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From the Blog

Asian Rhinoplasty: Main Peculiarities and Problems

Asian rhinoplasty is a popular procedure in New York; it’s a type of plastic surgery performed on any Asian person. This is a kind of ethnic rhinoplasty NYC, which is usually done according to the peculiarities of the skin, bones, and cartilage of a particular race of people. The procedure is aimed at balancing the nose with the rest of the face without the loss of the ethnic uniqueness of the nose form. Asian plastic surgery NYC usually concentrates on the nose augmentation, unlike the Caucasian type of procedure, which usually requires reduction.

Peculiarities of Asian Rhinoplasty

Cosmetic procedures on Asian people have to be done very accurately, as the nose structure is fragile. Asians usually have short nasal bones and lack of cartilage, so grafts are often necessary. They are taken from the ear or ribs, but before this technique was developed, artificial additions were used. Asian people also have short noses with wide tips and round nostrils, so the most popular procedures usually include tip rhinoplasty, dorsum augmentation, etc.

One more peculiarity is too thick skin, which sometimes is thinned surgically. Some doctors find it convenient to use the thickness of the skin to hide the mistakes he or she makes during the rhinoplasty surgery. To avoid that, you need to visit best nose job NYC, who will do the procedure professionally without using your ethnic uniqueness to disguise their own mistakes.

Besides, Asian clients are usually very idealistic about their results, so every detail has to be explained and discussed beforehand. To make everything clear, the model of the rhinoplasty before and after is made to show the patient what his or her nose will look like after the procedure. Make sure to ask for such a model when applying for Asian plastic surgery NYC.

Other Common Procedures

Aside from making the nose longer and the tip pointier, Asian rhinoplasty also involves other procedures:

  • Bridge augmentation.
    The bridge of most Asian noses is undefined at all or not defined enough, so augmentation is used to a different degree. For that, artificial implants or the patient’s own cartilage grafts from ears or ribs are used.
  • Alarplasty is a rhinoplasty procedure that requires narrowing of the nostrils. Asians have round nostrils that may make the face look unbalanced, so this surgery is applied very often.
  • Bone narrowing.
    If the nose is wide and needs to be narrowed, most top doctors NYC use bone narrowing to make the nose look longer and less wide.

For all the procedures both local and general anesthesia are used, so make sure you discuss this detail with your doctor before applying. Local anesthesia may cost less and makes the average cost of a nose job cheaper. However, you need to understand that although you will not feel any pain, you will feel the doctor operating on you. If you may not handle this, it’s better to apply for general anesthesia.

Brief History of Asian Rhinoplasty

At the dawn of Asian plastic surgery NYC, the only nose reconstruction procedure performed was dorsal augmentation. The tip and bridge were defined with the use of artificial L-shaped implants, where the corner or the L was the tip. Also, injections of silicone and paraffin were quite popular, as the rhinoplasty recovery took less time and almost no damage to the outer skin was done.

Nowadays, artificial materials are more and more often replaced by the patient’s own cartilage grafts. This eliminated the problem of harmful reactions of the implants with the natural tissues, and the results became more natural-looking.

When the open approach became popular in the US, nose specialists started using it on their Asian patients. However, nowadays this approach isn’t used often due to the problems with the recovery process. As the skin of Asians is very thick, it’s more difficult to heal it, so endonasal approach remained the main procedure used for the representatives of this race.

Problems of Asian Nose Job

Asian nasal cartilages are very delicate, so they usually need strengthening with the grafts from ears or ribs. Reshaping the nasal cartilage itself to gain the desired result is usually unsuccessful. Septal cartilage should be strengthened by a double layer, as it’s the most fragile and is often inadequate. According to the statistics, about 20% of patients need grafts to avoid collapse during the surgery.

Tip support should also be strengthened, as the lower part of the nasal cartilage is usually too soft to provide adequate support. Only 10% of all patients have lower supportive tissues strong enough, so the issue is usually fixed with grafts. If the open approach is used, a columellar strut is usually installed along with the reinforcement of the cartilage. In the closed approach, septal cartilage can be used for tip projection, but only if no less than 22 mm of the tissue can be obtained. Usually, a single layer of the graft may be enough in the case of the closed surgery.

In Asian plastic surgery NYC, the defatting process should also be limited, as the tip graft can be too visible. This issue is especially common for open rhinoplasty when double grafts are used. The scarring may become more visible and slower healing, which will slow the whole nose job recovery down.

The main nasal bone issue is the high danger of valve collapse, so wider grafts have to be used to eliminate such a consequence. The danger is higher if the patient needs an isolated dorsal reduction, but alloplastic augmentation usually provides enough support.

The Problem of Revision Rhinoplasty

This issue requires a separate paragraph, as revision rhinoplasty is usually troublesome for Asian patients. Due to the thickness of their skin, the recovery process takes more time and goes slower than usual. Every revision tends to make the period of recovery time longer, which makes the situation worse.

In most cases, Asian patients ask for a revision rhinoplasty to replace the artificial implants with the natural ones using the grafts. It’s a troublesome process, but if you find a top New York plastic surgeon who specializes in revisions, you will have fewer troubles with it. The specialist will not only perform the surgery on a high level, but they will also help your tissues heal faster with special medications.

Indications and Contraindications

As Asian rhinoplasty is usually performed according to the physical peculiarities of the race, the only indications are mental health and realistic result expectations. Plastic surgery for men requires the patient’s full understanding and accepting the results, as Asian men are usually less satisfied with the work done. A thorough screening is usually needed to show the patient his or her future results and to discuss every detail.

The main contraindication is paraffin and silicone injections that were made prior to the surgery. This is especially important if the patient applies for alloplastic augmentation, as the risk of infections becomes really high. It’s important that the patient knows about the risk, as about 40% of cases lead to mild infections.


Asian rhinoplasty differs from other types greatly, as it aims at the peculiarities of Asian noses, skin thickness, and common problems. Revision becomes troublesome for most patients, but if you choose a good revision rhinoplasty specialist, you may have no troubles with the procedure. Thorough screening and detailed discussions of the results are usually needed to avoid future dissatisfaction.