Personalized Treatment Proposal

Functional & Aesthetic Rhinoplasty

A comprehensive plan to correct nasal valve collapse, improve breathing, and refine nasal aesthetics.

Patient
Jonathan Olsen
Lead Surgeon
Dr. Palapong Chayangsu, MD
Clinic Location
Bangkok, Thailand

Patient Summary

Mr. Jonathan Olsen presented for a virtual consultation seeking both functional and aesthetic improvements to his nose. Following orthognathic (jaw) surgery 10 years ago to correct an underbite, he has noted ongoing functional breathing difficulties, specifically a collapse of the nasal sidewalls upon deep inhalation, leading to chronic mouth breathing, mouth taping, and snoring.

Aesthetically, he wishes to refine the protruding nasal tip to achieve a more balanced facial profile. His medical history notes childhood epistaxis (nosebleeds) treated with cauterization—which is currently stable—and nasal rosacea, which is well-managed. During the consultation, Dr. Palapong also observed hyponasal speech, further indicating restricted airflow.

1
Why Choose Dr. Palapong
Dual-certified ENT and Facial Plastic Surgeon
ENT
Specialist Background
Rib
Grafting Expertise
Specialized Dual Expertise: As an ENT-trained facial plastic surgeon, Dr. Palapong intimately understands both complex internal airway dynamics and external aesthetics.
Advanced Structural Reconstruction: Highly experienced in utilizing autologous rib cartilage for robust, long-lasting nasal framework support.
Bespoke Diagnostics: Emphasizes individualized diagnostic imaging (PNS CT Scans) to tailor the surgical approach to your unique anatomy prior to making an incision.
2
Doctor's Assessment & Recommendation
Clinical findings from the initial consultation
Internal Nasal Valve Collapse: Visual and auditory cues (hyponasal voice) strongly suggest significant structural weakness causing the sidewalls to collapse during inhalation.
Diagnostic Requirement: A Paranasal Sinus (PNS) CT scan is required to fully map the internal airway and sinus health prior to finalizing surgery.
Reconstructive Approach: An Open Rhinoplasty is recommended to provide full exposure of the nasal framework for accurate, targeted modification.
Rib Cartilage Grafting: Given the structural collapse, a rib graft is essential for building a strong, stable "roof" and sidewalls to permanently prevent airway blockages and refine the tip.
3
Procedure Plan
Your tailored surgical pathway
Procedure 01
Open Rhinoplasty with Rib Reconstruction
TechniqueOpen surgical approach with autologous rib cartilage harvesting and structural grafting.
PurposeTo resolve nasal valve collapse, restore functional airflow, and aesthetically refine the protruding nasal tip.
Areas TreatedInternal nasal valves, nasal dorsum, nasal tip, and rib (donor site).
SettingHospital Setting, General Anesthesia
Recovery7-10 days initial downtime, 6-12 months for final structural settling.
Surgical BenefitPermanent structural support for unimpeded breathing and balanced facial harmony.
4
Expected Results
Anticipated functional and aesthetic outcomes
Clear
Unobstructed Airflow
Balanced
Aesthetic Profile
Stable
Structural Support
5
Services & Pricing
Investment for your surgical journey
Option A: Complete Reconstructive Package
Open Rhinoplasty with Rib Graft Reconstruction (Hospital Setting)$12,200
Total Package (USD) $12,200
≈ THB 390,400 at 32 THB/USD
Item Quote Price Details
Open Rhinoplasty $12,200 Hospital setting; includes rib cartilage reconstruction to resolve internal valve collapse.
Note: Pricing is based on our current rates for primary open rhinoplasty in a hospital setting. The final surgical plan and total cost are strictly subject to confirmation following Dr. Palapong's review of the requested Paranasal Sinus (PNS) CT Scan and an in-person assessment.

Payment Terms

  • A 20% deposit is required to secure your surgery date.
  • The remaining balance is due 14 days prior to the scheduled procedure.
  • Payments can be made via international bank transfer or credit card (fees may apply).

