The Asian Nose

asian rhinoplastyAsian rhinoplasty takes into account the unique features particular to Asian patients in order to give each patient a nose that looks natural. With any ethnic rhinoplasty, the goal is to improve the appearance and/or function of the nose without making it look altered.

We want to avoid giving an Asian patient an overly westernized nose, as this would not complement his or her other facial features.

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.

Asian Nasal Anatomy

  • Skin: Heavy, Thick & Sebaceous
  • Radix: Deep & Flat
  • Nasal Bridge & Dorsum: Low, Wide & Flat
  • Tip: Bulbous, Thick-Skinned, Under-Projected, Ptotic, Abundant Fibrofatty Tissue, Broad Domes, Minimal Definition
  • Columella: Short, Minimal Show (Retracted)
  • Base: Wide, Thick, Oblique & Flaring Nostrils
  • Nasolabial Junction: Retracted & Acute Nasolabial Angle (< or = 90 degrees)
  • Maxilla: Usually Retrusive

Asian RhinoplastyPrior to your rhinoplasty surgery, we will have a face to face consultation to discuss your expectations and how you would like your nose to look. I will examine your nose and look for any abnormalities or injuries that might affect the surgery. I will use computer imaging to give you a preview of what your new nose may look like. This image will serve as a guide during surgery, though it is not a guarantee of actual results. Age, ethnicity, skin type, and any nasal deformities or injuries will all affect the final outcome of Asian rhinoplasty. You may also view the results of other Asian rhinoplasty procedures I have performed in the before and after photo section of website.

As part of my examination of the nose, I will look for a deviated septum or other obstructions within the nose. These can affect breathing and therefore should be corrected during rhinoplasty. A septoplasty can be performed with rhinoplasty to resolve a deviated septum.

During rhinoplasty, I primarily use an open rhinoplasty technique. This calls for an incision at the base of the nose so that I can open up the nose and gain access to its interior. This technique allows me to perform much of the surgery inside the nose. If I can make all the changes on the interior, the only visible scar will be at the base of the nose where the original incision was made. Once healed, this incision is not noticeable. Rhinoplasty is usually performed with general anesthesia but, in some cases, it is performed under local anesthesia injections with intravenous sedation.

Following rhinoplasty, the nose will be congested for one to two weeks and it will be bruised and swollen. The majority of bruising and swelling will resolve following these first two weeks. Cold compresses are recommended to help reduce the bruising and discomfort. A short course of post-operative antibiotics and steroids are given to the patient to help prevent infection and excess swelling.

Ethnic rhinoplasty, including Asian rhinoplasty, is one of Dr. Nassif and Dr. Yoo’s specialties. Dr. Nassif specifically specializes in Asian revision rhinoplasty, which is repeating nose surgery to correct or improve upon previous results.