Tip Plasty

Description

The tip plasty is a specialized cosmetic procedure focused solely on reshaping the nasal tip to improve its appearance or functionality. Initially, the patient is prepared under local anesthesia with sedation or general anesthesia, depending on the complexity and extent of the surgery. The surgeon makes precise incisions, typically using a closed (endonasal) approach where incisions are made inside the nostrils, or an open (external) approach involving a small incision on the columella, the tissue between the nostrils. Through these incisions, the surgeon gains access to the underlying cartilage and tissues of the nasal tip. Cartilage is then meticulously reshaped, repositioned, or augmented using autologous cartilage grafts (from the patient's own septum, ear, or rib) to achieve the desired projection, rotation, and definition. Once the desired shape is achieved, incisions are carefully closed with sutures that minimize scarring. The nostrils may be temporarily packed with soft material to stabilize the new shape and reduce bleeding. An external splint or tape might be applied to support the tip during the initial healing phase. The procedure typically takes around one to two hours, depending on the complexity. Post-operative care involves instructions on how to manage swelling and bruising, which peaks within the first week and gradually subsides. Patients are usually advised to avoid strenuous activities and protect the nose from trauma as it heals. Follow-up appointments are essential to monitor healing progress and ensure the desired results are achieved.

Ailments treated by this procedure: Bulbous Nasal Tip, Underprojected Nasal Tip, Columella Show, Columella Retraction, Thick Nasal Skin, Overprojected Nasal Tip, Tip Asymmetry, Nasal Tip Under-rotation, Hanging Columella, Low Projection Tip, Nasal Bossae, Droopy Nasal Tip, Thin Columella, and Nasal Tip Ptosis

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Arc Plastic Surgery Clinic in Korea: Leading Cosmetic Procedures by Dr. Kwon Soon-beom

Arc Plastic Surgery Clinic

Sinnonhyeon, Gangnam, Nonhyeon, Hak-dong Station

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Arc Plastic Surgery Clinic, located in Sinnonhyeon Station, offers a variety of surgical and non-surgical cosmetic procedures. Led by Dr. Kwon Soon-beom, the clinic specializes in face line surgery, breast surgery, eye surgery, nose surgery, and anti-aging treatments. Face Line Surgery Cheekbone Reduction Surgery: This procedure reduces the size of prominent cheekbones to enhance facial harmony. It is performed under general anesthesia for optimal patient comfort. Square Jaw Reduction Surgery: Aimed at creating a slimmer jawline, this surgery reduces the width of the jaw. It can significantly improve the overall facial aesthetic. Chin Surgery: This procedure reshapes the chin to better align with the patient’s facial proportions. It's commonly done to achieve a balanced jawline. Breast Surgery Breast Augmentation: This procedure uses implants or fat transfer to enhance the size and shape of the breasts. It aims to improve body contour and self-confidence. Breast Lift: Designed to address sagging breasts, this surgery lifts and reshapes the breast tissue. It is suitable for women who have experienced significant weight loss or childbirth. Breast Reduction: This surgery removes excess breast tissue and skin to achieve a breast size in proportion with the body. It also helps alleviate any discomfort associated with overly large breasts. Eye Surgery Double Eyelid Surgery: This procedure creates a natural-looking fold in the upper eyelid for a more defined eye shape. It is popular among individuals looking to achieve a more refreshed appearance. Eyelid Correction Surgery: Aimed at correcting droopy eyelids, this surgery tightens the skin and muscles around the eyes. It can dramatically improve vision as well as appearance. Epicanthoplasty: This procedure reshapes the inner corners of the eyes to make them appear larger and more open. It is often done in conjunction with double eyelid surgery. Nose Surgery Nose Tip Surgery (Alarplasty): This surgery refines the appearance of the nasal tip and nostrils. It aims to create a more proportionate and aesthetically pleasing nose structure. Revision Rhinoplasty: This is a secondary surgery to correct or improve the results of a previous rhinoplasty. It addresses any functional or cosmetic issues that persist after the initial surgery. Lifting & Anti-Aging HIFU Lifting: High-Intensity Focused Ultrasound is a non-invasive treatment that tightens and lifts the skin. It targets deep layers of the skin to promote collagen production. Mini Facelift: This procedure targets sagging skin and wrinkles in the lower face. It provides a more youthful appearance with less invasive techniques compared to a full facelift. Fat Transfer & Injections Fat Grafting: This technique transfers fat from one part of the body to another to enhance volume and contour. Common areas include the face, breasts, and buttocks. Fillers: Injectable fillers are used to smooth wrinkles and add volume to areas such as the cheeks and lips. The results are immediate and can last several months. Botox: Botox injections temporarily relax facial muscles to reduce the appearance of lines and wrinkles. It is a quick, non-surgical procedure with minimal downtime. The clinic also provides online and SMS consultation options to discuss patient needs and schedule appointments.

