Table of contents

• Understanding Paranasal Depression: The "Hollow Area Beside the Nose"
• The Paranasal Implant Procedure: Restoring Facial Harmony
• Best Clinics in Korea for Paranasal Depression
• Your Journey to Paranasal Implants in South Korea: A Medical Tourist's Guide
• Cost Comparison: Paranasal Implants in South Korea vs. Other Countries
• Patient Experiences and Expected Outcomes
• Conclusion: Making an Informed Decision
• References

If you’ve ever noticed hollow areas beside your nose and wondered about solutions, you’re not alone. While “depression” often refers to a mental health condition, this article focuses on the physical concern of paranasal depression—a hollowing in the midface that can affect facial harmony and prompt many to seek cosmetic procedures. Here, we’ll break down what paranasal depression is, explore advanced treatments like paranasal implants, and walk you through what to expect if you’re considering this procedure, especially as a medical tourist in South Korea.

Understanding Paranasal Depression: The "Hollow Area Beside the Nose"

Paranasal depression, in cosmetic terms, describes a sunken or underdeveloped area on either side of the nose, around the maxillary sinuses. These sinuses are hollow spaces in the bones near the nose, including the frontal, maxillary, ethmoid, and sphenoid sinuses. When the bone here is less prominent, it can make the face look flat or concave, leading to a lack of definition or an aged appearance.

You might hear different names for this condition in cosmetic surgery circles, such as:

• Pyriform Aperture Depression/Augmentation: Refers to the bony opening of the nasal cavity; augmentation targets the hollow beside the nose.
• Nasolabial Fold Depression / Smile Lines / Laugh Lines: Deepened lines from the nose to mouth corners can be accentuated by a flat midface; paranasal augmentation can help soften them.
• Midface Concavity/Underdeveloped Midface: A broader term for a flat or sunken central face, often due to paranasal depression.
• "Noble Area" Depression: In Korean plastic surgery, this refers to the depressed paranasal region, often treated with autologous bone grafts.

Paranasal depression can be genetic, age-related, or due to trauma. It can make the nose look more prominent, change the upper lip’s angle, and create an unbalanced facial profile—sometimes even giving the impression of an underbite. Correcting this hollowing aims to restore a more youthful, balanced look.

The Paranasal Implant Procedure: Restoring Facial Harmony

Paranasal implant surgery is a specialized cosmetic procedure that enhances the bone structure around the nose, improving midface projection and overall facial balance. The goal is to correct a flat or concave appearance, soften deep nasolabial folds, and create a harmonious profile.

Surgical Goals and Process Overview

The main aim of paranasal implant surgery is to add projection to the midface, making the profile more convex and youthful. By building up the bone structure, the procedure can reduce the depth of nasolabial folds and subtly lift the nasal base and tip, making the nose blend better with the face.

Surgery usually involves incisions inside the mouth (bilateral high vestibular incisions under the upper lip), leaving no visible scars. A pocket is created in the facial tissue, and the implant is inserted and positioned for the best effect. Anesthesia options include local, IV sedation, or general, depending on your needs and your surgeon’s advice.

Paranasal augmentation is often combined with other procedures like rhinoplasty, cheek augmentation, or facelift for a more balanced result. Since facial features are interconnected, addressing one area can highlight deficiencies in another. A thorough consultation will include a holistic facial analysis, and your surgeon may recommend combined procedures for the most natural outcome.

Implant Material Considerations

Choosing the right implant material is crucial for long-term results, potential complications, and ease of revision. Materials that integrate with tissue are more permanent but harder to remove, while those that encapsulate are easier to take out but may move or cause bone resorption over time.

