Requests of Asian Rhinoplasty Patients
Patients seeking rhinoplasty surgery to reshape the nose from a traditional Asian form to a more Caucasian-inspired feature may have unrealistic expectations for the transformation. As requested, patients bring to Dr. Nassif’s Beverly Hills practice photographs of their ideal nose. Sometimes these pictures may be of celebrities, and other times they may be of other patients who have undergone one or multiple plastic surgeries of the nose. Often times, those seeking an Asian rhinoplasty reveal they would like very thin nasal bridges and overly refined nasal tips. They seek drastic changes that will make the face appear less “ethnic”. However, the goal for Asian rhinoplasty today is not to become westernized in appearance, but to refine and improve upon the nose while maintaining the patient’s ethnic identity.
Dr. Nassif must explain to his patients that it is not always possible to achieve extreme results from an Asian rhinoplasty, or any rhinoplasty for that matter. Removing an excessive amount of tissueor altering the anatomy of the nose to achieve aesthetic results may obstruct the nasal passages or cause other problems. The structure can become weakened which may create long-term issues for the patient. Before the surgery, it must be communicated that there are inherent limitations when performing this procedure. If a patient seeks results that will compromise his or her ability to breathe clearly or wishes to refine the nasal structure as to threaten its integrity, Dr. Nassif will explain why such changes are not possible.
Asian Nasal Anatomy and Rhinoplasty
The Asian nose tends to have a wide nasal bridge set closely to the face, a slightly more bulbous tip, and a flared appearance to the nostrils in comparison to Western noses. Typically the changes requested are those that will create a more prominent and distinguished focal feature. Such alterations include a heightened and thinner bridge, a refined nasal tip, as well as a narrowing of the nostrils. By creating more angles within the nose, the typically rounded features of the Asian nose can be improved upon.
Skin thickness may play a role in how much definition can be achieved, and may differ from patient to patient. One common feature among most non-Caucasian individuals is the thicker skin of the face, including that of the nose.The cartilage of the nasal tip can be restructured, or even recreated through biological material or an implant, but the end result will be determined by the epidermal covering, and how well these changes can be noticed through the overlaying of skin. Another limitation may be bone structure. The extent of changes a patient seeks may not be well suited for the rest of the face. Despite working in Beverly Hills where plastic surgery is a common occurrence, Dr. Nassif seeks to produce results that are not artificial. This objective may influence the way the surgery is performed. A patient may be most interested in an operation with a biocompatible implant made of silicone, Goretex, or another material, but in some patients the implant can be seen through the skin. In such cases a less-obvious cartilage implant can be created to restructure the bridge.
It is important for patients to communicate the changes they wish to see and, further, to understand if they are or are not possible. Dr. Nassif knows that a successful Asian rhinoplasty preserves or improves patient breathing functions, promotes a strong and durable feature, and creates pleasing yet natural results. Each change to the nose should be discussed in full, and a computer imaging program can allow patients to see how they may look post-operatively.
Dr. Nassif of Beverly Hills specializes in Asian rhinoplasty. He has trained other surgeons on his well-developed techniques and sees patients from all over the world. Dr. Nassif can be seen on TV’s Dr. 90210, The Doctorsand Real Housewives of Beverly Hills where he treats actual patients who seek surgeries such as the Asian rhinoplasty.