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Asian Rhinoplasty for Slightly Flat Nose

asked 1 year ago by AppleCider in taiwan
Latest answer by William Portuese, MD
Question viewed 1,378 times
Tags: male, Asian

I’ve been researching about the pros and cons of ear cartilage, rib, silicone, and goretex. My goal is to figure out what is best for my situation OVERALL. For some background knowledge to help you assess I’m Asian with a slightly flat nose. I just had a consultation and he said my nose just needs a little lift. Doc suggested using ear cartilage to raise the tip of my nose and goretex for the bridge. Based on your expertise do you agree with the doc & what do you think is the best?

10 answers to Asian Rhinoplasty for Slightly Flat Nose

+1

Best implants for the nose

As most surgeons will agree your own cartilage is the best grafting material.  Rib is often the best for Asian noses do to their characteristics, although it does require a second incision on the chest (below the breast) and some additional discomfort.  Rib grafts, when done well rarely need revision and have the lowest rate of infection while providing the best structural support.  Synthetic materials may provide for good outcomes much of the time, but do have a much higher... more
Leif Liu Rogers, MD

Beverly Hills Plastic Surgeon

www.leifrogersmd.com

+2

Best Implant in Asian Rhinoplasty

While cartilage and bone may be a tempting grafting selection, both can shift and resorb or diminish with time.  While slightly more technically difficult to place, implants made of hydroxyapatite are my preference.  The advantages of hydroxyapatite implants are that 1.  they can be custom sculpted; 2.  they provide great structural support; 3.  they provide adequate volume for even the smallest and flattest of noses; 4. they do not resorb or shrink, typically; 5.... more
Michelle R. Yagoda, MD

New York Facial Plastic Surgeon
+2

Asian Rhinoplasty

The most common goals of asian rhinoplasty surgery are: 1. raise the bridge 2. narrow/refine the tip 3. add tip projection 4. narrow the alar base (bottom of the nose) if needed In general, the skin is thicker on an asian nose than a caucasian nose and the cartilage is weak.  Looking at your photographs, I would agree with your doctors recommendations of a dorsal implant to raise the bridge and a cartilage graft to define and project the tip.  On my monitor... more
Andrew B. Denton, MD

Vancouver Facial Plastic Surgeon
+2

Nasal Elevation with implants

Hi, I have used custom carved silicone nasal implants for 15 years with very few problems. If silicone is carved right and placed correctly it works great. You can see many patients that had this implant on my website below. Gortex is also a good implant material as it cartilage grafting. It all depends on the surgeons experience and preference. Make sure you see some before and afters of bridge augmentation before you decide on a surgeon. No matter what implant you use, if its not... more
Oleh Slupchynskyj, MD

New York Facial Plastic Surgeon
+1

Asian rhinoplasty for slight flat nose

We do not recommend Gortex in the nose since we have seen many disasters from other offices that have used them.  We use a smaller silicone implant which when placed along the bridge gives an excellent cosmetic and long-term functional result.  Large implants tend to create migration, shifting, and necrosis of the skin if the skin is stretched too tightly.  A small implant such as a Flower’s nasal dorsal implant manufactured by Implantech give excellent results for this... more
William Portuese, MD

Seattle Facial Plastic Surgeon
+1

Augmenting Asian Nose

I know excellent nasal surgeons who would do exactly what your surgeon suggested. However, after 35 years of rhinoplasty surgery, I continue to use the patient's own cartilage. 
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon
+1

Asian rhinoplasty

Nasal projection is a common concern among Asian patients.  Most American surgeons favor natural materials such as your own cartilage, however implants such as silicone are popular in Eastern countries.  Foreign materials may lead to infection or extrusion while most patients do well when using their own cartilage.  Non-surgical rhinoplasties involve the use of fillers and some patients find that they can achieve the results they desire with this alone.  more
Kristin Egan, MD

Manhattan Beach Facial Plastic Surgeon
+1

Asian rhinoplasty, best overall is natural tissue

No one will dispute the fact that natural tissues, septal or ear cartilage, or rib cartilage gives the 'best' tissue for raising the bridge. The permanence and infection resistance is second to none, and the tissue is truly a 'real' nose. There are technical challenges with all though, be it availability, donor site issues, carving and shaping. The list of substitutes is long, now also includes allografts here in the US. In Taiwan Gortex may be common and work very well, not... more
Peter E. Johnson, MD

Chicago Plastic Surgeon
+1

Asian rhinoplasty

For a subtle but natural and effective change to your nose, an injectible filler like Restylane or Radiesse may be used for a temporary lift or an implant for a permanent solution. For many years, I have used silicone dorsal implants which have been very effective and safe. They are an excellent, long-lasting choice particularly when performed by a caring and experienced physician. The key for you is to find a surgeon with whom you feel comfortable. Good luck! more
Yael Halaas, MD

Manhattan Facial Plastic Surgeon
+1

Avoid implants

Most experts will tell you that you should use natural tissue rather than implants in the nose.  Rib cartilage for the bridge as well as the tip.  With Asian noses, the skin is heavy and the cartilages are very weak.  Ear cartilage does not have the structural rigidity necessary in most cases.  But each case is unique.  Ear or even septal cartilage may be used.  Avoid Goretex and DEFINITELY avoid silicone injections.  You may consider a non-surgical... more
Shervin Naderi, MD

Washington DC Facial Plastic Surgeon

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