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Cocoline Clinic in Korea: Comprehensive Cosmetic and Medical Procedures for Enhanced Beauty and Health

Cocoline Clinic

Apgujeong Station

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Cocoline Clinic in Apgujeong offers a comprehensive range of cosmetic and medical procedures designed to enhance natural beauty and improve overall health. Below are the categorized procedures available: Face Procedures: Rhinoplasty: Surgical procedure to reshape the nose for aesthetic enhancement or functional improvement. It can address issues such as nasal asymmetry, bumps, or breathing difficulties. Double Eyelid Surgery: Surgery to create a crease in the upper eyelid for a more aesthetically pleasing appearance. This procedure aims to make the eyes look bigger and more defined. Body Contouring: Liposuction: A cosmetic procedure aimed at removing excess fat deposits to contour and shape various body areas. Common target areas include the abdomen, thighs, arms, and buttocks. Tummy Tuck: Also known as abdominoplasty, this surgery removes excess skin and fat from the abdomen while tightening the underlying muscles. It results in a flatter and more toned abdominal profile. Breast Procedures: Breast Augmentation: Surgical enhancement of breast size using implants or fat transfer technique. Aimed at achieving fuller, more proportionate breasts. Breast Reduction: Surgery to remove excess breast tissue and skin for relief from discomfort or to achieve a breast size in proportion with the body. It can alleviate physical ailments like back pain. Anti-Aging Treatments: Botox: Non-surgical procedure that involves injecting botulinum toxin to temporarily relax facial muscles. This reduces the appearance of fine lines and wrinkles. Dermal Fillers: Injectable gels used to restore lost volume, smooth out wrinkles, and enhance facial contours. Commonly used to treat areas like the cheeks, lips, and under-eye hollows. Skin Care and Laser Treatments: Fraxel Laser: Non-invasive skin resurfacing treatment that promotes the growth of new, healthy skin cells to replace damaged ones. Effective for treating wrinkles, scars, and age spots. Chemical Peels: A technique that uses a chemical solution to exfoliate and improve skin texture. Helps in treating acne scars, pigmentation, and fine lines. Hair Procedures: Hair Transplant: Surgical procedure to move hair follicles from a donor area to a balding or thinning area. It aims to restore a natural-looking hairline and fuller hair density. For appointments or consultations, please contact Cocoline Clinic at 02.540.2500.

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Objet Plastic Surgery Clinic in Korea: Comprehensive Aesthetic Procedures for Face and Body Enhancement

