Asian Rhinoplasty for tip refinement. (photos)

Question

I'm an Asian descent. I have a bulbous nose tip with thick skin. I want to reduce the size of it and refine it. I'm not looking for a very dramatic change, still want to keep it natural.. Am I a good candidate for rhinoplasty? Are there any suggestions? Thanks!

Philip J. Miller, MD, FACS · Answer

Hello:Thank you for your question. You concern regarding your nose is not uncommon, especially for those of Asian descent. As a specialist in rhinoplasty surgery as it pertains to ethnic rhinoplasty, I can tell you that these are the most common issues I hear patients discuss with me regarding their reasons for wanting to alter the appearance of their nose while still maintaining their ethnic identity:Asian rhinoplasty patients discuss their dissatisfaction with the following:

Flat nasal profileSlight nasal bridgeFlared nostrilsWide nasal tipPoor nasal tip strengthI employ specialized surgical techniques for Asian Rhinoplasty and my number one goal is to have a unified vision with my patient. I do not want to harm a patient's ethnic identity, however, I want to allow for each patient achieve the very best results they can and that occurs by having a highly personalized and customized surgical plan. I have over two decades of experience in facial plastic surgery and am able to preserve the ethnic characteristics of my patients while delivering the results they desire. When selecting a rhinoplasty surgeon, it is of the utmost importance that you choose a surgeon who is board certified in facial plastic surgery. Board certification matters. Especially, when you are considering ethnic rhinoplasty. You want your face and nose in the hands of an experienced and qualified surgeon. I am including a website link about Asian Rhinoplasty as well as video that discusses in detail the specifics of this procedure. I hope you find this information helpful. Please feel free to reach out to our New York City office if we can help answer any questions you might have in your decision making process.Sincerely,Philip J. Miller, MD, FACSDouble Board Certified Facial Plastic Surgeon

Alejandro Nogueira, MD · Answer

Your profile shows a good dorsum, I don't think it needs modifications (raise or lowering); frontally the dorsum could be narrowed if you wished so, but also be left untouched.The main issue is at the tip, which is bulbous, oversized, flat, lacks support, is undefined and has large nostrils. You need tip support and redefinition, as well as size reduction and alar wedge reductions, with tip grafting, columellar tutors, eventually tip and batten alar grafts, etc.Seek the advise of a well experienced ethnic and complex noses surgeon.

Emmanuel Mallol Cotes, MD · Answer

Thank you very much for sharing your concerns with us.The harmony between facial parts makes us instinctively recognize the beauty... without knowing it, without defining it, just a perception that surprises and captivates us.In this regard, I suggest perform a Closed Rhinoplasty (without visible scars) to treat the tip, base and nasal bridge.With this procedure you get a delicate nose, better harmonize with your other facial features.Respectfully,Dr. Emmanuel Mallol Cotes.-

Ross A. Clevens, MD, FACS · Answer

Thank you for your question. Good candidates for rhinoplasty include anyone who feels that their nose does not fit with the rest of their face due to size or shape. A rhinoplasty can address the tip through refinement measures. Please keep in mind that natural-looking results are always the goal of facial plastic surgery. I suggest that you move forward and consult with a board certified facial plastic surgeon.

Best wishes,

Best wishes,

Donald B. Yoo, MD, FACS · Answer

As you have noted, the thickness of your skin will limit the amount of refinement that is possible with the tip of your nose during rhinoplasty.  The challenge with thick skin is that even if definition is created to the nose and cartilage underneath the skin, these changes will not show through the skin.  In these cases additional support and structure is necessary to create definition in the tip of the nose.  Using grafts made from your own cartilage will be the best approach for a natural-appearing, lasting result.  Consult with an experienced Asian rhinoplasty specialist and look carefully at his/her Before/Afters to find a surgeon with the aesthetic that matches yours.

Hyun-Taek Lee, MD · Answer

Thank you for asking. Yes, I think you would be a good candidate for rhinoplasty. Since you want a natural and subtle change, I recommend only doing the tip. Your tip seems slightly drooped with thick soft tissue. We would like to slightly upturn your tip and remove some excessive tissue.

Jay Calvert, MD, FACS · Answer

There is no question that you are a good candidate for a rhinoplasty.  I would recommend an all autogenous (your natural tissue) rhinoplasty without the use of an silicone implant.  You may require ear cartilage and a deep temporalis fascia graft to build the dorsum.  Alar base excisions are also key to a great result!

Victor Chung, MD · Answer

Rhinoplasty is a surgery to improve the shape of the nose for breathing or appearance.Frequently, Asian patients may be looking to refine the shape of their nose. The major factor to consider is the thick skin on the Asian nose. To create refinement, the skin needs to be put on stretch with stiff cartilage grafts. This will likely require rib cartilage. I would recommend consulting with a surgeon who understands the proportions of the Asian face, the skin issue, and rib grafting. Safety comes first.

Asian Rhinoplasty for tip refinement. (photos)

Answers (8)

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