Assoc Prof Dr Eugene Wong - ENT & Facial Plastic Surgeon 耳鼻喉与面部整形外科医生

11/09/2025

Before & intra-op after of a performed by .ent and 🌿

This patient had a silicone implant that was too big and had deviated. Oversized implants can feel heavy, give an unnatural look, and may still move even many years later.

We removed the implant and rebuilt the nose with a DCF graft (rib cartilage diced and wrapped in temporalis fascia). Unlike silicone, DCF integrates with your own tissue and becomes stable after a few months — giving results that are both natural and lasting.

👉 Save & share this post if you or someone you know has experienced silicone implant complications.

02/09/2025

to last year’s CEORL-HNS meeting in Dublin. Excited to be back in this beautiful city in a few weeks for the 48th Annual EAFPS meeting—to share my experience in and reconnect with friends from around the world.

31/08/2025

This is the intra-operative before-after of a performed by .ent and ✨

In this case, the changes may look subtle — but they make a big difference:
👃 From a bulbous, under-projected tip to a refined, projected one
👃 Alar refinement with a natural alar-columella position
👃 Creation of a gentle supra-tip and double break for definition

All of this was done using the patient’s own cartilage and a combination of advanced techniques.

A natural result like this comes from carefully balancing structure, function, and aesthetics. These are nuances that can’t be achieved with shortcuts like threads or silicone implants — it takes precision grafting, structural support, and artistic judgment.

The goal: a nose that looks refined, balanced, and natural — while staying true to the patient’s features.

30/08/2025

Before You Say Yes to Septoplasty, Read This 👃

Septoplasty is often recommended as the “go-to” surgery for a deviated septum. And for many patients, it works well.

But not all deviations are the same.
👉 If the bend is right at the front of the septum, trimming the back part alone as commonly performed during simple septoplasty won’t solve the blockage.
👉 Surgeons also can’t simply cut away the front support — it’s what keeps your nose upright and in shape.

This is why some patients still feel blocked even after surgery — because the entrance to the nostril is still obstructed by the bent septum at the front.

In these cases, a septorhinoplasty — a more advanced procedure — is needed to both:
✔ Correct the front deviation properly
✔ Preserve or rebuild the nose’s support
✔ Restore both breathing and natural appearance

✨ The takeaway: septoplasty isn’t “one size fits all.”
If you’ve been told you need septoplasty, make sure it’s the right surgery for your nose.

24/08/2025

This is the pre- and immediate post-operative result of a by .ent ✨

In this case, both function and aesthetics were addressed:
👃 Straightened the septum and dorsum
👃 Corrected the inverted lower lateral cartilage
👃 Strengthened the internal nasal valve
👃 Alarplasty and tip refinement for natural balance

The result: a nose that is refined, functional, and in harmony with the face.

20/08/2025

Still struggling with nasal blockage — even after using sprays and medications?
You’re not alone. Not all blocked noses are caused by allergy or inflammation.

Sometimes, the issue is structural — and no amount of decongestant or steroid spray will fix that.

Common structural causes include:
🔹 Deviated septum — the cartilage and bone that separates your nostrils is off-centre or twisted
🔹 Turbinate hypertrophy — the natural filters inside your nose become enlarged and block airflow
🔹 Nasal valve collapse — the narrowest part of your nasal airway loses support, especially during breathing in

In cases like these, surgical correction is often needed to restore proper airflow — especially when symptoms affect sleep, exercise, or daily life.

In this post, I’m showing both the anterior rhinoscopy view and the intra-operative view of a severely deviated septum.
The deviation was clearly significant even on initial assessment — but once the nose was opened, the full extent of the internal twisting became apparent.
This type of complex deviation requires septorhinoplasty, not just basic septoplasty..

🧠 If you’ve tried sprays, antihistamines, or sinus rinses and are still feeling blocked — you might need a proper structural assessment.

17/08/2025

16/08/2025

This is the intra-operative view before and after septorhinoplasty, performed by .ent

Most patients request subtle, natural refinements — and in this case, the patient had an under-projected and bulbous nasal tip that lacked definition.

I refined the shape and projection using the patient’s own septal cartilage, harvested during septorhinoplasty.

🔧 Techniques used:
• Septal extension graft and batten graft for structural tip support
• Tip grafts to improve definition
• Intradomal and tip equalizing sutures
• Re-orientation of the lower lateral cartilages to improve tip angle and rotation

✅ The outcome: a subtle yet noticeable enhancement, preserving the patient’s natural facial balance while improving both function and aesthetics.

06/08/2025

✨ Honoured to be invited as an international speaker at the upcoming European Academy of Facial Plastic Surgery (EAFPS) 2025 meeting in Dublin — one of the most significant and largest global gatherings in facial plastic surgery.

I’ll be speaking on Asian nasal tip refinement and dorsal augmentation, as well as chairing the session on ethnic rhinoplasty.

Grateful to the organisers for the kind invitation. Looking forward to sharing insights on Asian rhinoplasty, learning from global experts, and reconnecting with old friends (and making new ones too!).

📍 Join us in Dublin, 24–27 September 2025, for one of the most important events in the facial plastic surgery calendar.

03/08/2025

⚠️ Repeating thread lifts to fix problems caused by previous thread lifts often makes things worse.
Once threads cause distortion or scarring, adding more threads rarely solves the issue — and may worsen the distortion and make future surgery more complex.

This is the intra‑operative before‑and‑after view of a complex revision rhinoplasty by .ent and

This patient had multiple thread lifts, which led to:
– Irregular, uneven nasal bridge
– Over‑rotated tip (upturned nose appearance)
– Thread migration causing asymmetry and deviation
– Scarring and fibrosis
– Remnant threads that could be felt under the skin

During surgery, we removed all the threads and rebuilt the nasal bridge using the patient’s own septal and conchal cartilage, creating a smooth bridge and a stronger, defined tip.

29/07/2025

Why Endoscopic Septoplasty Fails for Complex Septal Deviations

Not all deviated septums can be fixed with a simple endoscopic septoplasty.

This patient had a complex high anterior and caudal deviation involving the L‑strut, the critical support framework of the nose.

Endoscopic septoplasty alone often cannot correct these deviations, as they require proper exposure and reconstruction of the L‑strut for long‑term stability.

In this case, I performed an open septorhinoplasty with bilateral turbinate reduction, allowing full correction of the deviation, restoration of nasal support, and lasting functional improvement.

✅ These complex cases should be handled by fully trained facial plastic or rhinoplasty surgeons who specialise in restoring proper breathing as the priority before any cosmetic refinement.

25/02/2025

📢 CONTEMPORARY ADVANCED RHINOPLASTY COURSE 📢

🗓 31st May 2025
📍 West Midlands Surgical Training Centre, Coventry, UK

🔹 Take your rhinoplasty skills to the next level! 🔹

This hands-on cadaveric dissection course is designed for surgeons who already possess basic skills in rhinoplasty and septoplasty and wish to expand their expertise in advanced functional and aesthetic techniques.

📢 Early bird registration closes 11th April 2025!
💡 Dissector & Observer places available!

📩 Secure your spot today! Contact us:
🌍 www.medicaltrainingcourses.co.uk
📞 020 3916 6424
📧 info@medicaltrainingcourses.co.uk

🔗 DM us for more details – Limited spots available! 🚀