Asian Rhinoplasty (Nose Job Surgery)
Asian Rhinoplasty Beverly Hills | Los Angeles
Every single individual on our planet is 100% unique, and while we may all have the same facial components, the shape, size, and exact position of each feature and how those features blend together gives us each our unique, individual beauty. However, there are genetic characteristics that individuals from different ethnic backgrounds tend to share. Unlike many other ethnic groups for whom reducing the size of the nose is needed to bring the nose into harmony with the rest of the face, individuals from Asia usually seek nasal enlargement, which involves very different surgical techniques than Caucasian rhinoplasty. Rhinoplasty for patients of Asian descent involves intricate knowledge of how Asian facial features harmonize to create a distinctive form of natural beauty, in order to avoid the common problem of trying to make a Caucasian nose fit onto an otherwise Asian face.
A successful rhinoplasty—one that subtly restores a balanced profile and enhances an individual’s natural beauty—is very difficult to achieve, especially for patients who are interested in altering their profile in a way that seamlessly blends with their other ethnic facial features. Dr. Gary Motykie of Beverly Hills and Los Angeles is a world-renown Board Certified plastic surgeon with extensive experience performing rhinoplasty on patients from every corner of the globe. He does not apply a cookie-cutter approach to give everyone the same nose, regardless of ethnic background. Instead, he has in-depth knowledge of the specific features of Asian patients, and through extensive communication with each and every patient, will develop a customized surgical plan that will seamlessly blend the reshaped nose with the rest of the face and create a well-balanced, naturally-beautiful appearance.
Unique Features of an Asian Rhinoplasty
For Asian seeking to improve their profile through changes to their nasal structure, a rhinoplasty will generally involve enlarging the nose at the bridge and the tip, while avoiding the all-too-common trap of putting a larger Caucasian nose onto an Asian face. Moreover, because of the distinctive characteristics of the Asian nasal structure, many of the surgical techniques commonly employed during Caucasian rhinoplasty are simply not appropriate.
Enlargement of the nasal bridge on Asian patients should involve the use of a silicone implant. A very thin (1mm) sheet of silicone is laid on top of the nasal bone, and then shaped to match each patient’s unique bone structure. In most cases, the implant also has the effect of narrowing the nose, eliminating the need to break and reshape the nasal bones. When shaping the silicone implant, it is critical to remember that the Asian nasal bridge should start approximately at the level of the eyelashes or slightly lower, with a slight break between the forehead and the starting point of the bridge. Neglecting the break will result in a “Greek”-style nose, which is culturally and aesthetically incompatible with Asian features. For most non-Asians, the bridge is augmented with donor bone or tissue from other areas of the patient’s body. However, this procedure is inappropriate for Asian patients because donor bone is too bulky and difficult to shape correctly. It is nearly impossible to blend the edges together seamlessly, resulting in a nasal bridge that is far too big to successfully match the other features. Moreover, bone grafting makes the procedure significantly more invasive, requiring a longer recovery time.
Compared to other ethnic groups, the tip of the Asian nose tolerates slightly less definition and projection, although it can still be altered slightly to better blend with the rest of the patient’s face. Because Asians typically have weaker cartilage in the tip area, manipulating the shape of the existing cartilage, as in most Caucasian rhinoplasties, is not appropriate. Dr. Motykie advocates buttressing the tip structure with additional cartilage either from the inside of the nose (the septum, which separates the left and right air passage) or from the ear (through a hidden crease behind the ear). This cartilage is used to reinforce and project the tip upward through a buttressing pillar of cartilage, somewhat akin to a pole propping up the tent. The cartilage should have adequate length and strength to properly fulfill this function. Laying cartilage on top of the native weak tip cartilage is inappropriate because the foundation is too weak to support an “onlay” graft at the tip.
When designing a rhinoplasty for Asian patients, it is also important to understand when narrowing of the nostrils is appropriate. The need for nostril narrowing varies depending on the country of origin. Contrary to popular opinion, nostril narrowing is not generally required for patients whose ancestry traces to Northern Asia—perhaps 15% need narrowing. The need for narrowing is more common in Southern Asians. Narrowing should only be performed only when necessary in order to avoid scarring, especially when augmentation of the nose tip often gives the appearance of narrowing anyway. When narrowing is performed, the outside curvature of the nostrils must be maintained in order to avoid a “pasted-on” appearance.
Contact Dr. Gary Motykie
Dr. Gary Motykie of Beverly Hills and Los Angeles is a world-renown Board Certified plastic surgeon with the experience, sophistication, and artistic talent to ensure that patients of every background and ethnic heritage leave his office completely satisfied with the results of his or her rhinoplasty. He prides himself on maintaining excellent communication with each and every patient and treating every patient as a unique individual with a distinctive ethnic background and unique aesthetic ideals. He will take the time to understand your goals and your concerns, and will work in cooperation with you to design an individualized surgical plan to enhance your natural beauty and give you a balanced, beautiful profile. If you are of Asian descent and are interested in improving the balance of your profile that more perfectly blends your distinctive ethnic features, contact Dr. Motykie for additional information. We look forward to speaking with you and scheduling your consultation today!