Rhinoplasty to refine Asian nose without unnatural results?

I am Asian with wide alar base, so when I laugh or smile my nose "spreads out." When I relax my facial muscles, my nose is much thinner, but not to my aesthetic desire. I read that thinning out the nose in this manner might not be possible without damaging necessary facial muscles. I would really like to augment my bridge and my bulbous tip and bring in my nose width, so it doesn't "spread out" so much when I smile. But I would still want to maintain my ethnicity. Is this possible with Rhinoplasty? I do not want a "pinched" looking nose.

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7 answers to “Rhinoplasty to refine Asian nose...”

A: It is possible to maintain the Asian ethnicity of the nose

William Portuese, MD

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... more

A: Absolutely possible to get a natural result

Nina S. Naidu, MD

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... more

A: Yes it is possible.

Toby G. Mayer, MD

 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.

A: Asian Rhinoplasty: How to Get Natural Results

C. Spencer Cochran, MD

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... more

A: Many different options fro Asian nose: Surgical and non-surgical

Otto Joseph Placik, MD

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... more

A: You can get this result

William B. Rosenblatt, MD

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.

A: It depends on what you feel is your "ethnicity"

Manish H. Shah, MD

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... more

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