VIP International Plastic Surgery Center in KOREA - Asian Nose Surgery

Characteristics of the Asian nose
a broad & low nasal dorsum
thick & sebaceous skin overlying the tip and supratip
poor tip projection and support with weak lower lateral cartilages
thin & small amount of septal cartilage
short nose
retracted columella
acute nasolabial angle
thickened alar lobules
flaring nostrils
< Asian Nose Job
For the augmentation of the Asian nose surgery, foreign materials, especially silicone, have been used to make higher dorsum and longer nose. However, there are several complications of the silicone implant.
Ideal nose line >
Before & After / Asian Nose Surgery
Complications of the silicone implant:
Higher infection rate
Soft tissue thinning
Skin redness
Extrusion
Visible implant
Displacement
Contracture

In order to reduce those complications of the silicone, some doctors adapted more advanced technique which combines silicone on the dorsum with autologous cartilage graft (septal cartilage or ear cartilage) on the tip.

With this technique, the results were a bit improved but not enough to satisfy patients' expectations, because there are still limitations in reducing complications and achieving harmony with other facial structures.

In an Asian nose, the septal cartilage is thin and small, the overlying soft tissue is thick, the alar cartilage is weak, and the underlying mid-face including the nasal spine is retruded.

Therefore, the silicone implant is still used and the effect of rhinoplasty performed with using septal cartilage is limited without the consideration of facial harmony.

Common features of the Asians’ anatomic facial structure include:
Less supraorbital ridge
A deficient nasal spine
Thin, flaccid alar cartilages
More prominent malar
Bimaxillary protrusion and protruded lips
Flat or depressed midface

Therefore, Asian rhinoplasty (Asian nose job) should include not only performing a surgery on the nose but also achieving the harmony with other facial structures. For this harmonious rhinoplasty, retruded mid-face and columellar should be elevated, the tip of the nose should be more projected and length of the nose should be elongated.

Thus, the autologous rib cartilage is the optimal choice for Asian rhinoplasty rather than small cartilages as it provides stability to support the nasal structure and abundant cartilage volume.

Before & After / Asian Nose Surgery