Objet Plastic Surgery Clinic

Gangnam, Sinnonhyeon, Nonhyeon Station

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At Objet Plastic Surgery Clinic in Gangnam Station, we provide a comprehensive range of surgical and non-surgical aesthetic procedures performed by highly skilled medical staff in state-of-the-art facilities. Eye Plastic Surgery: Double Eyelids: This procedure creates or enhances the appearance of double eyelids for a more defined eye shape. It is tailored to suit each patient's natural anatomy and aesthetic preference. Eye Correction Surgery: Corrective procedures for various eye shape and alignment issues. These surgeries enhance functionality and appearance. Canthoplasty: Surgery to alter the outer corner of the eye. It creates a larger, more almond-shaped eye. Middle-aged Plastic Surgery: Eye surgeries specifically targeting signs of aging around the eyes. It may involve lifting or tightening the skin and underlying tissues. Double Eyelids Reoperation: Revision surgery for previously performed double eyelid procedures. This addresses complications or dissatisfaction with initial results. Rhinoplasty: Angle Rhinoplasty: Surgery aimed at refining the angle between the upper lip and the nose. It provides better facial harmony and balance. Rhinoplasty by Type: Customized nasal surgeries based on the specific needs, such as raising a flat nose or refining a bulbous tip. Techniques are tailored to achieve the patient's desired outcome. Nose Reduction: Procedures designed to reduce the size of the nose. This includes decreasing nostril size or overall nasal width. Autologous Cartilage Nose Tip Surgery: Using the patient's own cartilage to refine the tip of the nose. This method minimizes the risk of rejection and ensures a natural look. Nose Reoperation: Secondary procedures to correct or improve the results of a primary rhinoplasty. This often involves addressing functional issues or aesthetic concerns. Materials of Rhinoplasty: Explanation and use of various materials in nasal surgery, including silicone implants and autologous tissue. These materials are selected based on the patient’s needs and desired outcomes. Dark Circle Treatments: Dark Circle: Targeting pigmentation and shadows under the eyes, this treatment rejuvenates and brightens the under-eye area. It uses methods like laser treatment or surgery. Fat Repositioning: Reallocation of fat deposits to smooth out under-eye hollows. This technique reduces the appearance of dark circles and puffiness. Fat Transplant: Involves injecting fat from other parts of the body to the under-eye area for added volume. This procedure addresses both dark circles and volume loss. Dark Circle Reoperation: Corrective procedures for previous unsatisfactory dark circle treatments. This ensures better aesthetic outcomes. Lower Eyelid: Dual Lower Blepharoplasty: Combines techniques to remove excess skin and fat from the lower eyelid. This approach minimizes under-eye bags and wrinkles. Combined Lower Eyelid: Integrates multiple methods to address both cosmetic and functional issues of the lower eyelid. Achieves a more youthful appearance. Micro Fat Grafting: Micro Fat Grafting: Fine droplets of fat are harvested from the patient’s body and grafted onto areas requiring volume enhancement. This technique is known for its natural-looking results. 3D Fat Transplant: Advanced fat grafting technique that adds volume and contour to the face or body. It uses a three-dimensional approach for more natural results. Lifting: Face Lift: A surgical procedure to lift and tighten the facial skin and muscles. This provides a rejuvenated and more youthful appearance. Forehead Lift: Raising and tightening the skin of the forehead to reduce wrinkles and sagging. This can also improve brow position and expression. Forehead Reduction: Surgery to shorten a high forehead by advancing the hairline. It creates a balanced and proportionate face. Mintberry Lifting: Uses specialized threads to lift and tighten the skin. This non-surgical option provides immediate results with minimal downtime. PETIT Procedures: Botox: Injections to reduce wrinkles and fine lines by temporarily paralyzing muscles. Commonly used on the forehead, frown lines, and crow’s feet. Filler: Injectables that add volume to the face, smooth wrinkles, and enhance facial contours. Common areas include lips, cheeks, and nasolabial folds. Contour Injection: Injections to refine and sculpt the facial contours. This can enhance areas like the jawline and chin for a more defined look. Body Contour: Liposuction: Removes excess fat deposits from various parts of the body. This procedure contours and shapes the body for a slimmer appearance. Hip-up Plastic Surgery: Enhances the shape and volume of the buttocks. This can involve implants or fat grafting. Abdominal Plastic Surgery: Also known as a tummy tuck, this procedure removes excess skin and fat from the abdomen. It tightens the abdominal muscles for a firmer, flatter stomach.

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INIQUE Plastic Surgery Clinic in Korea: Specialized Procedures for Your Unique Beauty Journey

