Nose job or rhinoplasty for years has been a popular plastic surgery procedure among various ethnics groups. While many groups tend to request a smaller and shorter nose, many Asian patients seek to have a larger and narrower nose. There are several characteristics common to Asian rhinoplasty.
First, a number Asian patients request to augment the bridge the area to reduce the flattened appearance of the nose. Augmenting the bridge area makes the nose look bigger and narrower. Various materials are available to augment the bridge of the nose including synthetic implants, processed tissue, or patient’s own tissue such cartilage or fascia. Most surgeons prefer to use synthetic materials, particularly silicone implants. A silicone implant is easy to place and produces a smooth bridge with a predictable amount of augmentation.
Another step performed in Asian rhinoplasty is tip refinement. Many Asian patients complain of a wide and flat nasal tip. Reshaping of nasal tip usually involves narrowing the tip and augmenting the tip using the patients own cartilage. Augmenting the tip effectively balances the tip with the augmented bridge. Synthetic implants have also been used for tip augmentation but have a higher risk of complications.
Nostril width reduction is also frequently performed as part of Asian rhinoplasty. When reducing the width of the nostrils, a plastic surgeon will balance the nostrils not only relative to the rest of the nose but also relative to distance between the inner corners of the eyes. Any Los Angeles plastic surgeon performing rhinoplasty in Asian patients should aim to produce a natural appearing shape while preserving some ethnic nasal features in those patients desire so.