ศัลยกรรมเสริมจมูก

เทคนิค Open Reconstruction

with Open Reconstruction techniqueThe nose is an important organ because it determines everything on the face, like a house in the middle, while the surrounding area is like a fence enclosing our home.

At Pmed Clinic, we use a technique called nasal structure reconstruction or Open Reconstruction to solve individual-specific problems and to get the most satisfying nose for the patient.

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Rhinoplasty, if you're going to upgrade your nose, it must be fabulous with "Dr. Ton
Piyapol Pattanakru" owner of Pmed Clinic

Pmed Clinic, a cosmetic surgery clinic that has been serving for over 10 years, specializes in rhinoplasty and revision rhinoplasty with a specific Open Reconstruction technique under the care of Dr. Ton – Dr. Piyaphon Patanakru, an experienced doctor in nasal structure and cosmetic surgery. We focus on designing a nose that fits each person’s face, analyzing deep problems, and giving straightforward advice for a beautiful, safe, and sustainable long-term result.

Before and After

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@pmedclinic รวม 5 ทรงจมูก ✨ ยอดฮิตตลอดกาล โดยฝีมือ #คุณหมอต้นปิยพล 🫶🏻 ที่คนไข้หยิบยื่นมาเป็น Reference กันอย่างต่อเนื่อง! #แก้จมูกโอเพ่น #แก้จมูก #เสริมจมูก #เสริมจมูกโอเพ่น #เทคนิคโอเพ่น #pmedclinic #พีเมดคลินิก ♬ เสียงต้นฉบับ - หมอต้นปิยพล Pmed Clinic

@pmedclinic สายเกาเอยเกาใจต้องหยุดดูคลิปนี้ เพราะนี้คือทรงจมูกสายเกาที่ถูกต้อง ต้องแคปเป็นเรฟด่วน📸 Update ไทม์ไลน์ช่วงเวลาของทรงจมูก หลังเสริมครบ1เดือน🤩 ทรงสวยละมุนเกาหลีมาก🇰🇷👃🏻 #เสริมจมูก #แก้จมูก #เสริมจมูกโอเพ่น #แก้จมูกโอเพ่น #รีวิวทรงจมูก #จมูกสายเกา #สายเกาหลี #หมอต้นปิยพล #pmedclinic ♬ original sound - Pmed Clinic - หมอต้นปิยพล Pmed Clinic

Which level of prominence is right for you?

Level 1

20%

Level 2

35%

Level 3

50%

Level 4

75%

Level 5

90%

Level 6

100%

Meet Dr. Ton Piyapol
Why do you need a nose job at Pmed Clinic

Specialist in facial plastic and reconstructive surgery

Because Dr. Ton knows patients have little time and no one likes pain, he has continually improved his skills to find out why bruising and swelling occur and how to fix it.

Therefore, at Pmed Clinic, we don’t just finish and beautify the nose, but we reconstruct your nose completely—beautiful in your own style, and good enough that you don’t have to wait long for bruises and swelling to heal.

Dr. Piyapol Pattanakru

What is an open reconstruction rhinoplasty and why is it so popular

Open Recons Rhinoplasty, or what is called abroad as Open Rhinoplasty, is a classic technique used for over 10–20 years. It involves making an incision under the nose base to finely adjust internal structures. Suitable for complex cases like short noses, upturned tips, thin tips, or revision cases with previous problems. That’s why this technique is increasingly popular today, as it corrects issues precisely and yields natural-looking results.

✅ Suitable for complex cases like short nose, thin tip, upturned nose, or revisions of problematic previous rhinoplasty
✅ Can use natural materials like ear cartilage instead of silicone at the tip, reducing long-term risks from friction and thinning. It lasts long without frequent revision.

However, this method requires longer surgery time and a highly experienced surgeon. If done incorrectly, it can be more complicated than before. Open Recons rhinoplasty is considered the most worthwhile and safest long-term investment nowadays. The better the start, the more beautiful and stable the outcome if done right from the beginning.

Nasal augmentation materials used at Pmed Clinic

Techniques used for Rhinoplasty Open Reconstruction

เทคนิคการเสริมจมูกด้วยกระดูกซี่โครงตัวเอง (Rib Cartilage Rhinoplasty)

An advanced method using the patient’s own rib cartilage to reshape and augment the nasal structure, especially for those needing strong support or with previously damaged/thin skin or failed surgeries.
✅ Own material, reducing allergy or rejection risk, no foreign body
✅ Can be shaped as needed, strong enough to lift the nasal tip without silicone
✅ Long-lasting and does not degrade easily However, it requires a surgeon with great expertise to shape the cartilage beautifully and harmoniously with the face.

