Asian Rhinoplasty Q&A
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Asian Rhinoplasty Technique for Flat Nose ?
asked 8 months ago by anon
Latest answer by Charles S. Lee, MD
Question viewed 283 times
Tags: nose, nostrils, flat nose bridge, nostril reduction, options, technique
Is it possible, in Asian rhinoplasty, to have the nostrils taken in if the root of the nose is flat or underdeveloped?
9 answers to Asian Rhinoplasty Technique for Flat Nose ?
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Nostril narrowing
I prefer narrowing the nostrils with deep internal sutures combined with a limited skin excision in order to minimize scarring. I would like to see photos to determine what you mean by "root" of the nose being underdeveloped. If you are referring to the skeletal structure beneath the nostrils, then, yes, in some extreme cases it may need to be augmented at the time of nostril narrowing.
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Asian Rhinoplasty Technique for Flat Nose ?
Yes, the nostrils can be reduced as well as brought closer together using a columellar bunching technique. The nasal tip can be made more defined and the bridge raised as well through Rhinoplasty.
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Taking in nostrils during rhinoplasty
The nostrils, or ala, can be taken in either in combination with building up the bridge or as a separate procedure.
It is quite common to address wide nostrils during Asian rhinoplasty. Depending on surgeon preference, the incisions can be made either in the crease where the nostrils join the cheek or in the nasal sill (floor of the nostril itself).
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Yes, the nostril width in Asians can be easily narrowed.
Yes, the nostril width in Asians can be easily narrowed. If the bridge needs to be raised that can be done with your own tissue.
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Technique for a flat nose
So, a couple of things.
The base reduction, or taking the nostrils in, is a commonly performed part of an Asian rhinoplasty. When done well it's seamless and really adds a nice subtle change.
The "root" or bridge is built up the give a nice, somewhat elongated, sleek looking nose. This change is noticed more from the side profile. That is done with cartilage grafts, often from the ear, or with implants. There are multiple types of...
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Asian rhinoplasty
Commonly in patients with flat wide noses, the dorsum is augmented and the nasal base ( nostrils ) are brought in a bit. This is certainly possible.
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Aisian nose
Of course. Narrowing of the alar base is a commo9n technique and should be done with your primary rhinoplasty
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Alar base reduction in Asian Rhinoplasty Technique for Flat Nose
The majority of Asian rhinoplasty cases require augmentation of the nasal dorsum (I think this is what you mean by "the root"). Additionally some patients desire a more balanced look which comprises tip defining maneuvers and also narrowing of the alar base (at the nostrils). Alar base reduction entails additional incisions and removal of excess tissues in order to narow the nose. This can be accomplished at the time of surgery or as an adjunct procedure in the office at a...
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Alar Base Reduction
Absolutely! In fact alar base reduction is common with Asian noses. This can be done at the same time as your rhinoplasty or independently.

