Second Opinion Needed: Can much be done to refine a bulbous, thick-skinned nose? (photo)
Doctor Answers (9)
Refining the nose during Asian rhinoplasty
Male asian rhinoplasty
My approach would include the following and perhaps other techniques
1) open rhino
2) costal (rib) cartilage
3) dorsal onlay, alar rim, columellar grafts
4) thin skin carefully
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Asian Rhinoplasty and Bulbous tip
You have a typical ethnic nose, low bridge, bulbous tip and wide alae. This can be reduced by defatting the tip and putting cartilage grafts in the tip. The dorsum can be augmented using a custom carved silastic implant. It should not extend into the tip as it may extrude. See video link for more info.
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Chase Lay, MD
Asian facial plastic specialist
Double board-certified facial plastic surgeon
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