Asian Rhinoplasty differs significantly from nose surgery of Caucasians in Los Angeles. In fact, it takes specialized training and expertise as a Board Certified Plastic Surgeon to truly master Asian nose surgery. The reason is that there are many fine differences between an Asian nose and that of other ethnicities. The following are some of characteristics of an Asian nose which make Asian nose rhinoplasty unique and challenging.
Nose Bridge in Asian Rhinoplasty: In general, most Asians from Korea, China, Philippines, Japan, Hawaii, and Malaysia have underdeveloped nasal bridge. This makes their eyes appear to be far apart. While in Caucasians nasal septal cartilage is used to augment nasal bridge, in Asians septal cartilage is often small and thus an inadequate source of autologus graft. Ear or Concheal cartilage is also not sufficient. In China or Korea rib cartilage is often used to augment nasal bridge with excellent aesthetic results, but this could leave a bad scar below the breasts, besides, removal of a rib is painful. Therefore, most plastic surgeons that specialize in Asian Rhinoplasty in Beverly Hills often use synthetic nasal implants made from silicone, Gortex, or Medpore.
Nasal Implants for Asian Rhinoplasty: Nasal implants that are used for the augmentation of the nasal bridge and tip in oriental or Asian rhinoplasty are often made from silicone, Gortex, or Medpore. Gortex usually comes in sheets which have to be carved and assembled. It usually gives a very soft and nice result, but it might be too soft of an implant to provide enough nasal tip projection. On the other hand, Medpore implants are often too hard and brittle. Medpore has a higher chance of extrusion. Silicone nasal implants are most popular due to the fact that they come in many different sizes and shapes. Silicone nasal implants can be further carves and shaped before insertion into the nose. All synthetic nasal implants have the potential risk of extrusion. This is usually uncommon with exception of instances when there was trauma to the nose, poor circulation, or when the implant was excessively manipulated from the outside.
Nasal tip shaping in Asian Rhinoplasty: The nasal tip in Asians is often round, wide, bulbous, and of poor definition. The thickness of Asian nasal skin also contributes to the lack of nasal tip sharpness. During Asian Rhinoplasty nasal tip can be refined by manipulating its existing cartilage, as well as by use of nasal dorsum and/or columella autografts or implants.
Narrowing of Nostrils in Asian Rhinoplasty: Nostrils in Asians can be flared and wide. During Asian Nose surgery the size and shape of the nostrils can be made smaller and narrower by an alar wedge resection. This technique of Asian Rhinoplasty has to be performed in a careful way neither to make the nostrils look too pinched, nor to make the nasal tip look like a triangle.
Lengthening of the nose in Asian Rhinoplasty: Lack of nasal bridge height can give the appearance of a short nose. During Oriental Rhinoplasty a combination of augmenting the nasal bridge and raising the nasal tip helps to make the nose look longer, more slender, and balanced.
Questions & Answers: Rhinoplasty
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Rhinoplasty Q & A
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Preparation for Rhinoplasty
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Asian Rhinoplasty Before-and-after Pictures: It is important to see before-and-after photos of Asian nose surgery, especially of other patients who have similar features as you. Dr. Younai thrives to make your nose look balanced and in harmony with the rest of the face. During your consultation at the California Center for Plastic Surgery, he would review with you many Asian Rhinoplasty before-and-after pictures of his. While analyzing your nose during this consultation he will point out different options and techniques for Asian rhinoplasty. He reviews pros and cons of each technique of Asian rhinoplasty, types and material of nasal implants, and what cosmetic Asian Rhinoplasty surgery and anesthesia entail.
Anesthesia and Recovery after Asian Rhinoplasty: Dr. Younai is a Board Certified Plastic Surgeon who specializes in Asian Rhinoplasty. He performs rhinoplasty surgery at the Regency Surgery Center, which is a fully accredidated and certified free-standing surgery center. Here a board certified anesthesiologist constantly monitors patients and gives them the safest and most appropriate anesthesia to keep them comfortable. After surgery patients are also monitored and cared for at the surgery center until becoming stable to go. Pre- and post-operative instructions are often reviewed prior to nose surgery. Most patients wear a nasal splint for one week after surgery. Most people return to their routine activities within 4-7 days.
Dr. Younai performs Cosmetic and Restorative Nasal Surgery at the California Center for Plastic Surgery. He receives patients from the Northern as well as the Southern California region. Some of these cities include Beverly Hills, Los Angeles, Santa Monica, Hollywood, Burbank, Sherman Oaks, Encino, Calabasas, Woodland Hills, Thousand Oaks, Westlake Village, Pasadena, Glendale, Valencia, Palmdale, Fresno, Bakersfield, and Oxnard.