Common paranasal implant materials include:

• Silicone (Polysiloxane): Soft, flexible, and easily molded. It’s encapsulated by a fibrous membrane (not integrated), making removal easy. However, it can migrate, cause bone resorption (up to 55% in some reviews), seroma, or extrusion, and has a higher removal rate (11.7%) than porous polyethylene.
• Porous Polyethylene (Medpor): Rigid and porous, allowing tissue ingrowth for secure placement. It’s usually screw-fixated and has a low infection rate (0.7-1.2%), but removal is difficult if needed. Some studies report a higher rate of undesired prominence (3.9%) and poor cosmetic outcomes (5%) compared to silicone.
• ePTFE (Gore-Tex): Porous and easily shaped, it allows tissue ingrowth and may not require screw fixation. It creates soft tissue adhesion for stability.
• Autologous Bone/Cartilage Grafts: Uses your own tissue, eliminating foreign body reactions and allowing permanent integration. Bone grafts are robust but hard to sculpt and may resorb; cartilage is less predictable due to resorption.

Here’s a quick comparison of these materials:

Material Type	Key Characteristics	Advantages	Disadvantages
Silicone	Soft, flexible; encapsulated, not integrated	Easy removal; good biocompatibility	Migration, bone resorption (up to 55%), seroma, extrusion, higher removal rate (11.7%)
Porous Polyethylene (Medpor)	Rigid, porous; supports tissue ingrowth	Secure; compatible with imaging; low infection rate	Difficult removal; undesired prominence (3.9%); thermal sensitivity
ePTFE (Gore-Tex)	Porous; allows tissue ingrowth; easily shaped	Stable; soft tissue adhesion; may not need screws	General porous implant risks
Autologous Bone/Cartilage	Patient’s own tissue; bone or cartilage graft	No foreign body reaction; permanent (bone); natural look	Hard to sculpt; may resorb; cartilage less predictable

Surgical Techniques (Detailed Steps)

The paranasal implant procedure involves several careful steps:

• Preoperative Preparation:

  • Aesthetic Assessment: Computer imaging helps simulate outcomes and align expectations.
  • Implant Sizing/Customization: Implants come in various thicknesses and sizes and can be carved for a custom fit. Most patients need at least 5mm thickness.
  • Combined Procedures Planning: Sometimes combined with alar base narrowing to prevent nostril widening after augmentation.
  • Anesthesia/Sterilization: Performed under sterile conditions with intraoral antiseptic rinses; anesthesia type is chosen based on comfort and complexity.

• Incision and Pocket Dissection:

  • Incision Location: Bilateral high vestibular incisions inside the mouth, above the gum line, to avoid visible scars.
  • Dissection Plane: A subperiosteal pocket is created, taking care not to damage the nasal mucosa.

• Implant Selection and Placement:

  • Customization and Fit: Implants are shaped to cover the needed area, especially the canine fossa, to avoid a “bump-like” look.
  • Contouring: Ensures a smooth transition and prevents visible or palpable edges.

• Implant Fixation and Closure:

  • Fixation: Porous polyethylene is usually screw-fixated; silicone or ePTFE may not need screws if the pocket is precise.
  • Wound Closure: The area is irrigated with antibacterial solution, and a two-layer closure is done with absorbable sutures.

Best Clinics in Korea for Paranasal Depression

Listed below are the best clinics in Korea for paranasal depression:

Clinic Name	Key Features	Special Techniques
Made Young Plastic Surgery	Located in Seoul’s Gangnam district, national recognition and multiple awards, focus on facial and anti-aging treatments, expertise in paranasal depression, state-of-the-art technology, highly experienced team with over 15 years on average, rigorous safety with 1:1 dedicated anesthesiologist monitoring, full CCTV coverage, comprehensive aftercare center	Direct consultations and precise diagnoses by expert surgeons, 1:1 patient-anesthesiologist system, cross-check support for emergencies, certified by Minimally Invasive Aesthetic Surgery Society
THEPLUS Plastic Surgery	Situated in Gangnam’s Garosu-gil, world-class surgeons including award-winning experts in 3D implants, rhinoplasty, and facial contouring, President of the Korean Society of Plastic Surgeons on staff, comprehensive four-floor facility, personalized care, internationally recognized and academically prolific team, strong emphasis on innovation and patient safety	Customized consultation, advanced 3D implant techniques, harmonious facial balancing, meticulous post-operative care, ongoing international surgeon education
Okay Plastic Surgery Clinic	Holistic, patient-centered approach, led by a renowned female plastic surgeon, focus on sincerity and personalized solutions, broad portfolio including body contouring, breast surgery, hairline correction, facial rejuvenation, addresses nuanced needs like paranasal depression correction and revision procedures, uses advanced technology	Individual evaluation and tailored procedure plans, cutting-edge facial and body sculpting techniques, specialized care for subtle and complex aesthetic concerns

