Would an Asian Person Need Augmentation of the Nose to Avoid Deficient Tip Support?

If augmentation is necessary, is this done to help the rhinoplasty procedure blend harmoniously with the rest of the face?

Doctor Answers 10

Tip support and bridge are unrelated in Asian rhinoplasty

Most Asian noses require tip support, but not all need dorsal augmentation. Some surgeons will use the dorsal implant to support the tip by having the implant extend to the nasal tip. This reflects on the limitation of  the surgeon's repertoire.

It's safer to build up the nasal tip using your own tissues rather than an implant extending to the tip. If you don't need a bridge, I would not recommend augmenting it as a means of providing tip support.

Beverly Hills Plastic Surgeon
4.5 out of 5 stars 78 reviews

Asia rhinoplasty and tip support

Most Asian rhinoplasty procedures involve a silastic nasal dorsal implant to build up the low and flat Asian nasal bridge.  Osteotomies are usually not necessary.  No extra tip support is needed since the patients own natural tissues have enough support for the framework of the nose.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 143 reviews

Tip in Asian Rhinoplasty

Augmentation is frequently part of the Asian rhinoplasty because many patients want to increase definition and projection. In all rhinoplasty patients, regardless of their ethnic background, want a natural result that is proportional to their surrounding facial features.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 38 reviews

Would an Asian Person Need Augmentation of the Nose to Avoid Deficient Tip Support?

Yes, the various areas, of the nose, that are refined during a Rhinoplasty are manipulated in order to establish the proper beauty aesthetics.  In fact, when this is not achieved, the results look odd an unattractive.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews

Would an Asian Person Need Augmentation of the Nose to Avoid Deficient Tip Support?

There are several surgical maneuvers available for tip support in rhinoplasty. In an Asian rhinoplasty, these can be performed in conjunction with tip augmentation. Every patient is different in their requirements, and it is rare to augment the tip without augmenting the dorsum. My personal preference is to combine suture techniques and grafting techniques using cartilage grafts. The purpose of the all the maneuvers together is to restore facial harmony.

Suzanne Kim Doud Galli, MD, PhD, FACS
Washington Facial Plastic Surgeon
5.0 out of 5 stars 6 reviews

Asian Rhinoplasty

Tip support can be achieved without augmentation of the nose.  It depends on what you are trying to achieve.  Most Asians seek augmentation of the bridge, narrowing of the middle vault, improved tip definition, and narrowing of the nostrils.  Whatever you seek to achieve must be in balance with the rest of your face.

Kimberly Lee, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 13 reviews

Asian Rhinoplasty

It depends on what you mean by augmentation, what your goals are and the unique examination of your nose.  Classically, the Asian Rhinoplasty will involved building up the tip, adding tip support, and building up the bridge.  This can be done using your own cartilage or with synthetic implants.  But you are right in assuming that achieving harmony with the rest of the face is important.

David Alessi, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 16 reviews

Asian rhinoplasty

No rhinoplasty is exaclty the same.  But in general, most asian rhinoplasties require tip projection and dorsal projection.  Sometimes alar base reduction is recommended as well.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Asian rhinoplasty.

Some form of tip augmentation is usually needed in the Asian nose with or without bridge augmentation. I wound need to see photos to give a better answer. I have done Asian rhinoplasty for 35 years and it is similar to revision rhinoplasty which requires similar augmentation. Your most important criterion should be does the surgeon do the type of natural rhinoplasty you like, not how he does it.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 34 reviews

Augmentation of the Nose in Asian Patients

Without photos it is difficult to fully understand your question, but it is very common to need augmentation in an Asian rhinoplasty because most noses are broad and flat.  Augmentation is commonly needed on the bridge to give it more definition, and as a result the tip must be elevated to keep the nose in balance overall. See an experienced rhinoplasty surgeon in your area to get a better opinion on what is right for you. Also, imaging can be very helpful to give you an idea on what to expect. Best of luck, Vincent Marin, MD
San Diego Plastic Surgeon

Vincent P. Marin, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 46 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.