A successful rhinoplasty
or nose job is determined by a
result that looks harmonious with the overall face. And for ethnic patients, this means their
nose should complement their unique racial traits.
With more understanding and respect with racial traits, plastic surgeons have started using
ethnic rhinoplasty when treating the Asian nose. With this technique, the result will be
compatible and harmonious with the Asian face.
Unlike in Caucasian nose surgery in which the usual aim is
to make it smaller, Asian rhinoplasty often involves making it larger or at
least “more defined.”
Most Asians asking for rhinoplasty want to achieve a more
defined nasal bridge as they typically lack this feature. To correct this aesthetic problem, doctors
will likely use synthetic implants such as the silicone plastic which can
provide great results as long as the patients have a thick skin that prevents
implant visibility.
Aside from silicone plastic, surgeons may also use Gore-Tex
which was first used for Caucasian patients.
But because of its lower risk of rejection and ability to provide a very
natural result, manufacturers have decided to make a thicker version of this
implant to accommodate the Asian nose.
However, some doctors advocate using a patient’s own tissue
to build a nose bridge. But unlike
Caucasians, most Asians lack enough amount of septal tissue (the one that
separates the left and right nostrils), making this technique impossible. Fortunately, the ear can serve as a donor
site.
Grafting tissue behind the ear does not result to visible
scar and does not affect the hearing of patients.
Other potential donor sites include the hips, ribs, and
skull. However, many patients are not
willing to undergo another surgery just to graft tissue from their body that is
why most prefer synthetic nasal implants like the silicone plastic and
Gore-Tex.
Compared to other ethnic groups, Asians have a nose that tolerates
slightly less projection and definition, although a small alteration is often
enough to create a dramatic improvement.
When treating the tip of the Asian nose, most doctors prefer
using a patient’s own tissue because introducing synthetic implants in this
area can result to implant rejection, visibility, protrusion, and other related
complications. However, this is not the
case when treating the nasal bridge because it has enough coverage (because of
the thicker skin).
To avoid destroying the ethnic features, plastic surgeons
rarely narrow the nostrils. This is
because increasing the projection of the nose is often enough to create a
narrowing effect.
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