Two features unique to the Asian nose are a low nasal bridge and wide alar base, both of which contribute to a nose that appears flat and blends in with the rest of the face. These are usually a primary focus in Asian rhinoplasty. Patients want to have a nose with definition to bring their face into sharper focus and give it additional character. Surgeons skilled in Asian rhinoplasty achieve this goal by utilizing several techniques to narrow the nose.
This is the area of the nose with the nostrils, which is commonly wide among Asians. Wider nostrils also have a tendency to flare while breathing. An Asian rhinoplasty surgeon can perform an alar base reduction to narrow the nostrils, making them less prominent and reducing the amount of nostril flare. The surgeon makes incisions along the bottom and inside of each nostril and then removes a small amount of tissue on the inside of the nostril. After removing the excess tissue, the surgeon then moves the remaining tissue over and sutures it in place. This technique brings the nostrils closer together, effectively narrowing the alar base.
The bridge of the nose begins at the spot between the eyes, just below the forehead, then continues down to the soft nasal tip. Asians typically have a low nasal bridge, which is what causes the nose to look flat on the face. An Asian rhinoplasty surgeon can give the nasal bridge more definition in a couple different ways.
One method is to augment the nasal bridge. Basically, this involves using an implant or injectable fillers to build up the nasal bridge, making it higher and more prominent. An implant can be created from the patient’s own tissues, known as the Diced Cartilage Fascia method, or an implant made from synthetic materials can be used. Common choices here include Gore-Tex and silicone. Fillers are a less invasive way of achieving the same result, but the results will not be permanent.
Another way for the surgeon to improve the nasal bridge is to reduce the amount of tissue and cartilage in it. Part of the reason why Asians have a wider nose is because the upper lateral cartilage (the cartilage near the top of the nasal bridge) is broader compared to Caucasians. By removing some of the outermost cartilage and tissue, a surgeon can effectively narrow the bridge.
Asian noses have a round and often bulbous tip. Combining that with the low nasal bridge results in a nose where the primary focus in the on the lower half. Asian rhinoplasty surgeons can refine the tip and give it more projection by reshaping its cartilage. This is the one of the more difficult techniques in Asian rhinoplasty; the surgeon has to be able to elongate the tip and slim it down without giving it a Caucasian appearance, all while continuing to match the proportions and overall features of the patient’s face.
Occasionally, an implant may be needed to give the nasal tip the correct shape and projection. Surgeons typically try to avoid using implants in the tip if possible, because Asians tend to have weaker cartilage in their nose and thicker skin, which can make it difficult for an implant to remain in place. However, when it is needed, surgeons have the same implant material options as the ones listed above for the nasal bridge.
The Final Result
Any one of these techniques or a combination could be used to narrow the nose, giving the face more character and the nose more definition. Every patient’s needs and underlying nasal structures are different, so it’s important to entrust your Asian rhinoplasty surgery to someone who knows what they’re doing. The overall goal of any Asian rhinoplasty is to preserve the ethnicity while creating facial harmony. The changes may be small and subtle, but they can have a lasting impact on the way you feel about your appearance.
Dr. Paul Nassif
If you are interested in finding out more about Asian rhinoplasty, Dr. Paul Nassif is one of the world’s leading experts. Dr. Nassif specializes in all forms of rhinoplasty and has treated thousands of patients around the globe. You can schedule an initial patient consultation with him by calling our office in Beverly Hills, CA at (310) 275-2467. We treat patients from all over and have a great deal of experience working with out-of-town patients. Contact us today for an appointment!