APEX Implant-Free Rhinoplasty — the key is using the right amount in the right place, matched to the properties of each autologous tissue

Apex Motto

Different skills, different result

Apex plastic surgery is professional and experienced.Apex specializes in cosmetic surgeries including
eye surgery, nose surgery, face lifting & anti-aging, and breast surgery

to suit the properties of your own tissue
the right amount in the right place
how you use it is the key!

APEX Implant-Free Rhinoplasty is
Mainly using postauricular fascia among autologous tissues to raise the nose line naturally,
Creates a natural nose line with added definition and safety.
The feel is also soft, and once the graft takes, the effect is permanent.

A prohibition symbol placed over surgical instruments and a silicone nasal implant to illustrate Implant-Free Rhinoplasty

Minimizes side effects such as foreign-body feel and inflammation

Because no artificial implant is used, foreign-body sensation, inflammation and side effects are minimized, and
creates a natural nose line.

A soft feel and a natural shape

Using only autologous tissue for a soft feel and
completing a naturally shaped nose line.

Autologous tissues used for Implant-Free Rhinoplasty—costal cartilage, septal cartilage, and retroauricular fascia—displayed on a black background

Firm and long-lasting results

Once your own tissue engrafts, it resists external impact
Permanent surgical results can be expected.

Compare

Autologous tissue vs. synthetic implants

Learn the differences between autologous tissue and artificial implants to apply the right method.

Autologous Tissue

Artificial implant

Raising the bridge and tip, or filling in thin skin and soft tissue, and so on
Can be used for various purposes

Indications

Used to raise the nasal bridge

Resistant to external impact after engraftment

External Impact

May shift position from an external impact

Almost none

Inflammation

Rarely occurs

Little foreign-body sensation or side effects, a natural feel, semi-permanent results

Pros

The nose can be raised easily and its shape is simple to design

Hard to process, and the available amount is limited per person

Cons

A foreign-body sensation may occur, and side effects are possible in rare cases

Implant

Types of autologous tissue

Learn about the types of autologous tissue; we use the one suited to your condition.

Ear Cartilage

Cartilage harvested from the ear

The cartilage is shaped much like the nose, rounded and
Being resilient, it works well for building the tip structure
is easy, and the amount of septal cartilage
and when it is insufficient, for additional use
is suitable.

Anatomical diagram highlighting internal nasal cartilage and the nasal septum in purple to explain harvest and donor sites for Implant-Free Rhinoplasty

Septal Cartilage

Cartilage located in the center of the nose

The septal cartilage inside the nose is carved and
then the tip is raised or the nose length
mainly used for lengthening. The nose
Because it is harvested from inside, no separate
The advantage is that no incision is required.

Rib cage skeletal diagram highlighting in purple the autologous costal cartilage harvest site used in Implant-Free Rhinoplasty

Rib cartilage (costal cartilage)

Cartilage harvested from the rib area

Costal cartilage from the lower ribs has almost no
with strong support and durability, and especially
A sufficient amount can be secured, so the functional
aspect and the aesthetic aspect alike
is a surgical material.

Ear anatomy diagram highlighting the retroauricular fascia harvest site in a purple square for Implant-Free Rhinoplasty

Postauricular Fascia

Uses the fascia behind the ear, the membrane covering muscle

mainly using fascia from behind the ear.
Wrapping the implant in fascia so that the implant and
One more fascial layer forms between the skin,
and is therefore used mainly when the skin is thin
is the material used.

Implant-Free Rhinoplasty female model with distinct facial features and nasal bridge looking forward against a beige background

Who?

APEX Implant-Free Rhinoplasty
Who is it right for?

Learn who is a candidate for APEX implant-free rhinoplasty.

01If you want a natural, dimensional nose line
02If you are reluctant to use artificial implants
03If you worry about side effects such as infection or contracture
04When you want a natural nose line
05Wanting revision surgery due to inflammation or capsular contracture

Surgery

APEX Implant-Free Rhinoplasty Surgical Methods

How is APEX implant-free rhinoplasty performed?

Autologous dermis (fascia from behind the ear) is harvested. After being finely trimmed to suit the condition,
Inserted in the exact position to improve the shape of the nose.

Lateral nasal anatomy illustration color-coding internal cartilage structures, such as the nasal septum and alar cartilage, for Implant-Free Rhinoplasty

Side anatomical illustration showing cartilage grafting to the Nasal Tip and reinforcement of the columellar strut during Implant-Free Rhinoplasty

Cross-sectional view of the internal nasal structure showing autologous cartilage grafted and secured to the nasal bridge and Nasal Tip during Implant-Free Rhinoplasty

Before surgery

Drooping nasal tip

Alar cartilage dissection

Dissection of the alar cartilage at the tip

Cartilage Graft

Cartilage graft shaped to suit the condition

After surgery

Improved into a beautiful nose line

APEX Implant-Free Rhinoplasty — the key is using the right amount in the right place, matched to the properties of each autologous tissue