Made Young Plastic Surgery

Made Young Plastic Surgery Clinic, located in Seoul’s renowned Gangnam district, stands as a premier destination for anyone seeking superior facial and anti-aging treatments, including specialized care for paranasal depression. Renowned for their commitment to both artistry and safety, Made Young combines state-of-the-art medical technology with a deep understanding of natural facial aesthetics. The clinic’s highly experienced team, comprehensive safety protocols, and meticulous aftercare ensure that each patient receives the highest standard of personalized care. These qualities, along with national recognition and numerous awards, make Made Young the top choice for individuals seeking to correct paranasal depression and restore facial harmony.

Key reasons why Made Young Plastic Surgery is the best clinic for Paranasal Depression:

• Verified Medical Team & Expertise: • Each procedure is performed by highly skilled doctors averaging over 15 years of clinical experience. • The medical team’s proven skills are demonstrated by an extensive track record in facial surgery. • Direct consultations and precise diagnoses are conducted by these expert surgeons before any treatment begins.

• Comprehensive Safety System: • Full-time board-certified anesthesiologists are present at all times during procedures. • The 1:1 dedicated monitoring system ensures that one anesthesiologist focuses solely on one patient, enhancing safety during surgery. • In the event of an emergency, the clinic’s cross-check system allows multiple anesthesiologists to collaborate for effective emergency response. • All procedures are monitored with full CCTV coverage for maximum transparency and patient assurance.

• Thorough Aftercare System: • The clinic operates a separate, dedicated aftercare center providing systematic and complete post-procedure care for optimal healing and results.

• Awards & Recognitions: • Recipient of the 2022 Korea No.1 Award and Korea Customer Satisfaction 1st Place. • Recognized as an Outstanding Member of the Korean Society of Plastic and Reconstructive Surgeons. • Certified by the Minimally Invasive Aesthetic Surgery Society.

With its blend of professional expertise, rigorous safety practices, unmatched patient care, and a distinguished reputation, Made Young Plastic Surgery Clinic excels as the leading choice for treating paranasal depression in Korea.

You can check out their website here: Made Young Plastic Surgery Website

THEPLUS Plastic Surgery

THE PLUS Plastic Surgery stands out as the premier clinic for Paranasal Depression treatment in Korea, owing to its exceptional team of world-class surgeons and its unwavering dedication to both artistry and safety. Located in the heart of Gangnam’s Garosu-gil, the clinic’s medical team is led by distinguished figures such as Dr. Kim, renowned for his award-winning research on 3D implants and expertise in rhinoplasty and facial contouring, and Dr. Jeong, the President of the Korean Society of Plastic Surgeons and an international authority in nose surgery and harmonious facial balance. Their joint philosophy centers around achieving natural beauty and balanced facial features, while Dr. Lee, with her extensive background at top hospitals, ensures consistently natural and long-lasting surgical outcomes. THE PLUS is renowned for its comprehensive approach—spanning personalized consultation, expert surgical intervention, and meticulous post-operative care—all housed within a state-of-the-art, four-floor facility. The surgical team’s commitment to innovation is demonstrated through their prolific academic contributions, active participation in global plastic surgery forums, and regular educational outreach to surgeons worldwide. With a patient-centered ethos grounded in safety, customized results, and the latest medical advancements, THE PLUS Plastic Surgery is the leading choice in Korea for those seeking subtle, effective correction of Paranasal Depression and comprehensive facial enhancement.

