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!
Answer: Asian Rhinoplasty - Implan Surgery with silicone implants is quicker, since they are pre-fabricated and easier to place than autologous grafts (tissue from your own body), and the recovery may be a bit easier. The results may also look good for several years, however they are not a permanent solution. As long as the implant is in place there will be an associated risk of infection, migration, and extrusion (coming through the skin) which is higher than that of autologous grafts. The reason for the lack of permanence is that synthetic implants never become fully incorporated into your body. Using tissue from your own body will give you the safest, longest lasting results and a beautiful nose.
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CONTACT NOW Answer: Asian Rhinoplasty - Implan Surgery with silicone implants is quicker, since they are pre-fabricated and easier to place than autologous grafts (tissue from your own body), and the recovery may be a bit easier. The results may also look good for several years, however they are not a permanent solution. As long as the implant is in place there will be an associated risk of infection, migration, and extrusion (coming through the skin) which is higher than that of autologous grafts. The reason for the lack of permanence is that synthetic implants never become fully incorporated into your body. Using tissue from your own body will give you the safest, longest lasting results and a beautiful nose.
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CONTACT NOW Answer: Natural is better No. Silicone and Goretex are not the only materials. Due to the risk of complications associated with artificial materials, I recommend my patients to use rib cartilage graft. It is true that some patient do not have enough septal cartilage either naturally or due to previous surgery, but everyone has enough ribs.Another very important factor in creating a refined tip in Asian skin is managing the soft tissues. Asian skins are thicker with require more attention.Most importantly, you must willing to deal with the recovery which could last 1-2 years. Post-operative management is an important part of any surgery, especially in Asian Rhinoplasty.Best Wishes.
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CONTACT NOW Answer: Natural is better No. Silicone and Goretex are not the only materials. Due to the risk of complications associated with artificial materials, I recommend my patients to use rib cartilage graft. It is true that some patient do not have enough septal cartilage either naturally or due to previous surgery, but everyone has enough ribs.Another very important factor in creating a refined tip in Asian skin is managing the soft tissues. Asian skins are thicker with require more attention.Most importantly, you must willing to deal with the recovery which could last 1-2 years. Post-operative management is an important part of any surgery, especially in Asian Rhinoplasty.Best Wishes.
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December 2, 2014
Answer: Nasal Implant Given the option to use your own tissue, this is a safer route. That said, more consistent and reproducible changes to the dorsal contour and projection can be achieved with an implant. There is always a risk of infection and extrusion, so this must be weighed carefully.
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Answer: Nasal Implant Given the option to use your own tissue, this is a safer route. That said, more consistent and reproducible changes to the dorsal contour and projection can be achieved with an implant. There is always a risk of infection and extrusion, so this must be weighed carefully.
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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.
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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.
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October 16, 2016
Answer: Tip refinement in Asian rhinoplasty
Part of the reason that silicone implants can create a "super sharp" tip is that they exert a tremendous amount of pressure on the skin, and ultimately thin skin. A great deal of refinement can be achieved with a septal extension graft and shield graft, but the level of "sharpness" will be limited by the thickness of your skin.
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Answer: Tip refinement in Asian rhinoplasty
Part of the reason that silicone implants can create a "super sharp" tip is that they exert a tremendous amount of pressure on the skin, and ultimately thin skin. A great deal of refinement can be achieved with a septal extension graft and shield graft, but the level of "sharpness" will be limited by the thickness of your skin.
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