Raising Both the Nasal Bone and Septal Profiles with Implants, Candidate for Rhino? (photo) Doctor Answers, Tips
Asian Rhinoplasty: Q&A
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Raising Both the Nasal Bone and Septal Profiles with Implants, Candidate for Rhino? (photo)

I am ethnic Chinese and want to raise my entire dorsal profile, including that of the nasal bone( with a nasal bone implant). The conventional dorsal augmentation methods such as adding columella strut and silicone/gortex augmentation to the caudal septum would not raise it high enough. Is there a method of replacing my septal cartilage with a "taller" implant? Thanks in advance.

Update: 4/17/12:

I've asked this question on this Q&A before but did not get the answer, perhaps because I was not clear. Just to recap, I am ethic Chinese and want to raise my nasal profile higher up. I've studied the common techniques of placing implants on top of the existing nasal bone and cartilages and don't think they could raise it high enough. So I am wanting to know if there is a procedure of pusing the nasal 'roof' up by increasing the height of septum INSIDE the nose. Pls see diagram.

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7 Doctor Answers | Asked by Paulus in Sydney
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Augmentation Rhinoplasty: Options for making your nose bigger

This is a great question, and thank you for posting. The procedure you are describing is an augmentation rhinoplasty -- making the nose bigger. In people of Asian heritage, the bridge of the nose is often somewhat flat and a common request is to give it more height. While implants are possible, these come with an increased risk of infection and extrusion (where the implant material erodes through the skin), which generally require medical treatments or another surgery. A... more
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Raising Both the Nasal Bone and Septal Profiles with Implants, Candidate for Rhino?

I think there may be some confusion. The nasal septum is inside the nose and a dorsal implant is placed on top of the existing nasal bones and cartilage. A standard, straight, silastic dorsal implant would build up the nasal bridge through a closed Rhinoplasty. The nasal tip height may need to be adjusted appropriately to maintain the proper nasal aesthetics. IMHO, calvarial bone, rib cartilage, rib bone and banked cartilage/bone all have issues with... more
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Raising Both the Nasal Bone and Septal Profiles with Implants, Candidate for Rhino?

Hi, In order to get adequate shape and elevation of the bridge, I would recommend a custom carved silicone implant.Several recent studies have shown that silicone implants work best to elevate the nasal bridge in Asian noses. Remember you want the right shape and elevation.Gortex is a good implant but does not address the naso-frontal angle ( angle where your nose meets your forehead. Cartilage grafts will not be enough to give you the shape and elevation that you need. Most... more

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Asian Rhinoplasty - Diced Cartilage in Fascia

For my asian rhinoplasty patients, I prefer to stay away from implants as I have seen too many problems caused by their use. I prefer to use your own cartilage from your septum or ear wrapped in fascia to raise the bridge of your nose. Please consult with a board certified specialist who can better assist you in achieving the results you desire.
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Rhinoplasty for Asian noses is usually about tip support grafts and raising the bridge

There are a number of ways to enhance the look of an Asian nose. I prefer to add strength to the nasal tip and enhance the shape using both a strut and graft called a shield graft taken from your own septum. I do not like artifical implants in the nasal tip. The bridge can be built up with either Gortex or diced cartilage (taken from your ear) in a layer of natural tissue called fascia (DCIF). This fairly new procedure of DCIF allows us to completely enhance a small Asian nose without... more
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Raising Nasal Profile and Increasing Tip Projection

You can augment your profile line and increase your tip projection with rhinoplasty surgery. I do not like implants because of the complications that can occur when they are used. I prefer to use the patient's own cartilage to mold the nasal contour.
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Nasal implants

Increasing the dorsal height and adding nasal projection can be achieved with nasal implants. My preference is with autologous( your own) tissue. This can best be achieved with cartilage grafts such as from the rib.
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