s consent is illegal and liable to prosecution This applies in particular to photostat reproduction, copying, mimeographing or duplication of any kind, translating, preparation of microfilms, and electronic data processing and storage Dedicated to those physicians who believe that a philosophy is required to change even a small part of the face v Contents Foreword ix Foreword x Preface xi Acknowledgments .xii Contributors .xiii Dean M Toriumi Stephen S Park I╇Introduction ╇1 The Changing Face of Aesthetic Facial Plastic Surgery among East Asians Keng Lu Tan and Hong Ryul Jin II╇Rhinoplasty ╇2 Augmentation Rhinoplasty Using Silicone Implants 13 In-Sang Kim ╇3 The Use of Costal Cartilage for Dorsal Augmentation and Tip Grafting 26 Victor Chung and Dean M Toriumi ╇4 Nasal Tip Modification in Asians: Augmentation and Rotation Control .47 Hong Ryul Jin and Jong Sook Yi ╇5 Hump Resection 60 Tae-Bin Won and Hong Ryul Jin ╇6 Correction of the Deviated, Twisted Nose 72 Hun-Jong Dhong ╇7 Correction of the Saddle Nose 87 Keng Lu Tan and Chae-Seo Rhee ╇8 Alar Base Modification 99 Ian Loh Chi Yuan and Hong Ryul Jin ╇9 Aesthetic Rhinoplasty for Southeast Asians .108 Eduardo C Yap 10 Correction of the Short, Contracted Nose 122 Hong Ryul Jin 11 Management of Alloplast-Related Complications 135 Eunsang Dhong III╇Blepharoplasty 12 Double-Eyelid Surgery: Nonincisional Suture Techniques 151 Jin Joo Hong and Hae Won Yang 13 Double-Eyelid Surgery: Incisional Techniques 162 Jae Woo Jang 14 Aging-Related Upper Blepharoplasty 173 Hokyung Choung and Namju Kim 15 Epicanthoplasty and Aesthetic Lateral Canthoplasty 184 Yongho Shin 16 Lower Blepharoplasty .196 Yoon-Duck Kim and Kyung In Woo 17 Correction of Ptosis 210 Woong Chul Choi and Juwan Park 18 Management of Double-Eyelid Surgery Complications 225 In-chang Cho and Aram Harijan vii viii Contents IV╇ Facial Bone Surgery 19 Zygoma Reduction 243 Sanghoon Park and Jihyuck Lee 20 Mandible Reduction 254 Sanghoon Park and Seungil Chung 21 Aesthetic Orthognathic Surgery 268 Seong Yik Han and Kar Su Tan 22 Genioplasty 286 Seong Yik Han and Kar Su Tan V╇ Facial Skin and Hair Rejuvenation 23 Management Strategies for the Aging Asian Face: Philosophy and Evolution 303 Samuel M Lam 24 Facial Fat Grafting .311 Kyoung-Jin (Safi) Kang 25 Endoscopic Forehead and Brow Lift 324 Tee Sin Lee and Stephen S Park 26 Facial Rejuvenation Using Energy Devices 339 Un-Cheol Yeo 27 Hair Transplantation in East Asians 349 Sungjoo (Tommy) Hwang 28 Aesthetic Laser Hair Removal for the Asian Face .364 Wooseok Koh VI╇ Minimally Invasive Facial Plastic Surgery 29 Aesthetic Facial Use of Botulinum Toxin in East Asians 377 Kyle Seo 30 Facial Contouring Using Fillers .392 Jongseo Kim 31 Management of Facial Filler Injection Complications 405 Hyoung Jin Moon and Jong Sook Yi Index 415 ... of women in Korea have plastic surgery by the age of 50.1,8 The percentage is growing in their male counterparts too The desire to obtain aesthetic plastic surgery is often driven by the psychosocial... aspects of facial aesthetic surgery as it pertains to the Asian face The book highlights the many nuances in facial aesthetic surgery in this group, and any surgeon who has the occasional Asian. .. 1╇ The Changing Face of Aesthetic Facial Plastic Surgery among East Asians a b c d e f Fig 1.3â•… Typical East Asian woman who had rhinoplasty with blepharoplasty (a–c) Typical East Asian face,