Complications such as bleeding, infection, and inflammation may occur after surgery, and individual satisfaction may vary. Please consult a doctor.
One of a kind
One of a kind
Benefit 1
Implant selection and surgical method vary according to each person’s nasal condition.
Benefit 2
At REAL, which has 20 years of technical experience, a specialist provides a detailed one-to-one consultation and preoperative examination. After assessing the patient’s nose and facial proportions, the implant is designed and carved according to the nose’s original shape and height.


Autologous tissue
Autologous tissue
Prioritizing natural contours and safety
Tissue survival
Recognized as the body's own tissue
A naturally beautiful nose
Low risk of rejection and minimal foreign-body sensation


Autologous cartilage
01
Autologous cartilage
Septal cartilage is harvested from inside the nostril at an appropriate thickness and firmness. No incision elsewhere on the body is needed, and it can create a more defined nasal tip and bridge.
Auricular cartilage
Costal cartilage is harvested from the end of a rib. Because a relatively large amount is available, it is used when auricular or septal cartilage is insufficient. Its firmness provides strong support, making it suitable for severe contracture deformity or a markedly depressed nasal bridge.
Costal cartilage


Autologous dermis
01
Autologous dermis
This tissue is taken from the midline buttock area near the tailbone. Multiple dermal layers are compressed together to reduce height loss from absorption, making it suitable for noses with thin skin. When combined with cartilage, it can further reduce absorption and foreign-body sensation and is well suited to creating a natural nasal shape.


Fascia
01
Fascia
Fascia is the thin membrane surrounding muscle. It is usually harvested from beneath the scalp above the ear and used for thin skin or bridge augmentation. The scalp incision keeps the scar hidden, and the tissue is relatively accessible.


Who may be suitable for autologous-tissue rhinoplasty
Who may be suitable for autologous-tissue rhinoplasty
01
Patients who place the highest priority on safety
02
Revision patients who require autologous tissue
03
Patients who prefer to avoid synthetic implants
04
Patients seeking a more natural rhinoplasty result


REAL handcrafted custom implant
REAL handcrafted custom implant
Meticulous design
Expanded PTFE implant
This implant is softer than silicone and creates a natural shape, so it may also be used in patients with thinner skin. Its fine porous structure integrates relatively readily with surrounding tissue. Because the material is soft and difficult to carve, extensive technical experience is needed to create and place the desired shape accurately.
Silicone implant
Silicone does not change shape or become absorbed over time after surgery. It can be carved precisely to fit the nasal form. With very thin skin, the implant may become visible, so skin condition and thickness must first be assessed carefully.


Who may be suitable for implant rhinoplasty
Who may be suitable for implant rhinoplasty
01
Patients seeking a precisely planned nasal shape
02
Patients who want a stable postoperative shape
03
Patients seeking a more noticeable result
04
Patients whose skin condition or other factors make an implant necessary


What makes REAL different?
What makes REAL different?
Plastic surgeons with a thorough understanding of nasal anatomy
There is no single perfect rhinoplasty material for everyone. REAL listens to each patient and draws on 20 years of accumulated expertise to select the safest and most aesthetically appropriate material for that individual.


A nose designed for you
A nose designed for you
Ask for details


If you are being treated or taking medication for high blood pressure, heart disease, diabetes, or a thyroid condition, inform your coordinator in advance.
- If you are being treated or taking medication for high blood pressure, heart disease, diabetes, or a thyroid condition, inform your coordinator in advance.
- Stop smoking before surgery because cigarettes can trigger phlegm, sneezing, and postoperative bleeding.
- Observe the required fasting period before surgery.
- Contact lenses, jewelry, nail products, and similar items may interfere with surgery, so remove them beforehand.
- Wear comfortable clothing that will not irritate the surgical area when you come to the hospital.
- You may be unable to drive after surgery.
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