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  • In many ways, Asian rhinoplasty is like nose surgery for non-Asian patients. But unlike nasal procedures performed on other ethnicities, Asian rhinoplasty frequently requires adding length to the nose and augmenting it. Special techniques are needed to achieve these objectives.

    Why is there a specific rhinoplasty just for Asians?

    Certain anatomical features of the nose are (typically) different in Asians, and Asian rhinoplasty procedures reflect these differences.

    While not all Asian noses are the same, common characteristics include:

    • Wide alar base
    • Lack of tip projection
    • Triangular form
    • Thick nasal skin
    • Sharp nasolabial angle
    • Undefined nasal tip
    • Low nasal bridge
    • Bulbous tip
    • Lack of dorsum projection

    What are some common concerns of Asians seeking rhinoplasty?

    Two of the most common concerns Asian rhinoplasty patients have are wide nostrils and/or a flat nasal bridge lacking in definition. Another common complaint is that the nasal tip is undefined.

    What is the ideal nose shape for an Asian patient seeking a nose job?

    There is no such thing as an ideal nose shape for Asians. Instead, the ideal shape is specific to the patient and depends entirely on the patient’s individual anatomy and preferences. The goal should be to achieve a nose shape that is attractive, symmetrical and harmonious with the rest of the face. That being said, here are some of the goals many Asian rhinoplasty patients have, that facial plastic surgeons often attempt to accommodate.

    Make the Nasal Bridge More Prominent. This alteration is often made because many Asians complain that their noses lack definition. When adding definition it is important to also preserve the space between the bridge and forehead, so as to avoid producing an unnatural appearance.

    Make the Nasal Tip More Defined. Many Asians have weak cartilage in the tip of the nose. As a result, specialized techniques have to be used to make the tip stronger and to make it project more. In many cases this involves making changes to the tip cartilage, as well as the use of cartilage grafts taken from the septum or the ear.

    Narrow the Nostrils. Many Asians, especially those of South Asian extraction, complain of wide nostrils. Correcting this involves reducing the nostril sidewall length and making changes to the cartilage.

    Make the Nose Longer. Many Asians have flat, short noses that benefit from lengthening techniques.

    How is Asian rhinoplasty performed?

    Asian rhinoplasty frequently involves augmentation as opposed to reduction techniques. In this way, Asian rhinoplasty techniques differ from the rhinoplasty methods typically used on Caucasian ethnicities are.

    Asian rhinoplasty often seeks to achieve more than one of goals described above. Grafts and/or implants are often involved. But, in contrast to procedures performed in Asia, which often involve the use of implants comprised of artificial substances such as silicone, in the United States facial plastic surgeons usually avoid using these implants and grafts in favor of cartilage grafts taken from areas of the patient’s own body, such as the septum, ear or rib.

    A few of the more common Asian rhinoplasty techniques include the following:

    Grafting. Asian noses frequently benefit from lengthening techniques involving the use of grafts. The vast majority of facial plastic surgeons in the U.S. prefer to use cartilage from the septum or ear when creating grafts used in rhinoplasty procedures. However, sometimes a synthetic implant called Medpor is the best option.

    Alar Base Reduction. Reducing the alar base is usually the last of several actions taken during Asian rhinoplasty. This is a complex technique that requires special incisions. The surgeon must take special steps to avoid creating overly narrow nostrils or a teardrop-shaped or asymmetrical result. To prevent these effects the surgeon must pay attention to a number of factors such as the shape of the nose as well as alar base width and flare.

    Nasal Tip Refining. The look of the nasal tip is greatly affected by the lower lateral cartilages. Nasal tip methods are used to reshape the tip by refining the lower lateral cartilages. Any number of actions may be taken, depending on the patient’s needs. This may include extracting cartilage and boosting the tip. In most cases nasal tip refinement involves several of these actions in addition to suturing methods and, in some cases, the use of cartilage grafts.

    Several types of surgeons and medical specialists perform Asian rhinoplasty. It is imperative that you select a board certified facial plastic surgeon with extensive Asian rhinoplasty experience. Facial plastic surgeons possess years of training in many forms of nose surgery, as well as an understanding of nasal anatomy unmatched by other types of surgeons.

    American Academy of Facial Plastic and Reconstructive Surgery - logo American Academy of Facial Plastic and Reconstructive Surgery
    American Board of Otolaryngology - logo American Board of Otolaryngology
    American College of Surgeons - logo American College of Surgeons
    Weill Cornell Medicine - logo Weill Cornell Medicine
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