Rhinoplasty Q&A

80%

WORTH IT RATING

1,003 Reviews

Ask a Question

View Before and Afters

Average Rhinoplasty Cost: $5,975

Learn about Rhinoplasty

5,053 people and 803 doctors are talking about Rhinoplasty

Get Free Email Updates

Rhinoplasty for Asian with Asymmetric Nose

asked 1 year ago by Double L in Kentucky in Bowling Green, KY
Latest answer by William Portuese, MD
Question viewed 426 times
Tags: bridge, female, asymmetry, Asian, height, implant, options

I am an Asian female with a asymmetrical/tilted nose. I am thinking about rhinoplasty surgery to highen the bridge of my nose. What kind of implant should I use? How would the surgeon "untilt" my asymmetric nose?

14 answers to Rhinoplasty for Asian with Asymmetric Nose

Asian Rhinoplasty

Dear Double L, The bridge may be raised using your own cartilage or using an implant (silicone, polypropylene, Goretex, etc.). There are advantages and disadvantages with each option. The nose can be made more symmetric by reshaping your cartilage. I would consult with a Board Certified Plastic Surgeon who is highly experienced with Asian rhinoplasty. Warmest wishes, Larry Fan, MD

Larry Fan, MD
San Francisco Plastic Surgeon

Many options for augmenting the Asian nose

The Asian nose, like many African-American noses, often requires augmentation of the bridge, or "nasal dorsum." Many different implants are available, including synthetic and non-synthetic materials. Although Gore-Tex and silicone implants can provide excellent elevation of the bridge height, sometimes they can become displaced or even extrude. Other options include using your own cartilage from your septum, ear or rib. Also irradiated rib cartilage is available... more

Theda C. Kontis, MD
Baltimore Facial Plastic Surgeon

facialplasticsurgerymd.com

Rhinoplasty for Asian asymmetric nose

I've been very happy using a straight silastic (not L-shaped) nasal dorsal implant to raise the nasal bridge for over 20 years. The asymmetry below will be removed by rasping the nasal bonrs and trimming the cartilage during your Rhinoplasty.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Asian rhinoplasty with asymmetry

Silicone implants usually work well in rhinoplasty and can be tailored to the individual. "Tilting" of the nose is probaby from cartilage asymmetry, correction of which would be part of the rhinoplasty procedure.

Malik Kutty, MD
Sugar Land Plastic Surgeon

Rhinoplasty for asians

It is not unusual for rhinoplasty in patients with asian ancestry to request heightening of the nasal dorsum. There are multiple options of material to use. My preference is to use the patients own (autologous) cartilage either from your own septum or if more cartilage is needed, the ear. this avoids concerns for future infections and foreign body reactions from silicone implants. "Untilting" you nose involves manipulation of your nasal cartilage, which is part of a rhinoplasty. more

Jack Peterson, MD
Topeka Plastic Surgeon

Asian Rhinoplasty

Hi, There are several good choices for nasal implant material. I use a custom made silicone implant. This implant is custom carved for every patient. I do not use the preformed implants; "one size fits all". I have many examples of this implant on my ethnic rhinoplasty site below. Gortex is another good implant material. It all depends on what the surgeon is comfortable using. As far as the asymmetry is concerned, it all depends on which part of your nose is curved - cartilage... more

Oleh Slupchynskyj, MD
New York Facial Plastic Surgeon

www.facechange.org

Rhinoplasty for asymmetric Asian nose

The implants that are used for Asian rhinoplasty are made of silastic and manufactured by Implantech. We prefer the Flowers nasal dorsal implant of appropriate size, which is determined at the consultation with patient’s desires in mind.

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Implant for Asian rhinoplasty?

I am not a fan of synthetic implants, except in very specific situations. I feel that using the patient's own cartilage for augmentation is a much safer option. I see many patients for revision rhinoplasty in my office, and I can tell you that I have to remove quite a few implants. Many times these implants have led to a chronic infection. My preference in Asian rhinoplasty is costal (rib) cartilage. With proper technique, the risk of complications, such as warping, is lessened. In Asian... more

Ryan Greene, MD, PhD
Fort Lauderdale Facial Plastic Surgeon

Combination implant

I recommend a combination of cortex and AlloDerm dermal matrix graft. This provides the most natural feel and is least likely to be rejected by the body.

Elliot M. Heller, MD
New York Facial Plastic Surgeon

Rhinoplasty in Asian with Asymmetry

I generally prefer to use the patient's own cartilage to augment the bridge in an Asian nose because the cartilage is incorporated into the surrounding normal tissue. Other materials can be used such, as silicone and Gortex. While harvesting the patient's own tissue is more work, I feel there are fewer complications such as graft movement and post-op infections.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

Asian Rhinoplasty

I prefer Gortex for augmentation of dorsum, and septum cartilage for increased nasal tip projection. Your particular concerns in regards to the tilt of the nose can only be answered upon examination of your nose. Pictures that clearly show your nose in frontal, base, and lateral views will be helpful.

Maurice M. Khosh, MD
New York Facial Plastic Surgeon

Rhinoplasty

My preference for nasal bridge elevation is diced cartilage wrapped in fascia. It is your own tissue and can be moulded easily even one week after surgery and there is minimal risk if infection, displacement or the need for revision surgery. As for your nasal deviation, I think you need to be seen by a plastic surgeon to address that particular issue and correct it at the time of surgery. Good luck.

Moneer Jaibaji, MD
San Diego Plastic Surgeon

Asian Rhinoplsty - Cartilage grafts versus synthetic implants.

Your question raises an important point regarding Asian rhinoplasty. The usual Asian patient seeking reshaping of their nose desires a "Westernized' look and the primary goal in achieving this is a raised nasal bridge. In order to augment the bridge two basic types of materials are used: 1) Rib grafts obtained from the patient or 2) Synthetic implants such as porous polyethylene (Medpore), E-PTFE (Gore-Tex) or silastic. All of the... more

Mario J. Imola, MD, DDS
Denver Facial Plastic Surgeon

www.cofps.com

Asymmetric Asian Nose

Asymmetry can be addressed with many techniques depending on the nature of your asymmetry. It is difficult to determine which technique would be ideal for your situation. As for augmenting the dorsum of you nose, your own cartilage is best (usually rib cartilage). Gortex, Silicone and Polypropylene implants are available, but all have risk of complications, such as infection, displacement and and extrusion. Many noses augmented with implants do turn out just fine, but... more