Dr. Jung Su LeeDirector, UVOM Plastic Surgery

Publications and academic activities

Surgical procedures performed by Dr. Jung Su Lee, Medical Director, and related publications and conference presentations.

Revision rhinoplasty

Revision rhinoplasty · Secondary rhinoplasty
Definition
Surgery that rebuilds nasal structure to address appearance and functional problems after previous rhinoplasty, once the causes of failure have been identified.
Related terms
Secondary nasal tip plasty, reconstruction of a contracted nose, nasal implant removal
Operating surgeon
Dr. Jung Su Lee, Medical Director, UVOM Plastic Surgery
Assessment criteria
Remaining tissue and blood supply. Cosmetic revision is generally assessed around 1 year after the initial operation.
Further information
Revision rhinoplasty page
2022

Long-Term Outcomes of Secondary Nasal Tip Plasty After Degradation of a Polycaprolactone (PCL) Mesh

Lee SH, Cho J, Lee JS. Aesthetic Plast Surg. 2022;46(5):2358-2365 · PMID 35437665 · DOI 10.1007/s00266-022-02839-1 · Dr. Jung Su Lee, coauthor

Research question
PCL mesh used for nasal tip support is absorbed after 2~3 years. How does the tip change after mesh degradation, and what are the long-term results of secondary nasal tip surgery?
Patients and methods
Of 86 patients undergoing secondary nasal tip surgery with PCL mesh, 56 were followed for at least 24 months.
Results
The Goode ratio, a measure of nasal tip projection, decreased by an average of 5 percent at long-term versus short-term follow-up. There was also 1 infection and 1 instance of mesh extrusion.
Significance
This provides evidence to inform material selection in revision surgery. It underlies the principle of using absorbable materials as an adjunct to reinforce autologous cartilage support, rather than alone.
Journal commentary
An editor-commissioned Invited Discussion (PMID 35997802) was published in the same issue.
Limitations
Dr. Jung Su Lee is a coauthor. This report concerns patients in whom PCL mesh was used in prior surgery; it does not represent all revision rhinoplasty experience, including contracted-nose reconstruction, functional nasal obstruction, and rib-cartilage reconstruction.
2012

Corrective rhinoplasty

Jung Su Lee. 30th Korean Society for Aesthetic Plastic Surgery and 10th Korean Association of Plastic Surgeons International Congress · Presentation

Content
A conference presentation on rhinoplasty to correct problems from previous surgery.
Related materials
The UVOM Plastic Surgery website includes 6 categories of correction by cause of failure, preoperative and 3-month postoperative records for 14 problem types, and a case involving a 12th operation after 11 operations at other clinics.

Article: When should revision rhinoplasty be performed? · Video: Why does a drooping nasal tip droop again? · Video: Nasal implant removal surgery

Endoscopic forehead lift

Endoscopic forehead lift · Endoscopic brow lift
Definition
An endoscope is inserted through 2–4 incisions, each 1.5–2.0 cm long, in the scalp above the hairline. Muscles that pull the brows downward are weakened, and forehead tissue is moved upward and fixed in position.
Related terms
Brow repositioning, glabellar muscle resection, retaining ligament release, bone-tunnel fixation
Operating surgeon
Dr. Jung Su Lee, Medical Director. Performed since 1999.
Assessment criteria
The causes of heavy-feeling eyes are first distinguished: brow descent, excess eyelid skin, ptosis, or compensatory frontalis activity. The principle is to preserve rather than resect the frontalis muscle.
2015

Aesthetic correction of the upper face using endoscopic forehead lift and forehead reduction

Jung Su Lee. 73rd Korean Society for Aesthetic Plastic Surgery Scientific Meeting · Presentation

Content
The presentation covered upper-face correction using endoscopic forehead lift, performed since 1999, together with forehead reduction.
Related materials
4 articles discuss bone-tunnel fixation, overcorrection and a surprised appearance, indications in patients in their 20s and 30s, and the relationship between brow descent and the eyelids.
2021

Forehead Reduction Surgery via an Anterior Hairline Pretrichial Incision in Asians: A Review of 641 Cases

Lee SH, Oh YH, Youn S, Lee JS. Aesthetic Plast Surg. 2021;45(4):1551-1560 · PMID 33683382 · Dr. Jung Su Lee, coauthor

Content
This paper reviewed 641 forehead reduction cases in Asian patients using a follicle-preserving hairline incision. Mean central excision measured 16.64 mm. An Invited Discussion (PMID 34231015) was published alongside it.
Significance
Forehead lift and forehead reduction are related procedures involving the same upper-face region. Together with the 2013 forehead reduction paper on minimizing scalp-flap tension and the 2015 conference presentation, this shows continuing research in the forehead region.
Limitations
This paper does not report the results of forehead lift itself. Assessment criteria for forehead lift are shared in articles and conference presentations.