INIQUE Plastic Surgery Clinic

Sinsa, Apgujeong Station

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Welcome to INIQUE Plastic Surgery Clinic in Sinsa, where we pursue a beauty that is unique to you through our specialized surgical procedures handled with expertise. Eye Revision Surgery Sausage Eye Revision Surgery adjusts the size of the double eyelid for individuals who have had complications or unsatisfactory outcomes from previous surgeries. Triple Eyelid Revision Surgery corrects the layering or creasing phenomena that some patients experience post-surgery. Eye Surgery Natural Double Eyelid Surgery creates a subtle, natural-looking double eyelid suitable for those seeking enhancement without dramatic changes. Blepharoptosis / Eye Shape Correction addresses droopy eyelids and corrects the overall shape of the eyes for an alert and youthful appearance. Nose Surgery 3D-CT Nose Surgery utilizes advanced imaging technology to customize the shape and size of the nose meticulously. Nose Revision Surgery corrects and improves the results of prior nose surgeries, addressing any complications or assimilation issues. Facial Contouring Short Chin Correctional Surgery elongates and refines the chin to balance facial proportions. Square Jaw Surgery reduces the width and angles of the jaw for a softer and more streamlined facial contour. Lifting Procedures Thread Lifting employs specialized threads to lift and tighten the skin, enhancing facial contours without invasive surgery. Neck Lift addresses sagging and wrinkles in the neck area, resulting in a smoother and more youthful neckline. Fat Grafting and Petit Surgery Fat Graft transfers fat from other parts of the body to areas needing volume, enhancing facial features and smoothing wrinkles. Petit Plastic Surgery includes minor, non-invasive procedures to refine and enhance facial appearance. Breast Surgery Breast Augmentation Surgery uses implants to increase breast size and improve overall shape. Breast Lifting Surgery elevates and firms the breasts, addressing sagging and achieving a youthful contour. Male Plastic Surgery Male Eye Plastic Surgery is tailored to refine the male eyelid without feminizing the appearance. Male Nose Plastic Surgery focuses on achieving a masculine, natural-looking nasal structure. At INIQUE, we treat every face with utmost care and tailor our procedures to suit each individual's unique beauty. Explore the transformative journey with our expert-led procedures at INIQUE Plastic Surgery Clinic.

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Profile Plastic Surgery Clinic in Korea: Comprehensive Aesthetic and Reconstructive Procedures for Natural-Looking Results
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Clinic Introduction Profile Plastic Surgery Clinic in Apgujeong provides comprehensive plastic surgery services with a focus on ear reconstruction, facial contouring, and aesthetic procedures, ensuring expert care and safety through advanced techniques and collaborative efforts with otorhinolaryngology specialists. Ear Reconstruction Surgery Ear Masters Clinic: Offers simultaneous auricular and auditory meatal reconstruction surgeries for children with microtia. This combined operation helps speed up the recovery of hearing abilities and appearance, reducing the emotional impact. Purely Cosmetic Procedures Beauty Clinic: Emphasizes a critical assessment of individual situations and realistic expectations for cosmetic surgeries. Provides aesthetic procedures that enhance natural beauty or achieve a striking transformation while maintaining harmony with other body features. Otoplasty Prominent Ear: Corrects ears that stick out more than usual to achieve a natural appearance. This procedure can be performed on both children and adults to boost confidence. Stahl's Ear: Repairs ears with an extra fold of cartilage to restore a conventional ear shape. It is tailored to the patient's specific ear structure. Cryptotia: Fixes ears that are hidden beneath the scalp skin to allow full ear exposure. This involves repositioning the ear for better aesthetics. Constricted Ear: Treats ears that are curled or folded, providing structural support and a natural look. This can involve grafting techniques to reshape the ear. Flat Ear (Retropositioned Ear): Repositions ears that are flat or pressed against the head to create a more defined look. This surgery improves both the form and function of the ear. Ear Lobule Surgery: Corrects deformities and issues with the earlobe, like tears or keloids. It aims to restore the natural shape and symmetry of the earlobes. Eye/Nose Plastic Surgery Profile Eyeliplasty: Includes double eyelid surgery, medial epicanthoplasty, and lateral canthoplasty to enhance the eye shape. Lower blepharoplasty and brow lifts improve the appearance of the mid-face and forehead. Profile Rhinoplasty: Covers various nose surgeries such as augmentation rhinoplasty, nasal tip plasty, and correction of short or deviated noses. This aims to achieve a balanced and aesthetically pleasing nose structure. Anti-aging & Petit Plastic Surgery Endotine Firehead Lift: A minimally invasive procedure that lifts and tightens the forehead. This method uses small implants to hold the tissue in place for a youthful appearance. Pan-lift: A comprehensive facial lift that addresses sagging skin and deep wrinkles. It rejuvenates the entire face for a fresher look. Fat Graft (Stem Cell Fat Graft): Uses the patient's own fat to add volume to various areas of the face. This procedure also helps improve skin quality by using stem cell-enriched fat. Botox and Fillers: Treats wrinkles and fine lines, providing a smoother facial appearance. Botox relaxes the muscles, while fillers add volume to specific areas. Sculptra: Stimulates collagen production to restore facial volume and smooth out lines over time. This results in a gradual and natural-looking rejuvenation.

