* Thank You Plastic Surgery - Sinnonhyeon Station * 9/5 11:00 a.m. - Consultation request: under-eye fat repositioning, lower canthoplasty - No director specified. I wanted Director Lee Ho-jun, but they said there were no openings until 9/18, so I said I would go first and get a consultation. I made a Naver reservation for 10:00 at 6:50 p.m. on 9/4, the day before (10 minutes before closing ㅠ sorry), and they kindly told me they could see me at 11:00 and to come in. * Actual consultation & surgery director: Director Kim Gyu-beom I entered through the left door of the Nike building, and in the elevator it said this elevator was for Thank You Dermatology and the elevator on the opposite side was where reception was, so I got a bit lost.. but the security guard said that elevator was actually the right one, so I went straight to the 9th floor. I arrived around 10:45, filled out a health information chart, waited, then took photos first and waited again. There were many foreigners (English-speaking or Chinese), almost half locals and half foreigners. I talked briefly with the consultant manager (I don't know her nameㅠ), saying I wanted a consultation for under-eye fat repositioning and lower canthoplasty, waited, then had a consultation with Director Kim Gyu-beom. I have a lot to say, so please understand if the flow sounds a bit unnatural from here.. ** Under-eye fat repositioning + under-eye fat grafting ** The consultation itself felt refreshingly communicative. He plainly explained the fat repositioning surgical method, side effects, expected effects, and so on. I tend to ask rather pointed questions, so while showing him photos I asked things like, “Can it improve this much?” and he honestly said it can become flatter, but it cannot disappear completely. He said under-eye fat repositioning is based on the expressionless state, not when smiling, so it cannot prevent the under-eye fat from slightly protruding when smiling. For me, there is bulging even when I stay still (the right side is much worse), and when I smile it just.. the aegyo-sal becomes two lines starting from the tear trough (I’ll upload before photos later in the review), so I was so stressed that I would have been fine if even just that improved. Also, I may be a bit of a pushover, but personally, if a director recommends something, I think there is a reason, and I tend to listen to the reason.. so I asked whether fat grafting was needed to maximize the surgical result. He said it is not needed for the fat repositioning itself, but under the under-eye area (where the fat repositioning is done), the Indian band area, and the front cheekbone area were hollow, so he recommended filling those areas slightly. He said that just filling those could create synergy with the under-eye fat repositioning, have a slight central-face shortening effect, and make the side cheekbones look a little less prominent. In reality, when he pressed and showed me while slightly filling/lifting the front cheekbone area from below, my face looked a bit softer and better, so I decided to consider under-eye fat grafting too. ** Lower canthoplasty ** Background** First, my eyes are somewhat small, and I have had epicanthoplasty and upper canthoplasty twice. When I had double eyelid surgery plus epicanthoplasty/upper canthoplasty, the hospital (not the director, but the consultant manager) said there was no room for lower canthoplasty, so I gave up. This was my first plastic surgery consultation since then, so I decided to ask. After my first double eyelid surgery, I had AS revision surgery at the same hospital because of ptosis correction asymmetry + low crease. At that time, the ptosis differed between both sides, and while they corrected it more asymmetrically, the overcorrected side (left eye) originally had a higher lower-eye line, and the right eye was slightly droopier. But as a result, the overcorrected left double-eyelid line is also a bit lower (because the ptosis correction was tight), so when comparing them, my left eye looks much smaller than my right eye. It bothered me a lot, but for up to 2 years after that revision the asymmetry was severe, and then real life got hard so I stopped paying attention. Now, more than 3 years later, the asymmetry has improved a lot, so I don’t want to redo double eyelid surgery..! I asked because I wondered if lower canthoplasty could correct it a little more, even though I was prepared for the possibility of more severe scleral show. I explained all my eye surgery background, and Director Kim Gyu-beom also noticed that I had slight scleral show and designed it for me. He showed that this much would be overcorrection, and exactly this much, slightly, would be okay -- I liked that he checked this several times. He looked at the design several times and explained the approximate surgical method and principles. He said they use dissolvable sutures so there are no stitches to remove, and that it is common for about 30% to rise back and reattach, so some people are dissatisfied because it does not look very noticeable. I may be too insensitive to safety, but since every surgery naturally has side effects and not only success, I still wanted to try canthoplasty once, so I listened calmly and had the consultation.. Even if it rises back and reattaches, it is not a functional problem, so I strongly felt, “I want to try it.” I showed him the under-eye line of the eyes I prefer and finally confirmed with the director whether that kind of look seemed possible. --> He said it seemed possible. Extra **Nose For my nose.. I had not come determined to consult about it, so I did not take a CT or anything.. we just talked. Even so, he explained as much as he did for the under-eye fat and lower canthoplasty. For a primary rhinoplasty, bridge - silicone, nasal tip - autologous tissue (ear cartilage or costal cartilage (columellar strut)); when I said I felt resistant to silicone, he said if you use autologous tissue from the first nose surgery, you end up using all the materials you have (?