Dr. Paul Nassif is hailed as an expert in Asian rhinoplasty. The famous facial plastic surgeon has a deep understanding of the nasal anatomy of Asians, and knows how to modify surgical techniques that are commonly performed on patients of other ethnicities. One of many differences between this the Asian nose and that of other ethnicities is the thickness of the skin. Because Asians tend to have thicker skin, modifications to the tip in particular must be projected further away from the face than in other nose reshaping surgeries.
With a typical Asian nose that has thick skin, wide nostrils and a bulbous tip, Dr. Nassif finds that attempts to narrow the ala or narrow the tip cartilage generally do not provide significant refinement of the nasal tip. In fact, narrowing the ala without increasing the tip projection can actually make the nose appear even more bulbous. The ala of the nose, which is sometimes called the wing, is the outer portion of the nostril. When the nostrils are widened without the appropriate tip projection, the rounded tip of the nose becomes more prominent than before.
The thickness of the skin produces the rounded contours of the Asian nose. Rather than attempting to create a thinner overlaying tissue, the tip must be refined and projected. In fact, Dr. Nassif finds that a significant amount of narrowing and refinement of the tip can be achieved by projecting the tip and pushing it further away from the face.
Because the tip needs to be built up to display the intended dimensions, Dr. Nassif can work with a patient’s own tissues to provide the safest and most natural long-term results. Typically, the doctor builds up Asian rhinoplasty patients’ bridges with the DCF (diced cartilage and fascia) technique. This helps the nose to appear more projected and refined from the front. In addition to this technique and because of the thickness of Asian facial skin, a combination of a shield graft and lateral crural struts for the tip creates the best final result. This promotes the successful repositioning of the nasal tip’s lower lateral cartilage. In some patients, shield grafts can leave impressions in the overlaying skin, but due to the differentiation in this feature in Asian patients, this issue does not typically affect these rhinoplasty patients.
Dr. Nassif has trained other surgeons in the art of ethnic rhinoplasty techniques and truly exemplifies that notion that facial plastic surgery combines the highest level of skill in the fields of artistry and medicine. If you are an Asian patient interested in undergoing rhinoplasty, contact Dr. Nassif’s Beverly Hills, California office, today at (310) 275-2467. If you’d prefer for the office staff to reach you, fill out a Patient Contact Form.