What rhinoplasty procedure is best for bulbous, flat, Asian nose with wide nostrils? (photos)

Question

I feel like a rhinoplasty will help balance out my face and achieve the more "feminine" and "cute" nose that fits my face and remains true to my ethnicity (but just better). I've tried filler along the bridge and tip but it doesn't help with the wideness of my nose. What rhinoplasty procedures will I need to achieve this based on my picture? I would like to avoid a fake, obvious and pinched look where the nose bridge is too high and nose tip is too thin. Thank you and much appreciated!

Edmund Kwan, MD · Answer

From the picture, the bridge of the nose is relatively flat, tip is bulbous, and the nostrils are wide. This is typical for an Asian nose. Each area of the nose is addressed separately. The bridge or the dorsum of the nose need height and the best material is a synthetic material like a silicone. Silicone is easy to carve and has much lower complication rate than a cartilage graft. The surgical time is much shorter and much less expensive. Clinical research shows the efficacy of the implant. I have published a study showing 20 year experience with minimal complication. The result at the end of the surgery is the result you get. With cartilage grafts there can be warping and resorption at any point in time. It is totally unpredictable. The tip of the nose must be treated by itself. The problems rise when the surgeon tries to use an L-shaped implant or an implant that is too long or too thick. I use a cartilage that is obtained from inside of the nose called the septal cartilage. The tip will have projection and shape. The nostril can be reduced to fit the nose. You can obtain a natural looking nose that will retain your ethnic identity and give a beautiful nose.

Edwin Kwon, MD, FACS · Answer

A more feminine or cute nose is definitely something you can achieve while remaining true to your ethnicity.  Augmenting your nasal dorsum, increasing projection and refining your nasal tip will help achieve your goals and can be done in a very natural way to avoid an overly stylized appearance.  I advise seeking out a plastic surgeon to discuss specifics on how you can achieve your goals.  Overall, I think you would be a great candidate for a rhinoplasty.

Stephen M. Krant, MD, FACS · Answer

Not an easy solution, but I would do a tip plasty to give you
more definition by sculpting the cartilages and add a cartilage graft to the
tip for projection. Reducing the width of the nostrils will also give a thinner
appearing nose. The incision is hidden in the alar crease. Third, if the nose
needs more definition on the dorsum, then I would use crushed cartilage in the
midline.  Good luck!

Donald B. Yoo, MD, FACS · Answer

A rhinoplasty specialist will be able to comprehensively address the issues you have with your nose. One thing to keep in mind though is that there is a limitation to the amount of tip refinement you can achieve (how small/narrow) depending on the thickness of your skin. DCF (Diced cartilage fascia) provides permanent results without the risk of warping or resorption of en bloc rib cartilage, and with a much lower rate of migration, infection, or extrusion than synthetic grafts. 
Consult with 2-3 of these surgeons in person and determine your comfort level with their approach, demeanor, and before and after results. Good luck @asianrhinoplasty

Tanveer Janjua, MD · Answer

It is important to make sure that the nose fits the face. Your present nose looks very good on your face. I would advise against a rhinoplasty.Regards Dr.Janjua

What rhinoplasty procedure is best for bulbous, flat, Asian nose with wide nostrils? (photos)

Answers (9)

Answer: Consult with a specialist

Answer: Consult with a specialist

Answer: No rhinoplasty needed

Answer: No rhinoplasty needed

Recommended reading

Everything you need to know about Asian Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.

What rhinoplasty procedure is best for bulbous, flat, Asian nose with wide nostrils? (photos)

Answers (9)

Answer: Consult with a specialist

Answer: Consult with a specialist

Answer: No rhinoplasty needed

Answer: No rhinoplasty needed

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Recommended reading

Everything you need to know about Asian Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.