ㅋㅋㅋ ㅠㅠ) He said inflammation and contracture happen because skin quality + implant size and design are a bad combination (thin nasal skin but making it large and high so the implant is big, raising it excessively, etc.). Also, if silicone is just inserted into the nose, inflammation can easily occur because of empty space, but at Thank You they use a 3D-printed implant based on CT imaging to minimize step-offs. He said raising only the nasal tip is also possible, by only doing the tip where the cartilage is felt, leaving the bridge as it is and lifting only my somewhat droopy nasal tip; I was a bit interested because lifting a droopy tip also makes a clear change. We did not/could not discuss the line, but the director looked at my skin quality + tissue characteristics and recommended that because my nasal skin is thin and there is not much of it, I cannot raise it a lot, and it would be better to set the starting point somewhat low (from the glabella, slightly lower than the double-eyelid line). Honestly, I liked that although I had not prepared anything, he first assessed what seemed good and told me. He also checked the limit for raising the nose by putting a cotton swab into my nostril and stretching it forward, and seeing that it did not seem to stretch well, he said this would likely be the limit. If I think about it and want nose surgery, I plan to prepare more and come back ㅠ Still, I was really grateful. The consultation itself felt like it lasted over 25 minutes.. I did not know, but he said we were from the same region, so he made a little small talk too, and he was kind + plain-spoken and cool. I think he asked several times until the end whether I had any more questions. + I had had sedation anesthesia for another surgery on 9/3. + On 9/3, I had ruby laser for freckles, so scabs formed on the surface of the under-eye surgery area -- he said sedation anesthesia + laser treatment and things like that were okay. I told them about the steroid medication and antibiotics I was currently taking after surgery. Then I waited a little and consulted again with the manager. I received the price guide, and the event price was very good, but they said without the event, under-eye fat repositioning alone costs over 2 million won, so I decided to proceed with the event price (mandatory to write 2 reviews in 2 places). Also, I currently do not have much time, so I asked for the earliest possible surgery date, saying that if it was possible even today (9/5 afternoon), I definitely wanted to do it, and that I planned to visit other places for consultations, but if they could do it the same day there, I would do it. The manager checked Director Kim Gyu-beom’s schedule, and we decided to do the surgery right away. From 11:30-12:00, the consultations with the manager, the director, and then the manager again (price and surgery schedule) were completed. 12:30 paid by card 1:40 entered the operating room Surgery started almost around 1:50 - under-eye fat repositioning + under-eye fat grafting + lower canthoplasty (both eyes, asymmetrically) After recovering for about 1 hour, changing clothes, and checking my phone, it was 5 p.m. **Thoughts** + tips? First, I was definitely going to do under-eye fat repositioning. It was a surgery I had been thinking about for over 2 years, and I had done a lot of online research, but in terms of in-person consultations, honestly this was the only place. Director Lee Ho-jun is so famous for under-eye fat repositioning that I thought the other doctors would not be bad either. I also contacted places like 2B and Sinsa L, but it was hard to make reservations.. It felt extremely rushed, but I had a schedule, so for me the most important thing was being able to do it today. It did have somewhat of a factory-like feel, but I thought it would not matter as long as the surgery was done well, and because I had just met the director, I wondered if he would best remember and reflect my needs. A few years ago, when I had double eyelid surgery, I had surgery about 1-2 weeks after the consultation. During the final design on the operating table, no matter how much I had emphasized my unusual requests during the consultation, once time had passed, it could be difficult for them to be reflected.. that unavoidable reality of busy doctors.. So I was dissatisfied with my first double eyelid surgery and had revision surgery right away. I cannot really blame the director for this.. I have also worked in healthcare, so I know how hectic things can be. From the patient’s perspective, their own needs feel so obvious, but in a busy hospital or for busy medical staff, it is difficult to remember and reflect every need in detail.. They probably try to take notes as much as possible, but.. I think the best thing is for the patient to emphasize it directly until the end.. That is my thought. Thinking of this as a bit of a tip, now with plastic surgery or procedures, I think the most important thing is to create conditions where my needs can be well understood and reflected. Since I had the consultation 1 hour before, I thought he would know best, and the consultation itself went satisfactorily, so I decided. After surgery on 9/5, today is 9/7, day +2. I am very swollenㅋㅋ ㅠㅠ I will also upload a surgery experience and recovery-period review. If you are curious about anything, feel free to comment or message me!!
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