เทคนิคการเสริมจมูกด้วยกระดูกซี่โครงตัวเอง (Rib Cartilage Rhinoplasty)

การเสริมจมูกด้วยผนังกั้นจมูก (Septal Cartilage Rhinoplasty)

A technique using one's own septal cartilage to reconstruct the nose. Popular for those wanting natural results without silicone or in revision cases with thin or deformed tips.
✅ Own material, safe, no allergy risk
✅ Integrates well with the body
✅ Ideal for tip extension or structural reinforcement without foreign materials The limitation is the small quantity of septal cartilage, which may be insufficient for some cases and must be done by a highly skilled doctor.

การเสริมจมูกด้วยผนังกั้นจมูก (Septal Cartilage Rhinoplasty)

Who is suitable for Open Reconstruction rhinoplasty?

Comparison Close vs Open Rhinoplasty

Nose structure and proportions

The theory of perfect beauty analyzed to be ideally in the ratio of 1:1:1, measuring from the forehead to nose to chin. The nose should look natural and fit the overall face.

Length: 1/3 of the face

Angle: About 90–105 degrees or slightly different

Nose structure positions

Nose structure positions
Nasal Bridge – top part connecting to forehead
Dorsum – area often raised or reduced
Nasal Tip – soft, flexible end
Nostril Base – bottom part connecting the wings
Nostrils – air channels surrounded by alar that also affect appearance

Regular problem of nose shape

7 warning signs before nasal implant extrusion

Preparation before rhinoplasty

Undergo a detailed check-up at a healthcare provider
Inform doctor about chronic conditions, allergies, and medications
Stop aspirin, Accutane, or supplements 1–2 weeks before surgery
Avoid all alcohol for at least 1 week
Stop smoking at least 2 weeks
Avoid wearing metal accessories, rest wellฃ

Preparation before general anesthesia

🔔 Preparation before anesthesia for rhinoplasty is important to reduce risks and increase safety during surgery. The following should be done

Fasting from food and water for at least 6–8 hours before surgery to prevent choking during anesthesia
Refrain from smoking and drinking alcohol for at least 1 week before surgery as they affect the circulatory system and recovery
Stop taking certain medications before surgery such as aspirin, vitamin E, or herbs that affect blood clotting (consult your doctor before stopping medication)
Inform your doctor of any history of drug allergies, underlying diseases, or previous anesthesia (if any) so that the anesthesiologist can prepare a personalized care plan
A caregiver or relative should accompany you on the day of surgery. Because after surgery, you may still be drowsy or dizzy from the effects of the anesthesia.
Get enough sleep before the day of surgery.

5 Steps of rhinoplasty with Open Reconstruction

Self-care after rhinoplasty

Take anti-inflammatory medicine strictly as prescribed by the doctor until finished, to prevent inflammation and infection.
Newly healed wounds will often feel itchy—do not pick or scratch under any circumstances, because it can cause the surgical wound to reopen, which is a cause of scarring and repeated infection. If it itches a lot, relieve it by applying ointment provided by the clinic.
Use cream or gel for scar prevention starting 7 days after suture removal or as advised by the doctor. The method of application should not be rushed—apply a thin layer to the wound once a day for 5 days. If there is no irritation, redness, or itching, apply thinly twice a day until the wound heals.
Avoid spicy foods, fermented foods, alcoholic drinks, and smoking. Avoid hard chewing.
Avoid activities such as exercise, looking downward for a long time, and lifting heavy things that may cause the wound to shift. Sleep on your back or use a neck pillow to prevent side sleeping.
Choose foods that help the body heal back to normal faster, such as pumpkin, coconut water, and various proteins.

Recommended food and food to avoid
after rhinoplasty

Recommended foods after surgery

อาหารที่ควรงด

FAQs คำถามที่พบบ่อย

Does rhinoplasty require long recovery?

Normally it takes around 5-7 days for swelling to come back to normal and nose will get in its shape for 1-3 months

What foods must be avoided after rhinoplasty?

Avoid fermented, seafood, and spicy food. Also alcohol should be refrained from for 2-4 weeks.

Is there risk of deviation or extrusion after surgery?

There are chances if material with low quality, too big silicone, or not taking care well.

Does rhinoplasty hurt?

It doesn’t hurt while surgery because local anesthesia is use. After surgery there could be tightness and hurtness with painkillers can be taken.

How to prepare before surgery?

Get enough rest, stop taking medicine and some supplementary (like vitamin c, fish oil, and aspirin) for at least 7 days

Why does rhinoplasty not turn out beautiful for some people?

It depends on the original structure of the nose, the surgeon's skill, the technique used, and self-care after surgery.

Does the nose need frequent revision?

If the first augmentation results in a beautiful and suitable shape and there are no problems, it is not necessary to revise. However, some cases may require revision in the future due to scar tissue, perforation, or satisfaction.

What kind of clinic should one choose for rhinoplasty?

You should choose a clinic that meets standards, has a valid license, has experienced surgeons, and has reliable reviews from real users.