Rhinoplasty to Refine Asian Nose Without Unnatural Results?

It is possible for Asian Rhinoplasty patients to get natural results while maintaining their ethnicity. Most recognized aesthetic proportions for rhinoplasty are derived from the Caucasian nose, and pre-operative analysis and planning become complex when applying these aesthetic “ideals” to patients of another ethnicity. It is, therefore, very important that you seek a rhinoplasty surgeon who has considerable experience performing rhinoplasty for patients of varying ethnicities.... more

 The limiting factor in the nasal width will be the smile muscles. The nostril width can be decreased, but the nose will always widen somewhat, though less, when you smile.

It is possible to achieve this - but pick a plastic surgeon with experience in Asian noses. Also, look at some pictures of patients he has done. Minor changes can be obtained without changing your overall ethnic appearance.

Your requests for nasal alteration are very typical for an Asian patient. The problem lies in the fact that many Asian patients seek fairly aggressive changes, especially at the tip, which in reality removes their "ethnicity." I would look for a surgeon with a fair amount of experience in Asian rhinoplasty and get a rhinoplasty simulation performed to help them understand what your limits would be. My feelings are that the "pinched look" occurs far too often in unskilled... more

The wonderful thing about noses and nasal surgery is that we can accomplish almost anything that you would hope to achieve. Often, achieving one desired goal involves two or three other considerations at the same time, so that the end result fits in with the natural shape of the face. For example, making a wide nose more narrow is often accomplished by slightly increasing the height of the nose. An easy analogy to understand this concept is that of a tent pole: If a tent pole is raised a... more

The rhinoplasty operation is designed as a static operation for the nose in a static position. The nose will still be wider upon smiling, which is dynamic. The bridge can be easily augmented with either natural cartilaginous tissue or Silastic synthetic implant. The facial muscles are not damaged after this type of surgery. A bulbous tip can be reduced somewhat, although the skin and tip of Asian noses is usually quite thick and is hard to refine. The nose will continue to spread... more

Hi, it is definitely possible for you to maintain your ethnicity with a rhinoplasty. The base of the nose can be narrowed by removing small segments of skin and tissue, and this will not damage your facial muscles. For your nasal bridge, augmentation can be done with either your own tissue (bone or cartilage) or with a silicone implant. Some surgeons feel very strongly about using one versus the other, so you may notice a difference of opinion if you see several different doctors for... more

Botox may produce a relaxation of the alar muscles which cause your nostrils to widen with smiling but this may also cause your lip to hang a little lower as well. (Injection of the levator labii alaeque nasii muscle). You can also achieve subtle filling of the nasal dorsum with a filler but this may be more difficult to achieve with the nasal tip. Please realize that the above maneuvers are temporary and do not provide a long term solution. There are not without risk. You are also talking... more