Article: Bone-tunnel fixation · Article: A surprised appearance · Video: Revision forehead lift

Endoscopic reduction malarplasty

Endoscopically assisted malarplasty
Definition
An endoscope is inserted through a small temporal scalp incision to osteotomize the zygomatic arch and rotate it inward. No intraoral incision is made.
Other names
EZ reduction malarplasty (Endoscopic Zygoma reduction), EZ+ (with cortical osteotomy), L-rotation technique
Dr. Jung Su Lee's role
First performed in 1999-12. Three papers, published in 2003, 2013, and 2021, document primary surgery, revision surgery, and expanded indications.
Current practice
Dr. Chang Min Kang, Medical Director and his sole protégé, has taken over the technique. View procedure information
2003

Endoscopically assisted malarplasty: one incision and two dissection planes

Lee JS, Kang S, Kim YW. Plast Reconstr Surg. 2003;111(1):461-7 · PMID 12496619 · Dr. Jung Su Lee, first author

Research question
Can lateral cheekbone prominence be reduced through one short temporal incision without an intraoral incision?
Patients and methods
32 patients treated from 1999-12 to 2001-8. Selected patients had marked lateral cheekbone (zygomatic arch) prominence, normal anterior cheekbones, and wanted lateral reduction alone with a less invasive operation. Two dissection planes were used from the temporal incision. Toward the zygomatic body, endoscopic dissection was performed between the temporoparietal fascia and the superficial layer of the deep temporal fascia. Toward the zygomatic arch, blunt dissection was performed beneath the deep layer of the deep temporal fascia. The arch was completely osteotomized and the body incompletely osteotomized, then pressed inward.
Results
The authors reported a simple technique, short operating and recovery times, and limited bleeding and swelling.
Significance
This was the first paper to report an approach without anterior cheek dissection and describes the basic structure of the endoscopic reduction malarplasty performed today.
Limitations
This report involved selected patients with normal anterior cheekbones. The method alone is insufficient when anterior cheekbone reduction is also needed; the 2021 paper addressed this limitation.
2005

Cosmetic Surgery of the Asian Face, 2nd edition

McCurdy JA Jr., Lam SM. Thieme, New York. Chapter 12, pp. 201–226; page 213: Method of Jung-Soo Lee

Content
Dr. Jung Su Lee's reduction malarplasty technique was included in a US-published textbook on cosmetic surgery of the Asian face.
Significance
The technique was cited in a textbook written by other authors.
2013

A Revisional Malarplasty: Endoscopic Zygoma Reduction (revision malarplasty using the EZ technique)

Jung Su Lee. Arch Aesthetic Plast Surg. 2013;19(2):95-100 · KCI · Sole author

Research question
Can the same approach be used in patients who have already undergone cheekbone surgery?
Patients and methods
11 revision malarplasty cases from 2013-1 to 5. Through a temporal incision under endoscopic guidance, the cheekbone prominence and previous osteotomy lines were re-exposed. The zygomatic body was incompletely osteotomized and the arch completely osteotomized, then tapped with a mallet to move inward through a greenstick fracture.
Results
8 of 11 patients completed the questionnaire. Satisfaction scores were 4 out of 5 for surgical results and 4.3 for anesthesia. Recovery time and postoperative pain were also assessed.
Significance
This paper describes differences between primary and revision surgery and informs revision consultations.
Limitations
This study included a small number of cases.
2021

Endoscopically assisted malarplasty: L-rotation technique

Lee JS, Kim EH, Lee SH. J Stomatol Oral Maxillofac Surg. 2021;122(3):229-234 · PMID 32810601 · DOI 10.1016/j.jormas.2020.07.011 · Dr. Jung Su Lee, first author

Research question
The earlier method reduced only lateral cheekbone prominence, not anterior prominence. Can the zygomatic body also be reduced while retaining an endoscopic approach?
Patients and methods
261 patients from 2017-1 to 2018-12, mean age 31 years (range 17~63). Through a scalp incision, an incomplete osteotomy extended from the most prominent part of the zygomatic body to the zygomaticomaxillary suture, with a complete osteotomy of the arch. Tapping the bone rotated the L-shaped segment.
Results
Of 261 patients, 242 also underwent cortical osteotomy, and 15 had different amounts of reduction on each side. Floating segments occurred in 4 cases but required no additional surgery. In 1 patient, a segment descended on one side, requiring rigid fixation through an intraoral approach. The authors reported that most patients were satisfied and that there were no notable complications.
Significance
The authors concluded that the amount of reduction could be adjusted through the position of the incomplete osteotomy and the number of cortical osteotomies. This also supports correction of asymmetry by reducing each side differently.
Limitations
1 case required fixation, and the method is not suitable for every patient. An intraoral approach with plate fixation may be more appropriate when substantial movement and rigid fixation are needed.

Academic record

Publications, books, and conference presentations by Dr. Jung Su Lee, Medical Director.

