The ubiquitous goal of rhinoplasty is to make a natural-looking and attractive nose that blends harmoniously with the face. Rhinoplasty among Asians includes characteristics that distinguish the procedure from its white counterpart. Anatomic differences of the Asian nose coupled with differences in aesthetic standards demand they be approached in a unique way. In this article, peculiar aspects of Asian rhinoplasty are addressed with emphasis on surgical techniques used to obtain reliable results.
Key points
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For successful Asian rhinoplasty, not only specific anatomic distinctions but also cultural nuances and social framework surrounding the patient need to be considered.
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Nasal tip skin is typically thick and sebaceous, and the lower lateral cartilages and septum are paradoxically small, weak, and deficient.
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The mainstream of dorsal augmentation is using alloplast, such as silicone or expanded polytetrafluoroethylene (e-PTFE); however, tip-plasty is safely performed with autogenous cartilage.
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Septal extension graft with added onlay tip graft is the workhorse for the tip.
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Alloplast-related complications are common causes of revision rhinoplasty. Proper selection of patients, judicious use of alloplast, and the ability to manage relevant complications are important attributes in Asian rhinoplasty.
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