What Could Be Done to Improve my Nose? (photo) Doctor Answers, Tips
Asian Rhinoplasty: Q&A
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What Could Be Done to Improve my Nose? (photo)

I've always been dissatisfied with how my nose looks, even when I was very young. It's too wide and flat at the bottom and too flat at the bridge. I want what would look best on my face, but don't want synthetic materials used if possible. Also I would want to know if possible a price range for the type of surgery I would need. Thanks!

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17 Doctor Answers | Asked by rancho_gem
+3

What Could Be Done to Improve my Nose?

Agree with Dr Mayer, Onlay cartilage or bone grafts plus tip refinement is indicated. Fee also from $7 to $12K
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Asian rhinoplasty

The Asian rhinoplasty procedure would involve augmentation of the bridge of the nose with the patient's own cartilage harvested from inside the nose or the rib. Silastic implants are also used occasionally with excellent results. An alar platy procedure would narrow the nostrils and some tip refinement could also be performed all under close rhinoplasty techniques. This is performed under general anesthesia as an outpatient procedure. Cost of the rhinoplasty is... more
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Asian rhinoplasty.

Your nose like may Asian noses I have done for 35 years involves a bridge graft of your own cartilage and along with refinement of the tip and narrowing of your nostrils. The cost varies according to the time but 7-10K is average.

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+2

Improving Asian nose appearance

There are a few ways of treat the flat bridge and wide nose like you describe. It is common to build up the bridge with a cartilage graft or silicone implant. I prefer using cartilage grafts in my practice. It is also possible to narrow and refine your tip with rhinoplasty surgery as well. This often involves conservative nostril narrowing techniques. Price ranges do vary by region of the country but I was expect a rough total cost of $7000-9,000 depending on who you choose. You... more
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Asian rhinoplasty

The width of the nose is easy to address using Weir excisions to narrow the nostril base. The remainder of the nose can also be substantially improved but a cartilage graft will be required. Since your nose is so flat I would not plan to use septal cartilage; the ear is a better donor site. In some cases rib can be used, as well. Be sure to see a Board Certified Plastic Surgeon who can show you a series of pre- and post-op pictures so you can see the type of results... more
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Rhinoplasty

I would do some work on your tip to try to obtain better definition. Also, you are ideal for alar wedge resection, which involved cutting out a segment of your nostril to narrow the base. Although you have a low bridge, I would not try to augment it with a graft or implant. They tend to look weird and I think the change is usually not an improvement.
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Improving the bridge height and tip area with your own cartilage

I agree that it would be worthwhile to address the areas of your concern. I would use only your own tissues to build up the bridge, give better tip definition and narrow the nostrils. If you have had prior nose surgery or facial bone surgery, it will be important for your surgeon to know this history. Best wishes!
+2

Ethnic rhinoplasty is really about personal aesthetics

It's hard to give speific recommendations about rhinoplasty without actually seeing and individual in person. I might comment that you have a low flat bridge, but that may be your favorite or familial feature that you want to keep. In general, rhinoplasty on Asian patients is more about augmentation (adding to the nose) and creating tip definition. I find that computer imaging is excellent for this.
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Best options for nose augmentation in Asians

A safe and effective option to augment the bridge of your nose is a dorsal implant. Because there is no pressure at the tip of the nose (unlike L shaped implants), there is minimal risks for implant complications. Your other option is to use your own cartilage from behind your ears. The base of the nose can be narrowed to better proportion. Some minor tip work with cartilage grafting will improve your tip and give it more definition.
+2

Improving Nasal Definition

I support your desire to have a more defined projected nose. The bridge can be improved with cartilage grafts harvested from your own tissue. I avoid the use silicone or synthetics because of the risk of infection, movement, or extrusion. The base of your nose and tip should be narrowed so it is proportional to the rest of your facial features..
+2

Asian Rhinoplasty in Los Angeles

Asian Rhinoplasty is very different that rhinoplasty on caucasians. As I can appreciate from your pictures you will need a nasal implant to raise your nasal bridge, narrow nasal tip, and reduce the size of the nostrils. I usually perform this without need to do an open rhinoplasty which involves external incisions.
+2

Asian rhinoplasty

Your nose has classic issues. You definitely could benefit from a dorsal onlay with cartilage. Your nose coudl also use some narrowing in the lower tip region. Other photo views would be helpful. Good luck.
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Asian rhinoplasty using your own tissue (autologous grafts)

Grafts created from your own body (autologous grafts) become fully incorporated into your nose and have a much lower risk of infection, extrusion, and migration than do synthetic implants. The one downside is the greater technical difficulty of the operation, and the longer surgery time. Rib cartilage will likely be necessary to achieve your aesthetic goals. There are a variety of techniques and aesthetics when it comes to Asian rhinoplasty, so it is important to seek out... more
+2

Rhinoplasty to improve low bridge and wide base

Thank you for sharing your photos. Every rhinoplasty is unique and the final result needs to suit your face. You mentioned not using synthetic material which means that you have to use your own cartilages to built up your bridge. Based on the photos, the best source of cartilage is from your ribs. As far as the lower part of your nose is concerned, you may benefit from refining the nasal tip and narrowing the base of your nose. There are a variety of techniques to achieve your desired shape.... more
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Ethnic Rhinoplasty

Hi, You have a very Ethnic Nose. Make sure you choose a surgeon with alot of experience in ethnic rhinoplasty in order to avoid revisions in the future. The best way to know what your nose can look like is get computer imaging before the surgery. There are variety of techniques to enhance your nose using either your own cartilage or alloplastic implants. Feel free to send your photos to the link below for computer imaging. Best, Dr.S.
+2

Rhinoplasty for Flat Bridge and Wide Base (Large Nostrils)

Thank you for your question and the photos. Rhinoplasty is at least as much art as it is science, and requires a careful conversation with your surgeon about your goals. That being said, you have identified a couple of areas that you would like to change. For the bridge area, you would need dorsal augmentation -- adding tissue to build up the area. This can be done using your own tissues (generally, cartilage from the septum or rib, and possibly connective tissue from behind the ear). For... more
+1

Classic asian rhinoplasty would enhance the aesthetics of your nose and face.

I would recommend augmenting your bridge and tip with your own cartilages, refinement of the tip and alarplasty to reduce the alar flaring and the size of the nostrils. Done well, your rhinoplasty will enhance the beauty of not only the nose but your face as well by placing your facial features in a better harmony. In my opinion, you would need a significant augmentation of your bridge and I would recommend using a rib cartilage.
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Comments (1)

rancho_gem 18 Feb 2013
Thank you doctors for all your comments and suggestions. I would really like a little bit of extra height on my bridge and definitely want my tip to be smaller. My concern is the bone area on the sides of my bridge seemed to be very wide, I'm wondering if that part would have to be broken or modified in anyway. I'm not sure I like the idea of having my facial bones broken because I'm afraid of ruining my sense of smell which is very good right now.

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