I was wondering if the only real method to achieve a super sharp tip in Asian noses is with the use of a big silicone implant since septal/ear cartilage is insufficient/weak. A respected rhinoplasty surgeon said so, but he doesn't do this. So I figured I'd ask doctors who have more experience with producing sharp tips in Asians. In the photo,note the features,specifically the sharp/projected tip and the supratip break. What kind of cartilage/implant/strut is needed to achieve that profile? The subnasale advancement is separate and would be done prior to having the rhinoplasty. Please chime in with feedback,thanks!
August 19, 2017
Answer: Sharp tip An implant is not the correct way to define the tip in Asian rhinoplasty. 10-20 years ago, this was the procedure that was performed, usually with a small cartilage graft. Not only is this not safe and can lead to extrusion of the implant, tip definition can be insufficient in many cases, especially when the nose is short. The appropriate surgery is a combination of an "I" shaped implant (as opposed to the "L" shaped implants that have a columellar portion) and either a columellar strut or septal extension graft. Often a septal extension graft is needed as the tip can be quite deficient in Asians and in the case of short noses, this surgical technique is essential to support the new tip. Please seek a board certified surgeon that is experienced in Asian rhinoplasty.
Helpful
August 19, 2017
Answer: Sharp tip An implant is not the correct way to define the tip in Asian rhinoplasty. 10-20 years ago, this was the procedure that was performed, usually with a small cartilage graft. Not only is this not safe and can lead to extrusion of the implant, tip definition can be insufficient in many cases, especially when the nose is short. The appropriate surgery is a combination of an "I" shaped implant (as opposed to the "L" shaped implants that have a columellar portion) and either a columellar strut or septal extension graft. Often a septal extension graft is needed as the tip can be quite deficient in Asians and in the case of short noses, this surgical technique is essential to support the new tip. Please seek a board certified surgeon that is experienced in Asian rhinoplasty.
Helpful
October 16, 2016
Answer: Tip refinement in Asian rhinoplasty
Helpful 4 people found this helpful
October 16, 2016
Answer: Tip refinement in Asian rhinoplasty
Helpful 4 people found this helpful
