DR. Kosit Ieochai (DR. Benz)

─── ABOUT THE DOCTOR ───

Background and inspiration

Get to know Dr. Benz (Dr. Khosit Eawchai) in depth
I am Dr. Khosit Eawchai, also known as Dr. Benz, an otolaryngologist. Many people may know me from the medical knowledge I regularly share on TikTok, while those interested in aesthetic procedures may know me as a doctor dedicated to rhinoplasty, particularly open rhinoplasty for both primary and revision cases, including the use of the patient’s own rib cartilage. My background in otolaryngology has given me an understanding of both the external structure and internal anatomy of the nose.
For me, rhinoplasty is not solely about changing the appearance of the nose. I place equal importance on aesthetics, safety, and breathing function. What led me to focus specifically on rhinoplasty is the complexity of the nose as the central feature of the face. Even subtle changes can have a significant impact on the overall facial appearance. At the same time, there are many patients in Thailand who require care following complications from previous rhinoplasty procedures using various techniques. Being able to help patients facing these challenges has become an important source of motivation, inspiring me to remain committed to my work every day.
My goal in performing rhinoplasty is not to give everyone the same nose, but to help each patient achieve an outcome that is appropriate for them while supporting their quality of life. Above all, I believe rhinoplasty should be approached with a focus on safety, aesthetics, and long-term results.

Philosophy and approach to patient care

My principle in caring for patients is that safety and aesthetics, breathing, and patient satisfaction must all come together. I believe that good surgery should improve a patient’s quality of life in every aspect.
I believe that a suitable nose should be in harmony with the patient’s face. It does not need to be the most prominent or projected nose possible, but should be within what the tissues can support without unnecessarily increasing the risks.
A doctor’s role is not simply to do what the patient wants, but also to help assess whether what they want is appropriate and safe. If I find that a patient is not yet ready for surgery, has expectations that do not align with the limitations of their body, or wants a shape that may increase the risk to the tissues, I am prepared to postpone or decline the surgery, even if that may not be the answer the patient wants to hear at that moment. This is done for the patient’s best interests, not for the doctor’s.
I want consultations to be a space where patients can ask about anything and understand the benefits, limitations, and risks before making a decision. I believe that a good decision about surgery should come from complete information and a shared understanding between the doctor and the patient.

Specialized expertise in open rhinoplasty and rib cartilage techniques

Why do I primarily choose to use the patient’s own rib cartilage?
I choose to use the patient’s own rib cartilage in cases that require a significant change, as well as safety and long-term durability of the nose. Rib cartilage provides a sufficient amount of material, is the patient’s own tissue, and does not damage the nasal tip.
One of the key benefits is that the doctor can use the cartilage to correct the existing nasal structure when it is crooked, deviated, or has been distorted. This is particularly important in revision cases following semi-open rhinoplasty or cases where the patient has previously undergone open rhinoplasty. If the goal is to achieve a better result than before, it is often necessary to use stronger cartilage to reconstruct the nose, which requires a rib cartilage technique.
However, rib cartilage is not a material that is suitable for every doctor. An important limitation is that if a doctor has less than 5–10 years of experience, errors and complications may occur more frequently. This is one reason why we are now seeing more cases of problems following open rhinoplasty, as more doctors who have only recently completed their specialist training are increasingly performing this technique.
Personal technique for designing the nose shape
Before designing the nose, I begin by assessing the entire face rather than considering the nose as a separate feature. I look at the proportions of the forehead, eyes, cheekbones, lips, and chin, as well as the skin thickness, nasal base, strength of the nasal tip, nasal septum alignment, and the structure of the airway.
I listen to the patient’s concerns and what they would like to change. I then explain what can be done, what limitations may exist, and what type of shape is likely to suit their face, without relying solely on reference images. Even when patients want the same nose shape, each person has different underlying structures and tissues, so the results cannot be exactly the same in every case.
For the incision on the chest, I position it according to the patient’s anatomy and aim to keep the incision only as large as necessary to safely remove the rib cartilage. I also provide advice on postoperative wound care. However, the appearance and visibility of the scar, as well as the recovery period, vary from person to person, and it cannot be guaranteed that the scar will be small or fade to the same extent in every case.