Adding Height for Flat Asian Nose

Hello,
Initially, I would set the projection of the nasal tip, then increase the dorsum. There are always limitations. I don’t stack rib. I use diced cartilage and inject it along the dorsum. Hope this helps answer your question. Thank you and best of luck.
Dr. Nassif

A considerable limitation in obtaining additional nasal bridge height is the skin. Furthermore, adding a thick graft may compromise the ability of the blood supply to provide nourishment to the deepest portions of the graft. Ulimately, this may result in death of the cartilage and possible loss of height thereby defeating the intial goal.

 This can be done many ways. Over the past 30 years I have almost always used septal or ear cartilage and not rib. Silastic can be used but can become infected since it is a foreign material. See an experienced rhinoplasty surgeon who can show you before/after photos of his work with noses similar to yours.

Building up the bridge on a flat Asian nose, as you described is limited by the aesthetics and limits of the skin envelope of your nose.

Injecting sterile water is one way to simulate the appearance and your surgeon may be able to do this procedure for you. Rib grafts are an option, but there are other options as well.

Most Asian rhinoplasty procedures involve inserting synthetic or natural tissues in the bridge of the nose to give more dorsal height. Cartilage from the nose, the ear, and/or rib, can be used. However, triple-stacking is sometimes necessary and uneven edges can occur due to this.
The smoothest, most effective, and simplest is to use a Silastic implant. These can easily be removed and replaced, upsized or downsized, with minimal downtime. There are some limitations to how high a flat Asian nose can be augmented. Stretching of the skin can leave a very shrink-wrapped effect when too much implant is placed, and synthetic implants can then become infected.