Revision & Salvage

There are rhinoplasty cases, and then there are cases like these. Case 1 A foreign male patient came to me with concerns about a high radix following two previous rhinoplasty procedures. His history was telling - a silicone implant placed over ten years ago, removed one year prior and replaced with a dermofat graft taken from his groin. He now complained of a prominent radix, a wide nasion, and a bulbous tip. Before committing to surgery, point-of-care ultrasound showed signi

A 70-year-old Asian patient presented with lateral hooding of the upper eyelids. She had already undergone two upper blepharoplasties for Asian eyelid crease creation. The first was performed abroad and the second locally; both were done more than 20 years ago. The textbook answer for lateral hooding is an extended upper blepharoplasty. In this case, that would likely have been the wrong operation. Why the Standard Approach Was Risky in This Patient On examination, her eyes w

Filler complications are far more common than the aesthetic industry acknowledges, and most are still managed blindly by eye, feel, and protocol. Below are some cases I have evaluated recently that illustrate why point-of-care ultrasound (POCUS) transforms complication management: it replaces guesswork with anatomy. Case 1 - Aquamid in the Radix: A Permanent Filler and Its Consequences A patient presented with a wide, flattened nasal bridge, often termed an “Avatar nose.” Ove

This case series highlights an essential reality in revision breast surgery - poor initial planning, missing documentation, and suboptimal practices can, and does happen, even locally in Singapore. The lesson for patients remains the same as with any surgery, to ask direct questions, understand options, and know what documentation and surgical standards you are entitled to. When managing long-term breast implant complications, surgeons are often faced with critical decisions