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by: Barry J. Cohen, MD
Surgery of the Asian nose is extremely challenging and exciting. It requires the greatest level of skill in the art of rhinoplasty and also requires an appreciation of the need for maintaining the identity of the patient and their ethnic background. To date, oriental rhinoplasty (nose job) has been most commonly performed with the use of nasal prosthesis. Specifically, the use of an L-shaped strut of silicone, placed either through the mouth or through an incision inside the nose, is commonly done.
Unfortunately, as many readers have seen with their family and friends, the use of a single L-shaped piece of plastic leads to a very obvious surgical nose. Specifically, one can see the sharp edges of the nasal implant as it joins with the underlying nose. Additionally, the tip of the nose lacks the refined projection that many patients seek.
There are several trends in contemporary rhinoplasty for asian noses, which greatly diminish the problems associated with the silicone nasal implants and have been widely used in my practice. These techniques can be applied to those patients who have had pre-existing silicone nasal implants. In fact, many patients in my practice have had rhinoplasties (nose jobs) prior to seeking my help with their nose. These current techniques have afforded the patient a more natural nose and have greatly improved their cosmetic appearance. Specifically, the use of cartilage grafts to achieve tip projection, with associated newer softer materials to increase the height of the profile of the nose, leads to outstanding results.
While surgery is somewhat longer than the older technique of insertion of silicone blocks, the results are well worth the added operative time. In approximately one to two hours, the nose can be rebuilt with significant improvement over old silicone block L-shaped implants.
Those patients who have poor chin projection can have chin implants simultaneously. Additionally, other types of cosmetic surgery can be combined safely on an outpatient basis with nose surgery. Complimentary consultations can be arranged and surgery scheduled quickly through my office. Indeed, a full 10 – 15% of my practice is comprised of Vietnamese patients, who have been extremely happy with my services. We would be delighted to meet with you in a free consultation.