The Postoperative Course in Asian Rhinoplasty
Rhinoplasty is a common, yet complicated surgery. Even a skilled facial plastic surgeon such as Dr. Nassif cannot always predict the ways in which the nose will heal. During an Asian rhinoplasty, the nose is often altered in similar ways as other ethnic patients. In comparison with a typical Caucasian rhinoplasty, the Asian nose is often increased in prominence during surgery rather than reduced in size. This is often achieved by adding some material to the Asian patient’s nose, while Caucasians and other patients commonly require tissues to be removed so the nose can be refined in size and shape.
The difference between Asian rhinoplasty and other rhinoplasty surgeries creates a unique healing experience for the patient. Though the tips of all noses will require lengthy healing periods, other areas of alteration can differ. From the top of the bridge all the way to the columella, Asian nose surgery will provide different results from traditional nose jobs and, thus, variations during a patient’s recovery.
Healing from Asian Rhinoplasty with Implants
Typically, there is little variation with healing in regard to implant type. During an Asian rhinoplasty, raising the bridge can be accomplished using a synthetic implant (typically Gore-Tex or silicone) or through an implant fashioned from the patient’s own biological material, which tends to be composed of diced cartilage and fascia (DCF). Dr. Nassif and other highly regarded facial plastic surgeons tend to gravitate toward diced cartilage and fascia implants rather than the surgical placement of a synthetic implant. In such cases, cartilage may need to be harvested from areas such as the ribs or ears, and these secondary surgical sites will also require healing time. Recovery will be lengthier in the area of the ribs in comparison with the ears.
Nasal Refinement in Asian Rhinoplasty
Nostril refinement is a common theme among Asian patients during a rhinoplasty surgery. A few millimeters of skin may be removed at the nostril base and other techniques may be used to help slim the nostrils or refine the tip. As expected, these unique methods used in Asian and ethnic rhinoplasty procedures will create more variation in healing time. A patient with sensitive skin may require a longer recovery due to excess swelling. Furthermore, Asian patients and patients of other ethnicities tend to have thicker skin which can result in increased swelling and a longer time needed for swelling to resolve.
An Open and Closed Case in Asian Rhinoplasty
Because most Asian rhinoplasty surgeries require augmentation in the form of tissue addition, an open procedure is more commonly utilized. A closed rhinoplasty is less invasive and will heal faster, but the open technique is generally preferred when narrowing the nostrils or reducing the base of the nose. Nevertheless, an open rhinoplasty is associated with more bleeding, swelling, and incisions. Healing can be managed through pain and anti-inflammatory medication, as well as approved icing methods.
Typically, patients are fitted with a splint before they leave Dr. Nassif’s care, which is removed a week after the procedure. Most patients will show improvement to the surgical site at this time and will notice a change in the size and shape of the nose. Light activities can be resumed two weeks postoperatively, though strenuous activities should be avoided for a full six weeks following an Asian rhinoplasty.
Call Dr. Nassif of Beverly Hills, California office at (310) 275-2467 to schedule a meeting with the “Asian Rhinoplasty Specialist.”