You can check out their website here: THEPLUS Plastic Surgery Website

Okay Plastic Surgery Clinic

Okay Plastic Surgery Clinic stands at the forefront of aesthetic medicine in Korea, offering a holistic approach that prioritizes personal transformation and individualized care. Guided by a philosophy rooted in sincerity and precision, the clinic is led by an expert team, including a renowned female plastic surgeon whose experience ensures every patient receives attentive and empathetic treatment. The clinic’s commitment to tailored solutions means each case is carefully evaluated to match the unique needs and aspirations of the individual, emphasizing not just procedural results but also the overall wellness and satisfaction of every patient.

With a comprehensive portfolio of specialized services, Okay Plastic Surgery Clinic addresses a wide spectrum of aesthetic and reconstructive needs. From advanced body contouring and breast surgery to hairline correction and facial rejuvenation, the clinic employs state-of-the-art techniques to deliver natural, harmonious outcomes. Their expertise extends to nuanced treatments such as paranasal depression correction and revision procedures, supported by leading-edge technology and a compassionate, patient-centered approach. Whether seeking subtle enhancement or transformative change, patients can trust in the clinic’s dedication to innovation, safety, and personalized care throughout their journey.

You can check out their website here: Okay Plastic Surgery Clinic Website

Your Journey to Paranasal Implants in South Korea: A Medical Tourist's Guide

South Korea is a top destination for cosmetic surgery, known for high-quality care, advanced techniques, and competitive pricing. If you’re considering paranasal implants as a medical tourist, here’s what the process typically looks like:

Step-by-Step Process for Medical Tourists

1. Initial Research and Clinic Selection: Start by researching reputable clinics and board-certified surgeons. Many Korean clinics cater to international patients with multilingual staff, patient coordinators, and virtual consultations.
2. Pre-Procedure Logistics and Travel: Once you choose a clinic, coordinate travel and accommodation—often with help from the clinic. Many packages include airport transfers, hotel bookings, and even city tours. Plan to stay in Korea for 1-2 weeks for follow-up care and recovery.
3. In-Person Consultation and Evaluation: Upon arrival, you’ll have a detailed facial analysis and consultation with your surgeon, plus pre-op tests to ensure you’re fit for surgery.
4. The Surgical Procedure: The surgery is performed as described above, usually under local or general anesthesia, focusing on precise implant placement for a natural look.
5. Recovery and Aftercare: Expect an overnight hospital stay and detailed aftercare instructions. Follow-up appointments are important for healing. Many patients stay in Korea for a few days to a couple of weeks for recovery and easy access to care.
6. Cultural and Leisure Experiences: Many patients use recovery time to explore Korea’s culture and attractions, making the experience both medical and memorable.

Korean clinics often offer all-inclusive packages covering consultations, tests, surgery, hospital stay, medications, follow-ups, and logistical support like transfers and translation. Some even include city tours or recovery therapies, making the process smooth and less stressful.

Pre-operative Patient Responsibilities

To ensure a safe procedure, follow these guidelines:

• Stop smoking at least 7 days before surgery.
• Avoid blood-thinning medications and certain supplements for at least a week.
• Don’t drink alcohol for 3 days before surgery.
• Discuss dissolving any fillers in the area at least 3 days in advance.
• Continue prescription meds for chronic conditions unless told otherwise.
• Shower the morning of surgery.
• Wear loose, button-up clothing and bring a hat and sunglasses for post-op comfort.
• Prepare questions for your surgeon and keep realistic expectations.
• Consider bringing a support person for recovery.

Cost Comparison: Paranasal Implants in South Korea vs. Other Countries

Cost is a big factor for many medical tourists. South Korea offers high-quality care at competitive prices for paranasal implants.

Costs in South Korea

Paranasal implant procedures in South Korea typically cost $2,000 to $4,000 USD, often including an overnight hospital stay, pre-op tests, and post-op meds. General plastic surgery packages range from $4,000 to $10,500, with simpler procedures starting at $2,000.

