Fast facts

Rhinoplasty


What it is: A plastic surgery procedure to improve the appearance, proportions and structural functionality of the nose.  Rhinoplasty, commonly called a nose job, can enhance facial symmetry and harmony to improve the patient's self-confidence.  Breathing can also be improved as a result.


What it addresses: Specific aspects of the nose, such as:

- Nose size
- Nose width
- Asymmetry
- Nostrils


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Question

I am Asian and I want rhinoplasty surgery to make my nose look more defined and built up. What do you do in these cases?

I am Asian and I want rhinoplasty surgery to make my nose to look more defined and built up. What do you do in these cases?


Asked by: Anonymous

Answers (2)

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1
June 20, 2008
William A. Portuese, MD
William A. Portuese, MD
Board Certified
Facial Plastic Surgeon

 In order to build up the bridge of a nose, patients have a couple of options.  One is dorsal augmentation, where cartilage from the patient’s nasal septum is taken and stacked into layers and then placed inside of the nose.   If there is not enough cartilage, a Silastic implant is used across the bridge, which  is also placed from inside the nose.  This gives more sidewall and height definition to the nasal bridge.

2
April 9, 2008

Cartilage is the best prostheses in rhinoplasty surgery

Jason Litner, MD
Jason Litner, MD
Board Certified
Facial Plastic Surgeon

We see many patients of Asian or other backgrounds with the very same concerns you describe. There are a number of ways to build up your bridge and give your tip more projection.

The easiest way for a surgeon to do this is by using a prosthesis, usually made of silicone, to lay over the entire bridge in order to make the nose more prominent. This is a very common procedure, especially in East Asian countries.

Sometimes, it works with success, but other times there are problems with these prostheses, such as infection, exposure, or movement as time passes. For this reason, here at Profiles, we use prostheses as a last resort. Our material of choice is your very own cartilage.

We usually take this cartilage from your septum (the midline wall deep within your nose) or sometimes from one or both ears. In either case, you won’t notice it’s gone and your ear anatomy will look the same. By using your own cartilage, we are able to achieve a significant and natural-appearing nasal augmentation with almost no risk of rejection, infection, or other graft problems, even long-term. So, you can be reassured of a better chance at a great result.

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