I've always been dissatisfied with how my nose looks, even when I was very young. It's too wide and flat at the bottom and too flat at the bridge. I want what would look best on my face, but don't want synthetic materials used if possible. Also I would want to know if possible a price range for the type of surgery I would need. Thanks!
What Could Be Done to Improve my Nose? (photo)
Doctor Answers 18
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.
Improving the bridge height and tip area with your own cartilage
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!
The Asian rhinoplasty procedure would involve augmentation of the bridge of the nose with the patient's own cartilage harvested from inside the nose or the rib. Silastic implants are also used occasionally with excellent results. An alar platy procedure would narrow the nostrils and some tip refinement could also be performed all under close rhinoplasty techniques. This is performed under general anesthesia as an outpatient procedure. Cost of the rhinoplasty is $7-$8000 which includes the operating room anesthesia and surgeons fee.
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The width of the nose is easy to address using Weir excisions to narrow the nostril base. The remainder of the nose can also be substantially improved but a cartilage graft will be required. Since your nose is so flat I would not plan to use septal cartilage; the ear is a better donor site. In some cases rib can be used, as well. Be sure to see a Board Certified Plastic Surgeon who can show you a series of pre- and post-op pictures so you can see the type of results that are reasonable.
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.
Ethnic rhinoplasty is really about personal aesthetics
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.
Best options for nose augmentation in Asians
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.
Improving Nasal Definition
I support your desire to have a more defined projected nose. The bridge can be improved with cartilage grafts harvested from your own tissue. I avoid the use silicone or synthetics because of the risk of infection, movement, or extrusion. The base of your nose and tip should be narrowed so it is proportional to the rest of your facial features..
What Could Be Done to Improve my Nose?
Agree with Dr Mayer, Onlay cartilage or bone grafts plus tip refinement is indicated. Fee also from $7 to $12K
Asian Rhinoplasty in Los Angeles
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.
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