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I AND CO Plastic Surgery Clinic in Korea: Comprehensive Cosmetic Procedures for Natural Beauty Enhancement
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Free consultation from the clinic

Clinic Introduction I AND CO Plastic Surgery Clinic in Seomyeon offers a wide range of plastic surgery and cosmetic procedures designed to enhance your natural beauty. Our experienced team is committed to providing personalized treatment plans and prioritizes safety and patient satisfaction. Eye Surgery Buried Suture Method: This technique creates a natural-looking double eyelid without incisions, using a suture to fold the eyelid. It requires minimal downtime and leaves no visible scars. Incisional Method: An incision is made on the eyelid to create a defined double eyelid. This method offers a permanent solution and can also correct drooping eyelids. Ptosis Correction: This procedure corrects drooping eyelids by tightening the muscles that lift the eyelid. It enhances the eye's appearance and can improve vision. Epicanthoplasty: Also known as inner corner eyelid surgery, this procedure enlarges the eye by removing the epicanthal fold. It creates more open and bright-looking eyes. Fat Repositioning Under Eyes: This technique repositions fat to eliminate under-eye bags and reduce dark circles. It results in a more youthful and refreshed look. Upper Blepharoplasty: This surgical procedure removes excess skin and fat from the upper eyelids. It reduces sagging and creates a more alert and youthful appearance. Lower Blepharoplasty: This procedure addresses puffiness and wrinkles under the eyes by removing or repositioning fat and excess skin. It smooths out the lower eyelid area for a rejuvenated look. Brow Lift: This surgery lifts sagging eyebrows and reduces forehead wrinkles. It opens up the eye area and provides a more youthful expression. Nose Surgery Rhinoplasty for Long Nose and Hooked Nose: This procedure reshapes the nasal structure, correcting a long or hooked nose for a more balanced profile. It enhances facial harmony and nasal function. Rhinoplasty for Bulbous Nose: This surgery refines the nasal tip to reduce a bulbous appearance. It results in a more defined and aesthetically pleasing nose shape. Rhinoplasty for Low Nose Bridge: This technique elevates the nasal bridge to create better facial proportions. It often involves the use of implants or cartilage grafts. Rhinoplasty for Short Nose: This procedure lengthens the nasal bridge to correct a short nose appearance. It improves shape and function while maintaining a natural look. Hump Nose Correction: This surgery removes the bony hump on the nasal bridge. It creates a smoother, more proportionate nasal profile. Correcting Deviated Nose: This procedure straightens a crooked nose by realigning the nasal bones and cartilage. It improves nasal function and symmetry. Alar Base Reduction: This surgery narrows wide nostrils by removing small wedges of tissue from the sides of the nose. It enhances nasal aesthetics while preserving function. Functional Rhinoplasty: This procedure addresses breathing problems by correcting structural issues in the nose. It improves both the appearance and functionality of the nose. Revision Surgery Eyelid Revision Surgery: This procedure corrects complications or unsatisfactory results from previous eyelid surgeries. It aims to improve aesthetics and function while ensuring natural-looking results. Nose Revision Surgery: This surgery aims to correct issues stemming from previous rhinoplasty procedures. It focuses on both improving appearance and restoring function. Autologous Dermis Nose Revision: This technique uses the patient's own skin tissue (dermis) for nasal reconstruction and revision. It provides a natural look and reduces the risk of rejection. Male Plastic Surgery Male Plastic Surgery System: Specialized procedures designed specifically for men to enhance their appearance while maintaining masculine features. Services include rhinoplasty, eyelid surgery, and more. Petite and Other Procedures Filler: Injectable fillers are used to add volume, smooth wrinkles, and enhance facial contours. They provide immediate results and require minimal downtime. Botox: Botox injections reduce the appearance of dynamic wrinkles, such as frown lines and crow's feet. The treatment results in a smoother and more youthful complexion. Augmentation Osteotomy: This procedure enhances the contours of the face, particularly around the chin and jawline. It improves facial harmony and balance. Chin Surgery: This surgical procedure reshapes the chin to improve facial proportions. It can enhance both the front and side profiles. Dimple Creation Surgery: This procedure creates natural-looking dimples on the cheeks. Dimples can enhance facial expressions and aesthetics. Fat Grafting: This technique harvests fat from one part of the body and injects it into areas needing volume, such as the face. It offers a natural-looking enhancement with long-lasting results.

