Your term "rhinoplasty" should probably be repackaged as a European rhinoplasty since rhinoplasties done by most American plastic surgeons are the direct descendants of the rhinoplasty invented in Berlin during the 1920's by Dr. Jacque Joseph. His students immigrated to America and introduced these techniques which led to the beginning of the American/European rhinoplasty. The American/European rhinoplasty was essentially a reduction rhinoplasty which currently has many excellent new iterations. The Asian rhinoplasty is basically an augmentation rhinoplasty which, of course, also has exciting new iterations. The Asian rhinoplasty is not a modified American/European rhinoplasty. However, some of the basic techniques show a great deal of crossover. In answer to your primary question (should I seek consultation from a plastic surgeon with expertise in the Asian rhinoplasty?), the answer is, of course, YES. In America, because we are a melting pot, the signs of beauty tend to be a hodgepodge of multiple cultures. We have taken the European rhinoplasty and added an American spin. We also have taken the Asian rhinoplasty and modified it to fit our American perception of an aesthetic nose. In my experience in Hawaii, Asian Americans tend to want more bridge, a narrowed nostril sill, augmentation of a retrusive maxilla, and addition of some sharp angles to the standard, soft round Asian tip. Obviously, you need to seek consultation with a Board Certified plastic surgeon experienced in the Asian rhinoplasty. Probably three consultations would be sufficient. Evaluate these surgeons based on their before and after photos, reviews found on RealSelf, and your gut impression as to whether a particular surgeon and you can work together well to accomplish the nasal transformation you are seeking.