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Adding Height for Flat Asian Nose

asked 2 years ago by SlopeNose in USA
Latest answer by William Portuese, MD
Question viewed 1,086 times
Tags: flat, height

I'd like to have my flat Asian nose tempered so it looks like the caucasian's. I'd like to triple the layer of rib cartilages, or more, for nasal augmentation, if this can be done though. Is there any limitation on the height of flat asian nasal augmentation? Thank you.

8 answers to Adding Height for Flat Asian Nose

+1

Adding height to flat Asian nose

Most Asian rhinoplasty procedures involve inserting synthetic or natural tissues in the bridge of the nose to give more dorsal height. Cartilage from the nose, the ear, and/or rib, can be used. However, triple-stacking is sometimes necessary and uneven edges can occur due to this. The smoothest, most effective, and simplest is to use a Silastic implant. These can easily be removed and replaced, upsized or downsized, with minimal downtime. There are some limitations to how high a flat... more
William Portuese, MD

Seattle Facial Plastic Surgeon
+1

Augmenting Asian Nose

The limitation on augmenting the nasal profile is establishing proper proportion and balance with the tip and other facial structures. I rarely use rib cartilage, prefering septal or ear cartilage, but this is one alternative. Silicone products are popular in Asia, but problems with infection or extrusion are possible. An experienced rhinoplasty surgeon with good aesthetic taste will guide you in the decision-making process.
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon
+1

Rib cartilage grafts best when adding height to bridge of nose

The best way to raise the height of the nasal bridge is to use autogenous septal, ear or rib cartilage from your own body. Tissues from another person or artificial or foreign materials carry a much higher complication rate. Septal cartilage comes from inside the nose but the supply is limited, so it is used mainly when a mild increase in height is needed. Ear cartilage which also has a limited supply can be used but it is difficult to obtain a straight piece because it has... more
Jack P. Gunter, MD

Dallas Plastic Surgeon
+1

Adding height for Asian nose

Hello, Initially, I would set the projection of the nasal tip, then increase the dorsum. There are always limitations. I don’t stack rib. I use diced cartilage and inject it along the dorsum. Hope this helps answer your question. Thank you and best of luck. Dr. Nassif
Paul S. Nassif, MD

Beverly Hills Facial Plastic Surgeon
+1

Raising the height of the nasal bridge.

A considerable limitation in obtaining additional nasal bridge height is the skin. Furthermore, adding a thick graft may compromise the ability of the blood supply to provide nourishment to the deepest portions of the graft. Ulimately, this may result in death of the cartilage and possible loss of height thereby defeating the intial goal.
Otto Joseph Placik, MD

Chicago Plastic Surgeon
+1

Augmenting the Asian nose.

 This can be done many ways. Over the past 30 years I have almost always used septal or ear cartilage and not rib. Silastic can be used but can become infected since it is a foreign material. See an experienced rhinoplasty surgeon who can show you before/after photos of his work with noses similar to yours.
Toby Mayer, MD

Beverly Hills Facial Plastic Surgeon
+1

Adding height to an Asian nose bridge

Building up the bridge on a flat Asian nose, as you described is limited by the aesthetics and limits of the skin envelope of your nose. Injecting sterile water is one way to simulate the appearance and your surgeon may be able to do this procedure for you. Rib grafts are an option, but there are other options as well.
Darrick E. Antell, MD

Manhattan Plastic Surgeon
+1

Asian Rhinoplasty

Hi, The short answer is, no there is no limitation to the height of the nasal bridge augmentation. Personally, I like to use a custom carved silastic implant. SIlastic implant will not warp and can be fashioned to fit the right height and shape. Best, Dr.S.
Oleh Slupchynskyj, MD

New York Facial Plastic Surgeon

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