One objective in Asian rhinoplasty is to elongate the tip of the nose so that it lies further away from the face. During surgery, the projection of the nose from a side or profile view is increased which can also add definition to the nasal tip and even make the nose appear narrower when viewed straight on. The nose that was once short and broad can be transformed to a longer, leaner version of the feature.
To create these changes, materials must be added to the nose. Two important factors must be considered when augmenting the nasal tip. The material used must be stable and strong in order to perform the job of expanding the skin of the nasal tip outward, and the material must promote long-term results. Cartilage may be taken from the nasal septum in order to create these changes, but it can also be harvested from the ears or ribs. While synthetic implants are common in Asian countries, many facial plastic surgeons in the U.S. stray away from using a synthetic nasal implant to create these changes due to the possibility of a shift in the material and an obvious surgical result as the skin of the nose thins over time. An implant can also result in infection and even rejection if the material irritates the patient’s own tissues. Implants also tend to create a “sharper” appearance, which many find undesirable.
During an Asian rhinoplasty procedure, the open rhinoplasty technique is commonly used. For this technique, the incision is created on the columella, or the strip of skin separating the two nostrils. The lower lateral cartilage, which is the tissue that gives the nasal tip its shape, will serve as the base for improvements to be built upon. Cartilage grafts may be added to increase the tip projection. Other common requests among Asian patients include narrowing the nasal width at the base of the nose and raising and narrowing the bridge of the nose.
Deemed the “Asian Rhinoplasty Specialist,” Dr. Nassif understands that the skin is thicker in Asian patients than in some other ethnicities, so the changes made to the tip must be significant enough to be visible under the epidermis. He often uses a septal extension grafts and shield grafts as these can create a great deal of refinement.
If you’re interested in learning more about Asian rhinoplasty techniques, call (310) 275-2467 to speak with Dr. Paul Nassif of Beverly Hills, California. Dr. Nassif is world renowned as an expert in the field of plastic and reconstructive surgery and, in particular, rhinoplasty. He specializes in rhinoplasty for ethnic noses as well as revision rhinoplasty to improve upon previous poor results.