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

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

Dr Eugene Wong is a Consultant ENT & Facial Plastic Surgeon and an Associate Professor at UMS

08/11/2025

This is a complex revision rhinoplasty by .ent and

The patient previously underwent a thread-lift rhinoplasty to increase dorsal height and tip projection, but as the effect wore off, the tip became de-projected and overly rotated, and multiple threads could be palpated along the dorsum and tip, making the nose feel firm from underlying fibrosis.

In the first stage, all the old threads were carefully removed to allow proper structural reconstruction.

The nose was then reconstructed using rib DCF (diced cartilage fascia) to restore the depressed radix and dorsum, along with various grafts to project and de-rotate the tip, giving a natural and stable result.

Autologous cartilage provides a reliable foundation for a long-term, durable outcome.

07/11/2025

Still think nose threads just “dissolve”?
These were removed from one nose during surgery.

Thread-lift rhinoplasty may look simple on the surface, but the threads — especially the barbed types — can create problems beneath the skin.

Those tiny hooks are designed to anchor into the soft tissue, and the body forms scar tissue around them. This can lead to:

• asymmetric fibrosis, which can pull the soft tissue off-centre
• tethering from scar tissue, reducing the natural movement and elasticity of the nose, causing it to feel stiff
• thread migration or bunching, creating contour irregularities
• localised inflammation or granuloma along the thread tract

These internal changes can make subsequent surgical rhinoplasty more complex and may affect the final outcome of surgery.
It’s always best to consult a rhinoplasty surgeon before inserting more threads into your nose.

02/11/2025

This before/after intra-op case by .ent shows a patient with a complex deviated septum after a sports injury — causing a constantly blocked nose.
The septum was carefully straightened and secured in the midline to restore clear breathing.

Contact sports such as boxing, basketball, football, rugby, and MMA can cause fractures or dislocation of the nasal septum — involving both the cartilage and bone.
When that happens, the external nose may look crooked, and the internal septum often follows the same curve, blocking one or both sides.

If you’ve had a sports-related nasal injury and your nose still feels blocked, it’s worth getting checked — the problem may be structural, not just allergy-related.

01/11/2025

This is a recent case of by .ent and

Some patients don’t need major dorsal work — just alarplasty and tip plasty to narrow the nasal base and achieve a more refined, natural appearance.

Notice how the nostril orientation changed from a more horizontal shape to a softer, teardrop configuration — giving the patient a more elegant look.

These small, precise adjustments can make a remarkable difference — enhancing definition while keeping the result natural.

30/10/2025

This is a case of revision rhinoplasty by .ent and
The patient had a previous thread-lift rhinoplasty that gradually created a crooked nose appearance over time.
All the old threads were carefully removed, and the nose was reconstructed using the rib DCF (diced cartilage fascia) method to restore both symmetry and long-term support.

Thread lifts can cause nasal distortion mainly through asymmetric scarring and tethering beneath the skin:
• The barbs or cones can anchor asymmetrically, creating traction forces that twist or tilt the nasal framework.
• As the threads lose tension, the soft tissue settles unevenly — one side may remain tethered while the other relaxes, gradually pulling the nose off-centre.
• Uneven fibrosis (scarring) around old thread paths can distort the contour and further exaggerate the deviation.
• In some cases, infection or granuloma around the thread tract can cause additional contour irregularities.

Threads may seem like a quick fix and may look straight at first — but as these changes occur, the long-term result may be far from what you expect.

28/10/2025

This patient had a previous nose injury, which caused a severe, complex septal deviation completely blocking the left nasal cavity.

During septorhinoplasty by .ent , an old fracture line was identified in the anterior cartilaginous septum, along with a deviated cartilaginous and bony septum.
The deviated segments were carefully removed, and the septum was reconstructed and reinforced in the midline with structural grafts — restoring a clear nasal passage on both sides.

👃🏻 If you’ve had a nose injury and still struggle to breathe, it’s worth getting checked to see if the trauma has caused a structural blockage inside the nose.

27/10/2025

Ever wonder why your blocked nose keeps changing sides? 👃🏻💤
That’s your nasal cycle — a normal physiological alternation where your turbinates congest and decongest every few hours.

When you lie on your side, the dependent nasal passage (the lower side) becomes more congested due to gravitational venous pooling in the inferior turbinate — that’s why it feels more blocked on the side you’re sleeping on.

If you already have allergic or inflammatory swelling, this normal cycle becomes more noticeable — it feels like your blockage keeps shifting from side to side.

🩺 Persistent obstruction isn’t just the nasal cycle — it’s worth checking for the underlying cause.

26/10/2025

This patient had an old nose injury from contact sports many years ago.

Since then, he’s had constant nasal blockage, needing to breathe through his mouth — affecting his sports performance and causing snoring at night.

On examination, he couldn’t breathe through either nostril:
👉 One side was completely blocked by a severely deviated septum (the internal partition dividing both nasal passages).
👉 The opposite side was obstructed by turbinate enlargement, which often happens when the septum has been bent for a long time.
👉 He also had a weak nasal tip, which made the airway less stable during breathing.

To restore his breathing:
✅ The septum was straightened back to the midline
✅ The turbinate was reduced to open the passage
✅ The nasal tip was reinforced to provide lasting structure and airflow

👃 Know someone who can’t breathe properly after a sports injury?
Share this to help others realise that these problems can be treated.

19/10/2025

Natural Rhinoplasty Transformation 👃
Performed by .ent and

This is the 4-month post-operative transformation of our lovely patient who underwent using a rib DCF graft, with tip plasty and alarplasty.

She’s very happy with how natural and refined the result looks — enhancing her facial balance while still preserving her own identity.

A huge thank you to our patient for trusting us and allowing us to share her rhinoplasty journey. 🌟

18/10/2025

Rhinoplasty isn’t just about changing how the nose looks — it’s about how it works. 👃
In this case of by .ent and , surgery corrected a deviated septum, turbinate hypertrophy, and nasal valve collapse to restore breathing — while refining the nose externally for a natural, balanced result.

A beautiful nose that can’t breathe well isn’t a success.
And a functional nose that looks unnatural isn’t complete either.
Form and function must always go together.

Address

Kota Kinabalu

Website

http://www.wongfacialsurgery.com/

Alerts

Be the first to know and let us send you an email when Assoc Prof Dr Eugene Wong - ENT & Facial Plastic Surgeon 耳鼻喉与面部整形外科医生 posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Contact The Practice

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

Shortcuts

Want your practice to be the top-listed Clinic in Kota Kinabalu?