There are many similarities in the appearance of the nose among those of Asian ethnicity, and a main similarity includes a rounded or bulbous nasal tip. Some feel that slight variation in the tip of the nose would add interest to the face, while creating definition to the end of the nose. Though this is a possible correction, the thick skin of the nose in Asian patients can require additional steps during the Asian rhinoplasty procedure.
In order to make the nasal tip appear thinner and more refined, cartilage grafts can be added to the tip of the nose. The nose will appear further from the face, and longer than before. Many Asian patients feel their nose is under-projected and welcome this change.
The cartilage graft is most often fashioned from the patient’s own cartilage sources such as the septum, ear, or ribs. During an open rhinoplasty, the harvested cartilage is fixed to the tip of the nose and sutured into place. Because of the thick skin of the nose, the cartilage must be prominent enough for the change to be noticed, while not so sharp that it interferes with patient comfort.
In other regions of the world, a nasal implant is often utilized to create a more prominent nasal tip, as well as a higher nasal bridge. The L-shaped implant may produce fast, dramatic results but often creates long-term negative consequences. The implant can shift, cause infection or rejection, or create wear among the existing tissues and bones of the nose.
Because of the negative consequences of adding artificial structures to the nose, this method is not commonly utilized by facial plastic surgeons in the United States. Asian rhinoplasty specialists like Dr. Nassif agree that reliable methods rivaling the implant technique should be employed.
Asian rhinoplasty patients often desire a longer and more defined nose. Dr. Nassif generally prefers to use DCF, or diced cartilage with fascia, to build the bridge of the nose. He then uses a shield graft and lateral crural struts for the tip to add definition and increase tip projection. This will improve a flat, bulbous appearance, making the tip appear projected and more “pointy” or defined from the front.
These structures added to the nose not only create tip projection and a polished look, but also create strength in the nose. Asian rhinoplasty typically focuses on the improvement of the existing nasal structure, rather than transforming an ethnic feature into that of a Caucasian or Westerner.
Dr. Paul Nassif is a well-known facial plastic surgeon in the Beverly Hills area and is internationally known for his innovative techniques. The doctor caters to a wide array of patients, yet at the same time is hailed as a specialist in the field of Asian rhinoplasty. Contact Dr. Nassif’s office at (310) 275-2467 to schedule a consultation and discuss your Asian rhinoplasty procedure, or view before and after pictures of his Asian rhinoplasty patients.