I'd like to shed some light in your obvious confusional syndrome when you are facing your asian rhinoplasty procedure from a perspective of a lay person, confusion which is as understandable as frequent, but also very easy to solve; please read on attentively:-the wished pic posted has nothing to do with your nose, the preop state is not your current kind of nose, yes both are asians but... there are dozens of subtypes in asian noses and hundreds of different ethnicities; furthermore, the result in the postop image of the wish pic is, IMHO, quite poor and disappointing, in any good rhinoplasty surgeon's hands you can expect way better and more brilliant modifications-asian rhinoplasties have all some common features, making them probably the most complex, difficult, challenging and managed successfully by fewer surgeons from all possible nose cases, follown or equalled only by some central-african noses, with the added difficulty of the cutaneous shortfall and in some ethnics a very tight and unexpandable skin (like Filipino noses, probably the most difficult amongh them, as well as Indonesians and Malaisians)-most asian rhinoplasties have this set of problems and technical requirements:flat bridge: needed dorsal grafting to raise it, normally from ear cartilage or alternatively costal rib cartilage; never ever synthetic prosthesis or other substancespoorly defined, flat and unsupported tip: needing tip support, lengthening and Sheen's tip graftingweak and short lateral cruras of alar cartilages: needing batten grafts and caudal extension quite oftenshort nose with high nasolabial angle and upturned tip / nostril exposure: treated with septal lengthening, either direct or with L shaped caudal extension scaffoldingshort columella skin cover: sometimes skin flaps and plasties are bound to supply skin-it is very rare an asian nose needs alar plasty in terms of alar wedge reduction, and your case is not an exception, you are not a case for such, could become a disaster, irreparaible, with cosmetic and functional consequences-yours is not a broad nose, at all, wrong labelling-yours is a typical standar asian rhinoplasty case needing the formerly mentioned FULL SET of techniques applied, this means yours is a 10 ouf of 10 difficulty scale rhinoplasty with a surgical time of 5-6 hours, in need if very good hands from a well experienced ethnic rhinoplasty surgeon.Feel free to request any additional information from me.PS: if you google before and afer images of asian rhinoplasty you'll see 99% of cases the "after" pic is identical or slightly different to the "before" situation, showing you the extreme difficulty of these cases and how few and scarce surgeons perform them with mastery