Comparison with Other Countries

• United States: Paranasal implant surgery ranges from $4,000 to $12,000 USD. Cheek implants average $3,876, chin implants $3,641. Patients can save 40-65% by choosing Korea.
• Thailand: Offers savings of 40-70% on cosmetic procedures. Rhinoplasty ranges from $800 to $5,500, cheek implants from $1,324 to $3,810, and nose implants from $1,350 to $2,850.
• Turkey: Known for affordable, high-quality surgery. Rhinoplasty costs $2,000 to $5,000+, cheek implants $1,300 to $3,200, and midface lift about $4,000.

Here’s a cost comparison table:

Country	Procedure (Approximate/Related)	Estimated Cost Range (USD)	Typical Inclusions
South Korea	Paranasal Implant	$2,000 – $4,000	Surgery, anesthesia, 1-night hospital stay, pre-op tests, post-op meds, consultations, follow-ups, often transfers, accommodation, translator services
USA	Paranasal Implant / Facial Implants	$4,000 – $12,000 (Paranasal) / ~$3,600-$3,900 (Cheek/Chin)	Surgery, anesthesia, surgeon’s fee; other costs often itemized
Thailand	Rhinoplasty / Cheek Implants / Nose Implant	$800 – $5,500 (Rhinoplasty) / $1,324 – $3,810 (Cheek) / $1,350 – $2,850 (Nose Implant)	Surgery, anesthesia, consultations, post-op care, often hotel stays, coordinators
Turkey	Rhinoplasty / Cheek Implants / Midface Lift	$2,000 – $5,000+ (Rhinoplasty) / $1,300 – $3,200 (Cheek) / ~$4,000 (Midface Lift)	Surgery, counseling, post-op care, sometimes lodging; travel costs often not included

While Thailand and Turkey may offer lower starting prices for some procedures, quality and safety standards can vary. It’s important to look beyond price and consider surgeon credentials, clinic safety, and what’s included in the package. South Korea’s comprehensive packages and high specialist density offer strong value, even if not always the absolute lowest price.

Patient Experiences and Expected Outcomes

Most people who undergo paranasal implant procedures for midface concavity report high satisfaction and noticeable improvements in facial aesthetics and self-confidence.

Aesthetic Improvements

• Enhanced Facial Profile: Patients often see a more balanced and youthful midface profile.
• Reduction of Nasolabial Folds: The depth of smile lines is noticeably reduced.
• Improved Nasal Aesthetics: The nose appears less prominent and better integrated with the midface.

Psychological Benefits

Many patients feel a significant boost in self-esteem and satisfaction with their appearance. Testimonials often mention feeling “whole again” and more confident, with others noticing a positive change in how they’re perceived.

Potential Complications and Risks

While generally safe, there are risks:

• Temporary Numbness/Paresthesia: Some experience numbness in the upper lip, usually resolving in two weeks.
• Implant Migration: Rare, but possible; can be minimized with precise technique and fixation.
• Infection: Low risk (0.7-2.2% for facial implants).
• Need for Removal/Revision: Some implants may need removal due to discomfort or complications like prominence or bone resorption.
• Alar Base Widening: Sometimes the nostril base widens, requiring additional procedures.
• Other Rare Complications: Such as wound dehiscence or, if combined with jaw surgery, temporary difficulty opening the mouth.

Satisfaction Rates and Long-Term Results

Studies show high satisfaction rates—one reported 90% satisfaction for combined rhinoplasty and paranasal augmentation. Implant material affects long-term results: autologous bone grafts are permanent, porous implants like Medpor and ePTFE integrate with tissue for stability, and silicone can last long but has a higher removal rate. Cheek lift results can last up to 10 years.

Despite positive outcomes, no procedure is risk-free. Even “permanent” implants can have issues like resorption or prominence, so realistic expectations and informed consent are essential. A good surgeon will ensure you understand all possible outcomes.

Conclusion: Making an Informed Decision

Paranasal implants can dramatically improve facial harmony, soften deep nasolabial folds, and boost self-confidence. South Korea offers expert care, advanced techniques, and comprehensive packages for international patients. When considering this procedure, prioritize value—expertise, safety, and comprehensive care—over just cost. Thorough research, clear communication with your surgeon, and realistic expectations are key to a successful and satisfying outcome.

References

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