I am planning to do a rhinoplasty. I am Asian with low bridge , and broad nose. I sent my photo to a clinic for consultation, the surgeon recommend me to use silicon for bridge enhancement, alarplasty and rhino-tip surgery ( for fat removal, septoplaty, collumela nasi) I am not sure why I need to have rhino-tip , is that the same as bulbuos surgery? what is the risk ?
I Am Planning to Do a Rhinoplasty, I Am Asian with Low Bridge, Broad Nose?
Doctor Answers (8)
Risks with Asian rhinoplasty
With any rhinoplasty surgery there is a risk of infection, scarring and undesirable cosmetic or functional result. Using a synthetic implant such as silicone increases the risk of infection, and also carries a risk of migration and extrusion (coming through the skin).
Often when the bridge is raised, tip refinement will help balance the overall aesthetic of the nose.
Asian rhinoplasty to address low bridge and broad nose
The problems you describe and procedures recommended during your consultation sound pretty common in Asian patients like yourself.
rhino-tip surgery refers to addressing tip fullness and bulbosity to make it more refined.
You can read more about having rhinoplasty and the risks of surgery at my web reference link below.
It is impossible to make recommendations without seeing your nose; I need pictures to respond. The changes you're talking about are typical for many Asian individuals. I will say that I prefer to use the patient's own cartilage to augment the nose to avoid the problems of infection, movement, and extrusion seen with silicone implants.
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There are may different things that can be offered base upon your needs. Without an exam or at least picture it is impossible to say.
Asian rhinoplasty usually involves adding a dorsal implant along the bridge which can be composed of either Silastic, or the patient's own natural cartilage harvested from inside the nose. An alar-plasty involves removing small wedges of skin at the floor of the nose, to narrow the nostrils.Tip work is done only for broad bulbous tips, however some Asian patients have adequate nasal tips and did not need any tip surgery. Virtual rhinoplasty software is available on our website you to give an idea what your new nose might look like
Asian Augmentation Rhinoplasty
For most Asian augmentation rhinoplasty to correct a low bridge, a dorsal implant is a good choice with vertically zero risks. If a tiplasty is needed, then your cartilage can be used to enhance this area. This combination is very safe and gives natural aesthetic results for the Asian nose.
Asian rhinoplasty typically requires enhancement of the bridge, tip and nostril narrowing
Many Asians require enhancement in the areas you listed. For tip definition, cartilage is added to stiffen up the soft areas that look bulbous. Some defatting is usually needed as well. For the bridge, surgeons have their own preferences for using only your tissues or using a synthetic implant.
If you have a bulbous tip, then thino tip surgery is the correct treatment. This is also a difficult part of the operation, especially if you have excess nostril showing (i.e., the nose is short).