Dr Haena Kim Facial Plastic and Reconstructive Surgery

Septal perforations can happen for a number of reasons: trauma, prior surgery, co***ne use, cancer, excessive nose picking, aggressive nasal cauterization just to name a few. This can lead to frequent nose bleeds, crusting, constant feeling of nasal obstruction, and oftentimes complaint of a whistling noise with breathing.

How do we fix this? Here’s an example of the graft used to close this defect. It’s a perforated absorbable plate surrounded by the patient’s temporalis fascia. It’s placed in between the elevated sides of the septal perforation and helps the nasal mucosa heal around it. Within time the perforation closes 👍

Problem: Orbital fat pads are one of the contributing factors to the aging lower eyelid. No, you can't hide them with filler. Unfortunately, filler oftentimes makes these pesky guys worse.

Solution: Removal or repositioning. This patient had a bit of an over abundance of orbital fat and had both fat removal and fat repositioning. But the solution is not always "one size fits all". It rarely ever is. Some patients can get a great result with just fat repositioning and some need the fat pockets removed with a separate fat transfer. You're unique, your solution should also be equally individualized 😉

In case you were wondering how a stays sun safe while snowboarding … 😄. Thank you to for the much needed girl time ❤️

And yes, I wore sunblock too

Who wouldn’t want to look more rested or to have their makeup actually do what we want it to do?

Uhhhh hello, 🙋🏻‍♀️. I feel this one. Two kids, working full time and always feeling like there’s something else to clean.

This is also why I post late and totally miss the ideal posting windows that instagram normally recommends.
🥺🤪🫠

This gorgeous mom of 2, and full time workaholic needed just a little ( I’m borrowing your catchphrase ❤️).

She was tired of looking…tired. A little bit of volume loss led to lengthening of her lower eyelid and accentuated dark circles. With from the line of fillers by , she has a softened transition from lower eyelid to anterior cheek and her lower eyelid doesn’t look at long.

Subtle and impactful is the name of the game for the . More is not better in this delicate area.

Questions? We have answers.


Www.revianceportland.com
(503) 953-1230

This lovely young lady is healing beautifully from her primary rhinoplasty. There’s a balance now to the face especially on her profile view that we just ❤️

Non surgical facelift. Does such a thing exist? In the right patient you can create some amazing changes that are and .

Patients are all too often scared of fillers, scared of and not looking like themselves. As much as I love the progress surgery can make, sometimes you can’t deny the transformation can create.

Questions?

Give us a call at (503) 953–1230 and follow for more updates and info ❤️

Www.revianceportland.com

Happy and so lucky to be part of such an amazing team .

It really is true, if you do what you love, you’ll never work a day in your life. Thankful I get to follow my passion and do what I love every day ❤️.

Thankful for our health, family and friends and for being so welcoming!

Here’s to more of everything for the holidays and new year! ❤️

Thank you ! Had fun joining this amazing and talented panel❤️

Can’t wait until next year!

harrywright

Happy Freye-yay!

No, that’s not a typo, but it is the best I could do 🤷🏻‍♀️

This lovely lady is happy to show off her one month results after an

Keep swipin’ to see her at one week and her post op incisions at 1 month

Have a great weekend everyone!

Well, I was not expecting such incredible summer weather here in the . Portland, you have definitely exceeded all of my 🤩.

I’m as excited as all of you, but please don’t forget your sunblock and protective sunwear! First step is always, always sunblock. 1/4 teaspoon just for the face! I tested if what I was putting on was the right amount and even I fell a little bit short. That mistake has quickly been remedied. Also, I always opt for physical blockade as opposed to chemical. All of the sunblocks for myself and my family are physical.

Don’t be scared of them! Just for fun I’m wearing my kids’ blue lizard sunblock in the last pic. (I prefer to pay the sunblock in, myself)

Your future self will thank yourself for being now 😎.

It’s Friday, so we’re mixing it up.

Lesson of the day: fixing asymmetry.

Many patients come in bothered by facial asymmetry. We all have it. Perfect symmetry does not exist and surgery will not give it to you. What surgery can do is lessen the asymmetry so it is less apparent.

This patient had asymmetry of the eyelids. Together we developed a game plan of how to address it. Usually I do not endorse unilateral crease formation, it is a select few that I will even consider it.

I go over all the inherent differences between a surgical crease and the natural crease and every patient must agree and understand that they may be back in a few months requesting that the non-operated eye be addressed.

It’s a more challenging recovery because the post op course is even more apparent. At one week there is a noticeable difference between the eyes. This is due to swelling but it overall resolves and by 3 months we are closer to symmetry. Is it perfect? No. But the asymmetry is definitely less noticeable 😉.

On that note, Happy Memorial Day!

Merry Christmas and thank you all for making 2022 an incredible year! We have had so many blessings and are ready for what 2023 has in store!

Exciting news is around the corner and we can’t wait to share it with you!

In the meantime stay safe and healthy this holiday season. Hold your loved ones close and enjoy the rest of 2022!

#2022

I love this result for so many reasons, is it perfect? No, but it highlights the improvement on a difficult case. There is obvious asymmetry at baseline with weak levator function on the right eye. This patient and I had a very honest conversation pre-operatively about likely continued asymmetry even after an aggressive .

He had an 8mm levator advancement on the right eye, with a more straightforward on the left. We also performed a bilaterally to help open up the inner corners.

He’s healing well and you already see the brow relaxation from the improvement in his visual fields. He will continue to see minor adjustments as the remainder of his swelling dissipates month by month.