What Could Be Done to Improve my Nose? (photo)

Your nose like may Asian noses I have done for 35 years involves a bridge graft of your own cartilage and along with refinement of the tip and narrowing of your nostrils. The cost varies according to the time but 7-10K is average.

I commend you for staying away from synthetic implants.  A dice cartilage fascia wrap (DCF) would be an excellent method of building up the bridge of your nose.  Cartilage grafts would be needed to achieve adequate tip refinement.  Alar base reduction will also help to balance the width of your nostrils with the rest of your nose and face.  

There are a few ways of treat the flat bridge and wide nose like you describe. It is common to build up the bridge with a cartilage graft or silicone implant. I prefer using cartilage grafts in my practice.

It is also possible to narrow and refine your tip with rhinoplasty surgery as well. This often involves conservative nostril narrowing techniques.

Price ranges do vary by region of the country but I was expect a rough total cost of $7000-9,000 depending on who you choose. You would be able to get a more solid price quote after consulting with your surgeon, of course.

I would do some work on your tip to try to obtain better definition.  Also, you are ideal for alar wedge resection, which involved cutting out a segment of your nostril to narrow the base.  Although you have a low bridge, I would not try to augment it with a graft or implant.  They tend to look weird and I think the change is usually not an improvement.

I agree that it would be worthwhile to address the areas of your concern. I would use only your own tissues to build up the bridge, give better tip definition and narrow the nostrils. If you have had prior nose surgery or facial bone surgery, it will be important for your surgeon to know this history. Best wishes!

It's hard to give speific recommendations about rhinoplasty without actually seeing and individual in person. I might comment that you have a low flat bridge, but that may be your favorite or familial feature that you want to keep. In general, rhinoplasty on Asian patients is more about augmentation (adding to the nose) and creating tip definition. I find that computer imaging is excellent for this.

A safe and effective option to augment the bridge of your nose is a dorsal implant.  Because there is no pressure at the tip of the nose (unlike L shaped implants), there is minimal risks for implant complications.  Your other option is to use your own cartilage from behind your ears.  The base of the nose can be narrowed to better proportion.  Some minor tip work with cartilage grafting will improve your tip and give it more definition.

Asian Rhinoplasty is very different that rhinoplasty on caucasians. As I can appreciate from your pictures you will need a nasal implant to raise your nasal bridge, narrow nasal tip, and reduce the size of the nostrils. I usually perform this without need to do an open rhinoplasty which involves external incisions.

Grafts created from your own body (autologous grafts) become fully incorporated into your nose and have a much lower risk of infection, extrusion, and migration than do synthetic implants.  The one downside is the greater technical difficulty of the operation, and the longer surgery time.  Rib cartilage will likely be necessary to achieve your aesthetic goals.  There are a variety of techniques and aesthetics when it comes to Asian rhinoplasty, so it is important to seek out multiple consultations with experienced Asian rhinoplasty surgeons before choosing who you connect with the best.  

Thank you for sharing your photos. Every rhinoplasty is unique and the final result needs to suit your face. You mentioned not using synthetic material which means that you have to use your own cartilages to built up your bridge. Based on the photos, the best source of cartilage is from your ribs. As far as the lower part of your nose is concerned, you may benefit from refining the nasal tip and narrowing the base of your nose. There are a variety of techniques to achieve your desired shape. I think you would benefit from a face to face consultation with qualified plastic surgeon. Be as specific about your goals as possible. Bring pictures or photos of noses that you like. It's impossible to give you an accurate fee estimation with in person evaluation.

Best Wishes,

 

Thank you for your question and the photos. Rhinoplasty is at least as much art as it is science, and requires a careful conversation with your surgeon about your goals. That being said, you have identified a couple of areas that you would like to change. For the bridge area, you would need dorsal augmentation -- adding tissue to build up the area. This can be done using your own tissues (generally, cartilage from the septum or rib, and possibly connective tissue from behind the ear). For the tip, there are many techniques that can be used to add refinement, projection, and contour. These can be done using your own tissue as well as sutures. Lastly, the base of the nose can be reduced and narrowed through alar base modification and medialization. Please seek a handful of consults with qualified surgeons before proceeding.