Refund Policy

  • Deposits are fully refundable up to 30 days before surgery, minus a $200 administrative fee.
  • Cancellations within 14-30 days forfeit the deposit.
  • No refunds for cancellations within 14 days of surgery.
Validity: This quotation is valid for 30 days from the date of issue.
  • Final surgical clearance is strictly dependent on the results of the requested PNS CT scan to rule out underlying sinus issues.
  • As discussed, rhinoplasty surgery will not treat, alter, or cure your nasal rosacea condition.
6
What's Included in Your Package
Comprehensive care from start to finish
Hospital & Facility
  • Premium hospital operating theater
  • General Anesthesia by a board-certified anesthesiologist
  • 1-night inpatient hospital recovery
Medical Team
  • Surgeon fees for Dr. Palapong
  • Surgical nursing staff
  • Post-operative wound care team
Medication & Care
  • Standard post-op medications (antibiotics, painkillers)
  • Nasal splints, packing, and wound dressings
  • Routine follow-up appointments and suture removal
Concierge Service
  • Dedicated international patient coordinator
  • Assistance coordinating with local facilities for CT Scans
  • 24/7 post-op communication line
Note: Final clearance for surgery will be granted once the Paranasal Sinus (PNS) CT Scan has been reviewed by Dr. Palapong to rule out any underlying sinus or structural contraindications.

Not Included (Available on Request)

Item Details
Diagnostic Scans PNS CT Scans obtained at third-party facilities (e.g., in Phuket or Bangkok) are paid directly to the imaging facility.
Travel & Accommodation Flights, hotels outside of the included hospital stay, and local transport.
7
Recovery & Timeline
Your healing journey
Days 1-3
Maximum swelling and mild discomfort. Mouth breathing will be required while internal packing or splints are in place. Rib donor site may feel sore.
Day 7-10
Removal of external nasal splint and non-dissolvable sutures. Check-up of the rib donor site incision.
Weeks 2-4
Significant reduction in visible swelling. Gradual return to normal daily activities and light exercise.
Months 6-12
Final structural settling. Noticeable permanent improvement in airway patency and finalized aesthetic contour of the tip.

Recommended Length of Stay in Bangkok

We strongly recommend planning to stay in Bangkok for a minimum of 10 to 14 days post-surgery. This allows ample time for splint and suture removal, ensuring the initial healing phase of both the nose and the rib donor site is complication-free before you fly.

8
Next Steps
Moving forward with your procedure
1. Obtain CT Scan: Complete the requested Paranasal Sinus (PNS) CT Scan at your preferred diagnostic facility in Phuket or Bangkok.
2. Submit Results: Forward the CT scan imaging (CD/Digital Link) and radiologist report to our clinic for Dr. Palapong's review.
3. Finalize Plan & Book: Once cleared by the doctor, coordinate with our team to select your preferred surgery dates and submit the deposit.
9
Contact & Booking
We are here to assist you
Website
www.bkflclinic.com | www.bangkokfacelift.com
Email
admin@bkflclinic.com
WhatsApp / Direct Line
+66 61 555 6552
Location
26/1, Chani Residence Building, 2nd Floor, Soi Thonglor 13, Khlong Tan Nuea, Watthana, Bangkok 10110
Operating Hours
Mon–Sat 10:00–19:00 ICT (UTC+7) — international support 24/7 once booked
BKFL Clinic
BKFL Clinic result gallery 1 BKFL Clinic result gallery 2 BKFL Clinic result gallery 3 BKFL Clinic result gallery 4

Thank you for considering BKFL. We would be honoured to take care of you here in Bangkok.

Prepared for Jonathan Olsen — May 14, 2026

Prepared for: Jonathan Olsen
Clinic: BKFL Clinic — Bangkok Facial Rejuvenation Specialist
Note: This document is confidential and intended solely for the named recipient.

Medical Disclaimer & Terms of Quotation

This document, issued by BKFL Clinic on May 14, 2026, constitutes a confidential instrument prepared exclusively for Jonathan Olsen.

The clinical outlines and financial estimates contained herein are derived from an initial remote consultation and are contingent upon a comprehensive, in-person clinical evaluation. BKFL Clinic reserves the right to modify treatment protocols, procedural requirements, and final pricing based on the findings of said physical assessment. All professional fees are quoted in USD and shall remain fixed for a period of 30 days from the date of issuance.