The goal of rhinoplasty for Asian patients is the same as rhinoplasty for Caucasian patients – to make the facial structure look as natural as possible. Generally, Asians need a nasal augmentation to achieve the desired result, as opposed to Caucasians, who more often than not need a reduction.
A successful ethnic rhinoplasty surgery for any ethnicity is one that results in features that are consistent with the ethnic identity of the patient.
The dimensions of the Asian nose are similar to that of the Caucasian nose but with extra emphasis on subtlety – the dorsum often needs to be shorter, the tip may need to be less defined, and the alar base must be less narrow.
Just as is the case with Caucasians, the radix begins at the lash line. The length, from the idealized radix to the base of the subnasale, occupies the center of the face. The columellar tilt measures 90 degrees from the vertical plane, with a higher angulation for smaller women.
Southeast Asians need the most dorsal augmentation, while Northeast Asians typically require less. It might be necessary to give better definition to the tip and increase the projection. If the premaxilla is deficient, it might need augmentation as well, as evidenced by a withdrawn columella. The nose might need lengthening from the radix to the columellar base.
Alar reduction is needed in Southeast Asians more than Northeast Asians. In most of the cases, the width and flare need to be corrected – this requires an incision in the alar groove.
• Skin – The thickness of the nasal skin conceals the underlying skeletal structure fairly well. This allows more efficient blending of autogenous or alloplastic augmentation with the native tissues.
• Cartilage – The delicate tissue of the lateral lower cartilage requires reinforcement with the help of autogenous cartilage from the septum or the ear to get the desired result. It is difficult to affect a result by just reshaping the cartilage. Septal cartilage often needs a two-tiered reinforcement, owing to its thinness.
• Nasal Bones – The delicate and shorter nasal bones might pose a risk of internal valve collapse. Make sure that the plastic surgeon you go to is highly experienced with the procedure.
Good candidates for Asian rhinoplasty must be mentally stable and have realistic expectations. Men tend to have a higher dissatisfaction rate with the rhinoplasty procedure than women. If you are planning to go for the surgery, talk to your plastic surgeon and get a clear idea of your expected results.
The Recovery Process
Just like every other procedure, the recovery process for Asian rhinoplasty is a bit different for each patient. No matter which technique is used, you will experience a headache for a short time after the operation. You might need to take pain medication for a few days after the surgery, but eventually you can switch to Tylenol or other non-narcotic medication.
Schedule Your Consultation to Learn More
If you’re interested in rhinoplasty surgery to reshape your nose while retaining your unique cultural features, contact our office and schedule a consultation. Dr. Jason Roth will be available to answer your questions and create a surgical plan.