Asian Rhinoplasty

OVERVIEW

A rhinoplasty, also called nose augmentation surgery or nose job, is one of the most popular procedures among Asian people. This aims to adjust the shape and size of the nose to achieve facial harmony. 

Up to the present time, most of the rhinoplasties are not only about nasal bone augmentation because there are many Asians who desire not only to augment the nasal bone (nose bridge) but also reshape the nasal tip (nose tip) and slim down the alar base (nostrils). 

WHY ASIAN RHINOPLASTY?

Typically, Asian candidates undergo an Asian rhinoplasty due to the following common features: 

  • A flat, small and short nose bridge that is not in harmony with the overall face, making the face look flat
  • A short, over-projected nose tip
  • A drooping nose tip
  • A pear-shaped nose tip (bulbous nose tip) that is not in proportion to the nose bridge.
  • Wide nostrils with thick and/or broad nose wings, making the lower half of the nose look big and wide.

Thus, to design and create a defined nose for the candidate, plastic surgeons may not only focus on nasal bone augmentation, but also put an emphasis on achieving a proportionate and ideal nose tip in harmony with the nose bridge and forehead.

DETAILS OF ASIAN RHINOPLASTY TECHNIQUES

1.    Nasal bone augmentation

For people who have an undefined nose bridge, it is recommended to improve or enhance the nasal bridge (dorsal bone) using a nose silicone implant to attain the aesthetically pleasing appearance of the bridge. WIH team of board-certified plastic surgeons uses only USFDA and Thai FDA cleared medical grade nose silicone implants, which are safe with a very little chance of reactions, deliver a natural and smooth feeling when touched, and can be carved artistically to match each individual's face.

2.    Nasal Tip Reshaping (tip-plasty) 

Slightly short nose tip 

This can be adjusted using closed rhinoplasty technique just in case the candidate desires to improve the nose bridge together with increasing or adjusting the length of the nose tip properly. To create a natural, good-looking tip appearance as well as reduce the stress on the tip (upcoming chance of implant piercing through), WIH plastic surgeons will strategically place the grafting tissue beneath the nose tip. 

At present, the tissues commonly used in enhancing the nose tip can be broken into 2 types – autologous tissue (patient’s tissues) and donor tissues. There are 2 options for autologous tissues that can be selected according to individual needs:

1. Conchal cartilage (or ear cartilage) is the cartilage of the inner ear, which can be harvested partly for reshaping the nose tip without affecting/changing the ordinary ear shape. The post-op ear wound/incision can also be completely hidden from sight as the harvest area will be made behind the back of the ear.

2. Dermal fat graft harvested from the buttock has a suitable thickness level for improving the nose tip and supporting the stress at the nose tip from the silicone strut.

In case the candidate selects donor tissues, acellular dermal matrix (ADM) can be a possible alternative which is safe and commonly used in medical fields. The advantage of using ADM compared to using the autologous tissue is no additional wound required.

Very short nose tip (very over-projected nose tip with noticeable nostrils)

This is advised to be improved using open rhinoplasty technique with nasal septal cartilage (patient’s nose cartilage) and/or conchal cartilage in order to reshape and lengthen the nose tip beautifully without the silicone strut used at the nose tip.

Drooping nose tip 

This can be enhanced using open rhinoplasty technique to restructure, shorten and upturn the nose tip (also called upturn tip-plasty).

Pear-shaped nose tip (big nose tip or bulbous tip)

This can be improved using open rhinoplasty technique to reduce the thickness of the subcutaneous tissue and reshape the size of the alar cartilage in conjugation with using nasal septal cartilage to restructure and lengthen the nose tip, thus creating an ideal projection/profile.

 3.   Alarplasty

For people who have wide and thick nostrils (nose wings) which make the lower half of the nose look large and wide, WIH plastic surgeons recommend alarplasty (alar base reduction) be done with other procedure(s). This helps slim down the lower half of the nose and narrow the nostrils, which will be in harmony with the overall nose. 

The right technique of alarplasty is to narrow the nostrils appropriately, thus still preserving the natural, round shape of the nostrils after surgery.

DETAILS OF ASIAN RHINOPLASTY

  • CLOSED RHINOPLASTY TECHNIQUE

Type of Anesthesia:    Local anesthesia and/or sedation upon request

Operation Time:          1 – 2 hours

Length of Stay:           No admission 

  • OPEN RHINOPLASTY TECHNIQUE

Type of Anesthesia:    General anesthesia is recommended for patient’s utmost safety

Operation Time:          3 – 4 hours 

Length of Stay:           2 days 1 night

ASIAN RHINOPLASTY AFTERCARE

  1. In the first 72 hours after surgery, using a cold compress can help reduce swelling and bruising. You can apply the compress to your eyes and cheeks over the splint on your nose.
  2. You should rest with your head elevated in a recliner or with at least 2 pillows for at least 1 week after surgery.
  3. You will be instructed to clean the stitches with the provided mild antiseptic solution.
  4. Take medications as prescribed.
  5. The stitches will be removed within 1 week.
  6. Avoid wearing glasses for at least 2 weeks.
  7. Avoid strenuous activity or exercise for at least 1 month.

FAQs

1.    What are the differences between closed and open rhinoplasty techniques?

The closed rhinoplasty technique involves an incision made inside the nostril with the main purpose to augment the nasal dorsal bone (nose bridge). It yields the advantage of spending only a short period of operation time and simple care after surgery. Its drawback is having a silicone strut at the nose tip, which makes the augmentation of the nasal bone, or upturned tip-plasty, limited.

The open rhinoplasty technique is designed specially to reconstruct and redefine the nasal structure, which yields the best aesthetic results possible in an Asian rhinoplasty. There is an additional incision made along the columella (the most anteroinferior portion of the nasal septum). This technique enables plastic surgeons a clear view inside the nose bone structure to fix individual problems precisely and accurately, superior to the closed rhinoplasty technique. Its drawbacks are having a surgical wound along the columella and taking a longer recovery time and only requiring board-certified plastic surgeons with extensive experience to achieve satisfying outcomes.

2.    How long does it take to heal after nose surgery? 

How the nose heals after nose surgery depends on the surgical technique used in the operation. Normally, the nose tissue takes around 1 - 2 weeks to heal. And the nose tissues are fully healed in the 6th month up for the final result, depending on each individual’s healing.

3.    How long does it take for swelling to be fully healed?

Since recovery of each individual differs, swelling and bruising should be fully healed within 2 - 4 weeks. So, it is recommended to use a cold compress to help reduce swelling and bruising in the first 72 hours after surgery.