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Natural Looking Rhinoplasty for the Ethnic Nose?

asked 1 year ago by Derrick Magate in Fremont, CA
Latest answer by Thomas A Lamperti, MD
Question viewed 1,050 times
Tags: male, Asian

I am concerned about the appearance of my nose when viewed from the front. I want a more refined nose looking to refine the tip and make the bridge in harmony with the tip if that means building up the bridge but I want it to look natural? Also,i heard septal cartilage is ideal for the dorsum then ear or rib but is there a possibility of revision in the future or result is lifetime. Also, my nose flares when smiling judging from the photo do i need nostril reduction. I want to hear assestment?

14 answers to Natural Looking Rhinoplasty for the Ethnic Nose?

+3

Raising the Bridge in Ethnic Rhinoplasty

Rhinoplasty for patients from certain ethic groups, in particular Asian patients, involves augmentation of the bridge of the nose and refinement of the tip. This can be accomplished with the use of cartilage grafts taken from the septum, the ear(s) or from the rib. Synthetic implants are used by some surgeons as well. The choice of how to augment the bridge is based on the amount of septal cartilage available and the degree to which the bridge needs to be raised. Refinement of the tip... more
Umang Mehta, MD

Bay Area Facial Plastic Surgeon
+2

Augmentation rhinoplasty

Augmentation rhinoplasty is best done with autologous tissue (meaning your own tissue, namely cartilage). Septal cartilage is ideal, if enough present.  The rest of the nose can also be refined to match the nose dorsum.  As far as nostril reduction, I don't usually recommend during primary rhinoplasty. Dr Taban
Mehryar (Ray) Taban, MD, FACS

Los Angeles Oculoplastic Surgeon
+1

How to get natural augmentation rhinoplasty

An augmentation rhinoplasty could improve the projection of the bridge while other manuevers can be done at the same time to improve tip definition. I prefer using your own cartilage. Depending on how much septal cartilage one could harvest you may need rib cartilage. The good news is that in experienced hands cartilage grafts can provide a lifelong result.
Thomas A Lamperti, MD

Seattle Facial Plastic Surgeon
+1

Rhinoplasty for Ethnic Nose

I do feel that to reduce the flatness of your nose, building up the dorsum would be aesthetically helpful. My favorite way to do this is with GoreTex®, which I like because it fit in well and does not change in shape or resorb, it is convenient to obtain, and I have almost 20 years experience in using it on easily over 150 procedures without any complications. The narrowing of the tip, with refining it and likely increasing its projection, could all be done at the same time. more
Jeffrey Epstein MD, FACS

Miami Facial Plastic Surgeon
+1

ETHNIC RHINOPLASTY - WHAT CAN BE DONE?

It appears that a dorsal augmentation may improve the appearance of the nose. Depending upon the amount of build up necessary you may have a sufficient amount of septal cartilage to accomplish the task.  Ear cartilage can be used too but is definitely more difficult to use since it is not straight. Before going to rib cartilage I would use a custom milled dorsal nasal implant. It avoids needing to operate on the ear or rib and avoids the complications associated with surgery of these... more
Jon F. Harrell, DO

Miami Plastic Surgeon
+1

What is ethnic rhinoplasty

In the past, our culture’s popular conception of beauty was very narrow and was focused on Caucasian features. Now, both patients and surgeons have come to conclusion that various ethnic features and facial characteristics can be valued and considered to be beautiful. Since nose is a focal point of a person’s face, many people with strong nasal features feel very self-conscious about the shape of their noses. Ethnic rhinoplasty is designed to reshape a nose that is cosmetically... more
Kevin Sadati, DO

Orange County Facial Plastic Surgeon
+1

Harmony in Ethnic Rhinoplasty

The key to having a natural result in an Ethic Rhinoplasty like yours is shape/augment your nasal dorsum in harmony with your nasal tip so you don't lose your ethnicity .   The role of using your own cartilage is important having a good long term result.   Whether you choose to use septum, ear or rib will depend you what you have present by physical exam, your preference as well as your experienced Rhinoplasty surgeon.  Choose your surgeon based... more
Rod J. Rohrich, MD

Dallas Plastic Surgeon
+1

Ethnic Rhinoplasty

On the basis of one photograph, it does appear that you basically need augmentation rhinoplasty. Depending on the quantity of cartilage needed, in descending order of preference, I harvest from the septum, ear, or rib. The  tip and nasal base need refinement. The most difficult assessment will be done by you - selecting an experienced surgeon whose results you like.
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon
+1

Ethnic rhinoplasty augmentation

From the one provided view, it appears that you need augmentation to the dorsum. There is no doubt that structurally, functionally and aesthetically, that septal cartilage would be the best first choice. If insufficient  amount is present, then conchal cartilage and rib cartilage are both viable options. If a large amount of support or volume is needed then the rib cartilage is the best source although there is some risk of warping over time. You do appear to have a wide nostril... more
Scott Trimas, MD

Jacksonville Facial Plastic Surgeon
+1

Ethnic Rhinoplasty

There is no one solution to "Ethnic Rhinoplasty" as all noses, accross ethnicities are unique. There may be certain issues that are more prevelent in specific groups. However, those issues are more related to shared genetic traits from a population and there can be great variability between people of similar ethnic backgrounds. The situation you describe is not an unusual one. Septal cartilage has a better length typically for dorsal augmentation than ear cartilage.... more
Richard W. Westreich, MD

Manhattan Facial Plastic Surgeon
+1

Ethnic rhinoplasty.

You can have a natural result from rhinoplasty IF you choose an experienced rhinoplasty surgeon who does natural noses. If not you will end up with the type of nose he does! Your nostril reduction  will depend  on what is done to the tip. So ask your surgeon at the consultation.
Toby Mayer, MD

Beverly Hills Facial Plastic Surgeon
+1

Ethnic Rhinoplasty

I would be partial to offering you a rib graft. You definitely need an augmentation rhinoplasty in order to give you that refined look you are looking for and sometimes a lot of tissue is required. I do not think that septal cartilage (ideal graft in most cases) would be sufficient and ear cartilage is only adequate for this situation in my opinion. A well placed and contoured rib cartilage graft will grant you a life long result.
Andres Gantous, MD

Toronto Facial Plastic Surgeon
+1

Dorsum Augmentation

Derrick It would be helpfull to have multiple views of your nose in order to give you the best assessment for what needs to be done.  All forms of dorsum grafts have both advantages and disadvantages.   In many cases a diced cartilage graft is a good option to naturally augment the nasal dorsum.  I would also recommend a very conservative Weir excision of the nostrils to reduce the flare.  I would recommend you seek consultation with a Board Certified Plastic Surgeon... more
Daniel Reichner, MD

Newport Beach Plastic Surgeon
+1

Rhinoplasty

You certainly can have nasal dorsal augmentation and the  nostril flare reduced a bit. Rib cartilage would probably be best or alloplastic material is an option.
Steven Wallach, MD

Manhattan Plastic Surgeon

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