Whenever I laugh, my nose spreads out a little wide. I like the size of my nose, but would like to increase the height of my nose bridge. If I get implants, will my nose get narrower? I don't want it to get smaller, I just want it to be taller. I heard that there are many options and I want something that looks natural and is permanent. I was informed that Silicone implants might shift overtime and I don't want that. What would be the best choice for me?
October 25, 2016
Answer: Asian rhinoplasty The most commonly used implant for asian rhinoplasty would be a silicone implant. While many of my colleagues have reservations about this, silicone implants are commonly used in Asia and when the surgery is performed properly, the risk of problems is minimal. The problems that I see from other patients are when too large an implant is placed, or an L-shaped implant is used. The preference among most experienced Asian rhinoplasty surgeons is for an I shaped implant, an implant that does not extend into the tip of the nose. Another problem I often see is how the implant is placed. The implant can be placed below the periosteal layer (my preference) or below the skin. When the implant is placed under the skin, the implant shifts with pressure to the nose and the edges of the implant become visible. Deeper placement of the implant works much better and it can be often be difficult to determine whether an implant is present or not when placed in this manner.An implant alone will make the bridge appear narrower. You may need reshaping of the tip of the nose with cartilage if the bridge is done. If you feel your nose widens when smiling, the base of the nose may need to be narrowed as well.Aloha,Shim Ching, MD
Helpful 2 people found this helpful
October 25, 2016
Answer: Asian rhinoplasty The most commonly used implant for asian rhinoplasty would be a silicone implant. While many of my colleagues have reservations about this, silicone implants are commonly used in Asia and when the surgery is performed properly, the risk of problems is minimal. The problems that I see from other patients are when too large an implant is placed, or an L-shaped implant is used. The preference among most experienced Asian rhinoplasty surgeons is for an I shaped implant, an implant that does not extend into the tip of the nose. Another problem I often see is how the implant is placed. The implant can be placed below the periosteal layer (my preference) or below the skin. When the implant is placed under the skin, the implant shifts with pressure to the nose and the edges of the implant become visible. Deeper placement of the implant works much better and it can be often be difficult to determine whether an implant is present or not when placed in this manner.An implant alone will make the bridge appear narrower. You may need reshaping of the tip of the nose with cartilage if the bridge is done. If you feel your nose widens when smiling, the base of the nose may need to be narrowed as well.Aloha,Shim Ching, MD
Helpful 2 people found this helpful
October 23, 2016
Answer: Avoid implants for rhinoplasty
The answer is simple. The best implant is your own cartilage. This is how the great masters of the past current time and future perform rhinoplasty. The only reason that silicone implantation is popular in asian noses is that it is easy and quick and generally the thick skin of an asian nose tolerates the implant well. I NEVER place artificial implants in my practice because of the inferior aesthetic result, movement, lifetime risk of potentially devastating complications including infection and extrusion. I suggest that you visit a plastic and reconstructive surgeon well versed in advanced rhinoplasty the way rhinoplasty should be done- by tailoring a cartilage scaffold to make your nasal tissues drape naturaly and beautifully with no foreign body!
All the best!
Rian A. Maercks M.D.
Helpful 2 people found this helpful
October 23, 2016
Answer: Avoid implants for rhinoplasty
The answer is simple. The best implant is your own cartilage. This is how the great masters of the past current time and future perform rhinoplasty. The only reason that silicone implantation is popular in asian noses is that it is easy and quick and generally the thick skin of an asian nose tolerates the implant well. I NEVER place artificial implants in my practice because of the inferior aesthetic result, movement, lifetime risk of potentially devastating complications including infection and extrusion. I suggest that you visit a plastic and reconstructive surgeon well versed in advanced rhinoplasty the way rhinoplasty should be done- by tailoring a cartilage scaffold to make your nasal tissues drape naturaly and beautifully with no foreign body!
All the best!
Rian A. Maercks M.D.
Helpful 2 people found this helpful