Asian Rhinoplasty - What's Right for the Asian Nose Job?

What's the difference in nose jobs for westernized, caucasian noses and for an Asian (Korean, Chinese, etc). Is the technique used in Asian rhinoplasty special? It what ways does the Asian nose anatomy differ from other noses? I think some doctors call the procedure "Oriental Rhinoplasty" too.

Doctor Answers 38

Asian Rhinoplasty video

Here's a video that explains the differences between Western and Asian rhinoplasties and what to expect during the recovery period of an Asian rhinoplasty.

Dallas Facial Plastic Surgeon
4.5 out of 5 stars 53 reviews

Many differences between Asian and Western rhinoplasty

There are HUGE differences between Asian and "Western" Rhinoplasty.

First off, the nasal features are completely different and this requires specific maneuvers or techniques that are used to address each of the differences.

Asian Rhinoplasty: Tend to have short nasal bones (don't lend well to huge bony changes or cuts to be made), depressed dorsum bridge, short nose, wide nasal tip, thick skin, weak cartilage, inadequate septal cartilage for use of grafts, inadequate tip projection (tip does not point out enough), round nostrils, nostrils which show too much on the front view, inadequate columella (area between the nostrils), and a tip which points up too much (over-rotated).

All these features requires the following techniques, in general: Addition of cartilage (or implant) to augment the dorsum; increased support with cartilage added to the columella, nasal tip and above the nostrils; thinning of the thick skin, lowering the nostrils, increasing tip projection, osteotomy (bone cuts) to narrow the bridge.

Western Rhinoplasty: There is much more variation in western noses than Asian. Because of this, it is hard to point to specific features. There is a "melting pot" sort of presentation among western noses.

However, some differences which do not usually exist in Asian noses are: too much of a dorsal (bridge) hump, too much tip projection, long nose, drooping tip, large oval nostrils, thin skin, strong rim, tip, and septal cartilage, airway (breathing) problems.

Ashkan Ghavami, MD
Beverly Hills Plastic Surgeon
4.0 out of 5 stars 90 reviews

Video Below: Asian Rhinoplasty is different from rhinoplasty done for a Caucasian

Asian Rhinoplasty is different from rhinoplasty done for a Caucasian. Caucasians usually require reductive rhinoplasty. This entails making the nose smaller or "reducing' the size of the nose. Asian rhinoplasty is typically an augmentation type of rhinoplasty where parts of the nose are actually made bigger like the tip and nasal bridge. The Asian rhinoplasty necessitates placing grafts from rib, ear, nasal septal and foreign material like silicone, medpor, and goretex. I have a unique approach to the Asian Nose that you can read about on my website. 

Thanks for reading, Dr Young

Philip Young, MD
Bellevue Facial Plastic Surgeon
3.5 out of 5 stars 44 reviews

Asian rhinoplasty

Certain nasal features are prevalent among people of Asian heritage. The skin of the nose tends to be thick and sebaceous. The nasal tip may be bulbous and under-projected with thick skin. The dorsum (bridge) may be low and wide and the nasal base may be wide. An acute nasiolabial angle and retrusive maxilla also gives the nose a less protrusive appearance. For patients wanting narrower or more projected noses, there are many techniques available to enhance the nose without adding significant size. In fact, narrowing the nose will reduce its size.
One challenge of Asian rhinoplasty is that it can be difficult to achieve fine features when dealing with thick skin. However, a pointed or angular nose might not suit the patient’s face and therefore, the thick skin may not be a concern. Each patient is examined individually and a unique surgery plan is designed to meet his or her goals

Paul S. Nassif, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 40 reviews

The difference depends on the patient

Many ethnic groups have some common characteristics:  An Asian nose with a broad, low dorsum is no different from an eastern European nose with the same characteristics.  The difference in management depends on the patient.  The importance of "ethnicity" is that any change must be deliberate and match the patient's aesthetic goals.  You must find a surgeon who has enough control over his or her results to be able to deliver the type of change that you both have agreed on.  The surgical techniques may differ (especially in donor site), but the basic plan of raising a bridge and creating tip contour in an Asian or a Slavic nose is the same--only the aesthetic goals may differ.

Mark B. Constantian, MD, FACS
Nashua Plastic Surgeon
4.5 out of 5 stars 23 reviews

The main difference is augmentation vs. reduction

The typical Asian nose is different from the typical Western nose in that Asians typically need "more" nose, and Westerners needing "less" nose.  That's the simple way to think about it.  What is done to improve the appearance depends upon your individual facial aesthetics and balance and what your surgeon can technically achieve for you.  This may require treating your bones, cartilage, and adding graft in the form of cartilage or silicone.  You and surgeon should have a detailed discussion about the risks and benefits of using your own tissue (autologous) versus implant materials. 

Often times, the tip of the nose if broad and flat, and may further need refinement to raise and sharpen the tip.  I most often use the "open" approach, which means there will be a small incision at the base (columella) of the nose.  Most importantly, the nose if a functional organ for breathing.  Make sure that the inside (septum and turbinates) of the nose is examined before you embark on rhinoplasty! 

Charles K. Lee, MD
San Francisco Plastic Surgeon
5.0 out of 5 stars 5 reviews

Asian Rhinoplasty or Oriental nose surgery in Los Angeles

Asian Rhinoplasty or oriental nose surgery is different than caucasian rhinoplasty. Often times it involves augmenting the nasal dorsum or the bridge, rasing nasal tip, refining nasal tip, and narrowing and refining the flarred nasal Ala. Make sure that if you are considering Asian Rhinoplasty your plastic surgeon is board certified and has had ample experience in rhinoplasty on Asians in Los Angeles.

S. Sean Younai, MD, FACS
Beverly Hills Plastic Surgeon
4.5 out of 5 stars 36 reviews

Asian Rhinoplasty differences

Asian rhinoplasty is different from Caucasian rhinoplasty mainly in that it involves augmenting the nose rather than reducing it.

Common nasal features in Asian patients are that of a wide, flatter bridge; underprojected tip with wide nostrils; weaker tip cartilages; and thicker skin.

Cartilage grafting techniques are typically needed in these cases to build up the nose and to provide adequate support for the tip. I prefer using a patient's own cartilage to do this whereas some surgeons use implants such as silicone, gortex or medpore. I find that cartilage has a lower risk of future unwanted reactions, infection or extrusion.

Thomas A. Lamperti, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 18 reviews

Asian Rhinoplasty is Different

Asian Rhinoplasty most often requires augmentation, the addition of grafts as structural parts to create shape changes.

The complexities of Asian rhinoplasty require the expertise of a surgeon experienced in Rhinoplasty.

Paul C. Zwiebel, MD
Denver Plastic Surgeon
4.5 out of 5 stars 21 reviews

Asian rhinoplasty

In general rhinoplasty is complicated and complex procedure that requires a unique skill set.  Asian rhinoplasty is a subspecialty that requires an even more specialized approach. Most rhinoplasty is done to reduce the size of the nose, in Asian rhinoplasty we are augmenting the nose  (eg adding a bridge, lengthening the nose, or increasing the projection of the tip).  Other elements that are addressed is refine the width of the tip and nostrils. As a result make sure you find a rhinoplasty specialist with experience in Asian noses.  Good luck!

Amir M. Karam, MD
San Diego Facial Plastic Surgeon
4.5 out of 5 stars 105 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.