I have an Asian nose bridge that is too wide. Also, I wish to have my nose bridge curve more down and then out (my nose turns down slightly). Will it be difficult to achieve the smaller, more petite and thin nose that I want? Pictures of my nose are below. Thank you!
How Difficult Will It Be to "Fix" my Wide Asian Nose?
Doctor Answers 7
"Fix" my Asian Nose
Thanks for the posting of your photos. Best to see a boarded surgeon in person for a FULL explanation on augmentation rhinoplasty. As to options of implants, self vs alloplastic. If fractures will be needed, tip revision.
Asian rhinoplasty options
It looks like you have looked at your nose and asked what (reasonably) you want to change. Your requests are common in Asian patients. Remember that you are not make out of clay and that some rhinoplasty cases can be a challenge for the most experienced surgeon. Seek out a few experienced rhinoplasty surgeons. Look at his/ her photos. Interview them and see if your goals can be done.
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Rhinoplasty for Asian Nose
Fixing Your Asian Nose
Your goal is similar to the aesthetic desires of many Asian patients we see here on the West Coast - you want a more projected, narrow bridge and a refined tip. There are many techniques and combinations of procedures used to individualize your surgery.
Every plastic surgeon has a slightly different aesthetic taste. That is we all have a certain idea of what changes may look the best for our patients. I strongly recommend seeing a surgeon who has a computer imager to help demonstrate possible changes. This tool allows both the surgeon and patient to look at the same picture and come to a common understanding of the goals of the procedure. The imager is by no means a guarantee of the results, but it is reassuring to the patient to know what the doctor will be attempting to achieve. In ethnic rhinoplasty surgery, I have found this to be a very valuable communication tool.
To achieve a narrower more refined nose, I will use a either cartilage from the ear, or a silastic implant, depending on the patient's desire. Your nose needs alot of support in the tip area. I prefer using cartilage to achieve this.
Asian augmentation rhinoplasty helps define the nose
In Vancouver, where we have a large Asian population, changes of the nature you describe are quite commonly requested. Your requests are very reasonable and this if often what patients achieve with augmentation rhinoplasty (see the link below for more information). In your case, you will require some augmentation of your bridge in order to make it higher and appear more defined on your front view. It would look even more refined if the tip projected slightly more forward so that it appeared to project "out" from the bridge. This can be done through the use of tip grafts. See a surgeon who has much experience with Asian rhinoplasty and discuss these changes through the use of computer imaging.