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Chiu Plastic Surgery Clinic in Korea: Tailored Aesthetic and Functional Enhancements for Your Unique Needs
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Chiu Plastic Surgery Clinic in Sinsa offers a wide range of specialized procedures designed to enhance both aesthetic and functional aspects. Here's a categorized overview of the procedures they provide: Rhinoplasty (Nose Surgery) Hump Nose Correction: This procedure involves reshaping the nasal bridge to remove a prominent bump, resulting in a smoother and more aesthetically pleasing profile. Non-Implant Rhinoplasty: Uses non-surgical methods to alter the shape of the nose without implants, often using fillers or other materials for mild adjustments. Short Nose/Upturned Nose Correction: Focuses on elongating or correcting the angle of a nose that appears too short or upturned, often enhancing the overall proportion of the face. Long Nose/Hooked Nose Correction: Aims to reduce the length or correct the curvature of a long or hooked nose, creating a more balanced facial appearance. Low Nose Bridge Augmentation: Enhances the height of a flat or low nasal bridge using implants or other augmentation techniques. Crooked Nose (Deviated Septum) Correction: Straightens and aligns the nose, often improving both the appearance and breathing function. Nasal Tip Surgery: Refines the shape of the nasal tip, making it more defined, narrower, or less bulbous as per the patient's desires. Alar Base Reduction (Nostril Reduction): Narrows wide nostrils by removing small amounts of tissue, resulting in a more proportionate and aesthetically pleasing nose. Petite Nose Job: A non-invasive option using fillers to enhance the nose shape subtly without surgery. Revision Rhinoplasty Revision Nose Surgery: Corrects or improves the results of a previous rhinoplasty, addressing issues such as function, appearance, or implant complications. Eyelid Surgery Double Eyelid Surgery: Creates a crease in the upper eyelid to create the appearance of larger, more expressive eyes. Eyelid Revision Surgery: Corrects or improves the results of a previous eyelid surgery, addressing issues such as asymmetry or scarring. Canthoplasty (Eye Corner Surgery): Adjusts the corners of the eyes to make them appear larger and more open. Under-eye Fat Repositioning: Repositions or removes under-eye fat to reduce the appearance of bags and create a more youthful look. Upper/Lower Blepharoplasty: Removes excess skin and fat from the upper or lower eyelids, reducing sagging and improving vision and appearance. Brow/Forehead Lifting Brow/Forehead Lift: Lifts and tightens the skin of the forehead to reduce wrinkles and sagging, resulting in a more youthful and rested appearance. Facial Lifting Thread Lifting: A minimally invasive procedure using threads to lift and tighten sagging skin on the face and neck. Shrink/Laser Lifting: Uses laser technology to tighten skin and stimulate collagen production, reducing wrinkles and sagging. Full Face/Neck Lift: Surgically lifts and tightens the face and neck skin to enhance contours and reduce the signs of aging. Breast Surgery Breast Augmentation: Enhances the size and shape of breasts using implants or fat transfer. Breast Reduction: Reduces the size of the breasts to alleviate discomfort and achieve a proportionate figure. Areola/Nipple Surgery: Corrects the size and shape of the areola or nipple, often for cosmetic or reconstructive reasons. Breast Revision Surgery: Addresses issues from previous breast surgery, such as implant complications or dissatisfaction with the results. Sagging Breast Correction: Lifts and reshapes sagging breasts to create a more youthful contour. Fat Grafting Fat Transfer: Moves fat from one part of the body to another to enhance volume and contour, commonly used in the face, breasts, or buttocks. Skin and Other Procedures Botox & Dermal Fillers: Minimizes wrinkles and adds volume to the face using injectable treatments. Dimple Creation: Surgically creates dimples to enhance the smile and facial aesthetics. Foreign Substance Removal: Removes unwanted substances that were previously injected into the skin. Face Injection Programs: A range of injectable treatments to rejuvenate and enhance the skin. Skin Care Programs: Customized treatments to improve skin texture, tone, and overall appearance. Pore & Scar Treatments: Reduces the appearance of pores and scars, improving skin smoothness and clarity. Chiu Plastic Surgery Clinic offers an array of specialized procedures tailored to meet each patient's unique needs and aesthetic goals.

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