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Asian augmentation rhinoplasty, making the nose more prominent and well defined is the main objective of most Asian rhinoplasties. The flat nasal profile demands a higher bridge both to support eyeglasses more effectively and to appear more beautiful. Traditional Western techniques fail to provide adequate elevation of the nasal bridge. Solid silicone implants have been problematic in that they create a “popsicle stick” appearance and can shift and migrate downward over time due to their weight. For these reasons, Dr. Lam no longer uses silicone implants for augmentation rhinoplasty
Asian Rhinoplasty Procedure
Asian rhinoplasty surgery requires a unique approach. The Asian nose is distinctly different from that of the Caucasian. The nasal bridge is less prominent and the tip of the nose wider and less angular than the Caucasian. The cartilages are more fragile and the overlying skin tissue thicker. Even the way the Asian nose breathes is different from the Caucasian nose, as the nasal septum (the partition that divides the nostrils) is infrequently deviated and the same restrictive zones that obstruct Caucasian breathing do not apply to the Asian nose. Therefore, surgery of the Asian nose mandates an entirely different technique that is unsuitable for the Caucasian nose.
Asian Rhinoplasty Specialist
Asian rhinoplasty is one of Dr Lam’s specialties, as the author of the definitive textbook on Asian cosmetic surgery, “Cosmetic Surgery of the Asian Face” (2nd Edition), and a frequent lecturer on the subject, Dr. Lam is considered an authority on Asian rhinoplasty. His unique perspective on Asian rhinoplasty affords him a distinct advantage in treating any ethnic nose in his ability to have a more extensive arsenal of rhinoplasty methods that can be suitable for individuals ranging from the thick skin/thin cartilage patient to the other extreme of thin skin/thick cartilage and from the smaller nose tip/bridge to the larger nose tip/bridge, and everything in between. Unlike the very artificial appearing silicone implants that appear shrink-wrapped, make the skin appear red, and look like a popsicle stick in the bridge, Dr. Lam uses a combination of Gore-Tex for the nasal bridge which is smoother and softer along with cartilage techniques for the nasal tip that preserve one’s ethnicity and enhance one’s appearance. Asian rhinoplasty procedures are performed by Dr Lam personally, at his Cosmetic Surgery center in Dallas, Texas.
The Asian Nose
The following illustration of an Asian nose demonstrates, narrowing the cartilages under thick skin will lead to a worsening of the condition rather than an improvement. After the cartilage is refined and narrowed through traditional Western techniques, the thicker skin will not redrape over the narrowed framework. Accordingly, there is a dead space that develops between the narrowed cartilage and the unyielding thicker skin. Over time, scar tissue develops in this dead space leading to a rounder, more bulbous tip. The end result is that the tip will look actually bigger and less refined. Instead a cartilage tip graft is used (taken typically from the septum inside the nose) to project the nose forward and thereby create a narrower appearance by pushing the thicker skin forward. This technique is actually unacceptable in the thinner-skinned patient, where the graft can become visible over time. Therefore, a careful physical examination (see the Asian Rhinoplasty Tutorial for more information) is mandatory to determine which method or methods would be appropriate in your case.
In the following diagram, Dr. Lam demonstrates various types of cartilage tip grafts that increase tip structure, support, and appearance. He does not always use all of these grafts but will do so depending on your individual anatomic requirements.
To schedule your Asian rhinoplasty consultation call 972.312.8105 or email us . The details of your Asian rhinoplasty (both the limitations and the benefits in your particular situation) will be explained to you during your consultation with Dr. Lam and his team.
Your Cosmetic Surgery Procedures will be performed by Dr. Lam's surgery center located in Dallas, Frisco and Plano, TX.
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Thank you. I’d highly recommend Dr. Lam to all patients who are looking for rhinoplasty, especially Asians.