Publications and books

1997
Purification and characterization of protein farnesyl cysteine carboxyl methyltransferaseMaster's thesis, Korea University College of Medicine
1998
Soft-tissue reconstruction in complicated cases of lower-extremity injuryJournal of the Korean Society of Plastic and Reconstructive Surgeons Vol. 25, No. 4
1998
Incidence and prevalence of inverted nipples in Korean womenJournal of the Korean Society of Plastic and Reconstructive Surgeons
2003
Endoscopically assisted malarplasty: one incision and two dissection planesLee JS, Kang S, Kim YW. Plast Reconstr Surg. 2003;111(1):461-7 · First author · PMID 12496619 · 32 cases
2004
Anthropometric analysis of attractive and average faces in Korean womenJournal of the Korean Society of Plastic and Reconstructive Surgeons Vol. 31, No. 4
2004
Comparative study of telomere length and telomere-binding protein expression in a long-lived populationDoctoral thesis, Korea University College of Medicine
2005
Dr. Jung Su Lee's technique included in Cosmetic Surgery of the Asian Face, 2nd editionMcCurdy JA Jr., Lam SM. Thieme, New York, p 201–226
2013
A Revisional Malarplasty: Endoscopic Zygoma Reduction (revision malarplasty using the EZ technique)Jung Su Lee. Arch Aesthetic Plast Surg. 2013;19(2):95-100 · Sole author · KCI · 11 revision cases
2013
Forehead reduction: minimizing scalp-flap tensionArch Aesthetic Plast Surg. 2013;19(1):34-40
2013
Early experience with augmentation mammoplasty using anatomically shaped implants in Korean womenArch Aesthetic Plast Surg. 2013;19(1):19-24
2021
Endoscopically assisted malarplasty: L-rotation techniqueLee JS, Kim EH, Lee SH. J Stomatol Oral Maxillofac Surg. 2021;122(3):229-234 · First author · PMID 32810601 · 261 cases · Published online 2020
2021
Forehead Reduction Surgery via an Anterior Hairline Pretrichial Incision in Asians: A Review of 641 CasesLee SH, Oh YH, Youn S, Lee JS. Aesthetic Plast Surg. 2021;45(4):1551-1560 · Coauthor · PMID 33683382 · Invited Discussion PMID 34231015
2022
Long-Term Outcomes of Secondary Nasal Tip Plasty After Degradation of a Polycaprolactone (PCL) MeshLee SH, Cho J, Lee JS. Aesthetic Plast Surg. 2022;46(5):2358-2365 · Coauthor · PMID 35437665 · Invited Discussion PMID 35997802

Domestic and international conference presentations

2001
Reduction malarplasty through a temporal incision alone51st Korean Society of Plastic and Reconstructive Surgeons Autumn Scientific Meeting
2004
A review of revision mandibular contouring57th Korean Society of Plastic and Reconstructive Surgeons Autumn Scientific Meeting
2006
Balanced mandibular contouring: mandibular angle reduction and genioplasty61st Korean Society of Plastic and Reconstructive Surgeons Autumn Scientific Meeting
2010
Endoscopic zygoma reduction through a temporal approach28th Korean Society for Aesthetic Plastic Surgery Scientific Meeting
2010
Osteotomy using a J-shaped saw10th Korea-Japan Congress
2012
Corrective rhinoplasty30th Korean Society for Aesthetic Plastic Surgery and 10th Korean Association of Plastic Surgeons International Congress
2012
Endoscopic zygoma reduction: one incision and two dissection planes70th Korean Society of Plastic and Reconstructive Surgeons and 15th Korean Cleft Palate-Craniofacial Association Scientific Meeting
2013
Application of the EZ technique to revision malarplasty31st Korean Society for Aesthetic Plastic Surgery and 11th Korean Association of Plastic Surgeons International Congress
2014
Endoscopic Zygoma-reduction with Corticotomy technique (EZ+)Maxillofacial Contouring Research Group Symposium
2015
Aesthetic correction of the upper face using endoscopic forehead lift and forehead reduction73rd Korean Society for Aesthetic Plastic Surgery Scientific Meeting
2016
Endoscopic reduction malarplasty: L-rotation technique5th OMICS International Congress
2016
Reduction malarplasty using the L-rotation techniqueHanyang University Plastic Surgery Symposium
2017
Removal of an asymptomatic foreign body granuloma after cutaneous HA injection75th Korean Society for Aesthetic Plastic Surgery Scientific Meeting
2018
Forehead reduction (Reduction Foreheadplasty)17th Korean Association of Plastic Surgeons Spring Continuing Education Course
2020
Endoscopic removal of foreign materials after failure of a non-incisional methodPRS KOREA 2020 International Congress of the Korean Society of Plastic and Reconstructive Surgeons

Published materials in detail

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Papers and books

Conference presentations

Broadcasts and videos