Asian Nose-should I Go for the Non Surgical/surgical?

Injectables for augmenting the bridge does not yield attractive results. The materials that are safe to use in the nose do not "stack" very well and have a propensity to slide down the sides, like trying to build a mountain using sand. This results in a wide and blobby appearance, whether along the bridge or in the tip. 

The tip is especially difficult to get a refined appearance, because the weakness in the cartilage structure prevents significant augmentation. The injection can be place from the undersurface (nostril side), but even with this technique the results are limited.

 Here in the US, there are no injectable implants that are permanent that also are approved for use in the nose.  That is not to say that repeated injections of fillers is not a bad option, however, as an experienced rhinoplasty surgeon, I prefer the natural long lasting results that can be achieved through rhinoplasty surgery.  

Hi JFJ,

Though there are a very few Silikon-1000 injecting physicians who have had great success with silicone in the nose, they are the exception.  The problem with permanent fillers is permanent (and very difficult to treat) complications.  You may try a hyaluronic acid filler such as Restylane or Juvederm first, but I would strongly recommend a rhinoplasty surgically for permanent results.  Good luck and be well.

Dr. P

Generally, to narrow the nose and refine the tip, a rhinoplasty is required.  Alternatively, to improve the profile and raise the bridge or tip projection, filler can be used.  I personally, always favor a surgical approach, however, if the patient opts for the non-surgical approach, a filler like restylane is a safer alternative to silicone.  

It depends on what you are trying to achieve with your Asian Rhinoplasty.  If you are just trying to build your bridge, then a filler may be an option.  However, in my experience most patients opt for a more permanent solution.  I prefer to use cartilage from your own body instead of foreign material for a more natural and balanced appearance that fits your face.  Often Asians also have flaring, wide nostrils that cannot be addressed non-surgically.  When choosing a facial plastic surgeon, please also keep in mind that while aesthetic results are a concern, you still want to be able to breathe out of your nose!