Asian Rhinoplasty in Beverly Hills, Los Angeles CA
Beverly Hills Facial Plastic Surgery Center
Kimberly J. Lee, M.D., Female Facial Plastic Surgery Specialist
Serving Beverly Hills, Los Angeles, San Francisco Bay Area, and Worldwide
ASIAN RHINOPLASTY (Nose Job)
Asian rhinoplasty is one of the most challenging ethnic rhinoplasties that facial plastic surgeons face primarily secondary to the lack of nasal dorsum and weak cartilaginous framework in combination with thick skin and soft-tissue envelope. The facial plastic surgeon should strive to achieve three goals:
1. Please the patient
2. Achieve an aesthetically pleasing and functional result and
3. Maintain a natural look.
During your consultation, Dr. Lee will give you a realistic idea of what can or cannot be achieved with your underlying anatomy while maintaining or improving your nasal breathing. It is Dr. Lee’s philosophy to convey realistic goals to you during this consultation. Our office prides ourselves in ensuring great understanding of realistic outcomes and great communication at every step of the process.
Modern Asian Rhinoplasty practices suggest that less is more and Dr. Lee does not perform aggressive cartilage removal. Less cartilage removal, additional nasal support through structural grafting, and tip suturing techniques are being advocated at national and international facial plastic meetings, and Dr. Lee believes that these structural techniques lead to decreased revision rhinoplasties while achieving your goals.
ASIAN RHINOPLASTY ANATOMY
Dr. Lee believes that successful Asian Rhinoplasty surgery cannot result without a comprehensive understanding of the fundamental anatomy of the Asian nose. This typically include:
* Thick skin with abundant fibrofatty tissue
* Deep and low bridge of the nose
* Short, broad, and flat nasal bones with low nasal bridge and dorsum
* Wide, bulbous nasal tip with minimal tip definition and flimsy and weak lower lateral cartilages
* Short and retracted columella
* Wide, thick, horizontal ala with flaring nostrils
GOALS OF ASIAN RHINOPLASTY
While everyone has their own individual goals and reasons for having Asian Rhinoplasty, common requests include:
1. Thinner nasal bridge
2. Building up or Augmentation of the nasal dorsum
3. Refined tip with increased projection and rotation
4. Olive shaped nostrils and triangular nasal base
5. Increased columellar length (to increase nasal projection)
6. Aesthetically pleasing tip definition.
PREOPERATIVE NASAL EVALUATION AND SURGICAL PLANNING FOR ASIAN RHINOPLASTY
Excellent physician-patient communication is critical during the entire process and Dr. Lee and her staff will be here for you every step of the way. During the consultation process, it is important to clearly convey your desires and goals.
During the physical examination, Dr. Lee will direct special attention to determine if there is a component of nasal airway obstruction from the underlyling anatomic structures that you may or may not be aware of.
At this consultation meeting, Dr. Lee will discuss the goals you wish to achieve from surgery. Common Asian Rhinoplasty goals include:
1. Improving nasal tip definition of a bulbous with increased projection
2. Building up the nasal bridge.
3. Bilateral alar base reduction to narrow flaring nostrils.
Often in Asian rhinoplasty, a chin implant may be recommended to benefit the overall profile and aesthetic appearance.
ASIAN RHINOPLASTY: NASAL AUGMENTATION
For Asian Rhinoplasty nasal augmentation, Dr. Lee prefers autologous grafts (septal, ear, or rib cartilage) to alloplastic grafts or implants such as silicone or goretex. For minimal radix or dorsal augmentation, nasal tissue, rib perichondrium, or deep temporalis fascia is Dr. Lee’s preference. For moderate radix or dorsal augmentation, diced cartilage (septal, ear, or rib) is placed or wrapped in temporalis fascia. After evaluating your nose, Dr. Lee will make recommendations that are most appropriate for your nose.
ASIAN RHINOPLASTY: MORE DEFINED NASAL TIP
One of the most common requests in Asian rhinoplasty is to achieve a less bulbous nasal tip. In the past, to attain a defined nasal tip, aggressive over-resection of lower lateral cartilages was performed. When aggressive lower lateral cartilage reduction occurs, this usually causes the following problems: loss of projection, a downturned, bulbous nasal tip with possible longterm contour irregularities, loss of support, and nasal obstruction.
ASIAN RHINOPLASTY: ALAR BASE REDUCTION
In many Asian patients, reduction of the flaring alar base enhances harmony and balance with the Asian rhinoplasty. This can be performed alone or in conjunction with attention to other parts of the nose.
SEE DR. LEE’S BOOK CHAPTER ON ASIAN RHINOPLASTY
Dr. Lee is considered an expert when it comes to Asian rhinoplasty (Chinese, Japanese, Korean, Filipino, Vietnamese, Cambodian, Thai, etc.). See Dr. Lee’s book chapter on Asian Rhinoplasty written for other facial plastic surgeons in the Facial Plastic Surgery Clinics of North America.
Contact Beverly Hills Facial Plastic Surgery Center today at 310-882-5656 for your customized consultation and take one step closer toward your extraordinary metamorphosis.