Composite implants can be used to correct an Asian's nose. The best option for augmentation is the use of cartilage or ribs from the nose. Most of the time, Dr. Chow will use cartilage to alter the tip shape of the nose. Dr. Chow has the rare ability to use cartilage from many sources in order to reshape and augment the nose.
Autologous rib cartilage
Asian rhinoplasty may be the most complex procedure in facial plastic surgeon. Many Asian patients seek to achieve a more refined and high nasal bridge. There are many augmentation options that can be used to achieve the desired results. Autologous rib-cartilage is one of many graft options. This tissue is versatile and can be used for many purposes, including augmentation or formation of new dorsal length.
Sliced cartilage fascia
The dorsum refers to the bony portion at the end of the nose. It runs from the tip to the eyes. The surgeon can either place a synthetic implant or add diced cartilage fascia Grafts to enhance the dorsum. This is the natural-looking option, as the surgeon can shape the cartilage to suit the patient's needs.
Shield Grafts
Shield grafts are a popular option for Asian nose surgery. They can also be used to restore the tip's normal size and height. To create a new dome, the procedure uses a cartilaginous shield. You have two options: a curved or smooth graft or one that is flat and ridged. It can be one or more layers. The surgeon will calculate how many layers you need based on how much projection you require.
Skin grafts
Unfortunately, Asian nose skin transplants are not always successful. It is difficult to narrow the Asian nose using traditional methods because it has a thick envelope. Because of this, the doctor often uses structural cartilage grafts to narrow the tip while retaining the thickness of the soft tissue. The doctor may use one of the above techniques or a combination to improve the appearance.
Silicone nasopharynx
After rhinoplasty, a patient from Asia complained that her silicone nasopharynx implants had moved after she was treated. This was due to a different surgeon. It was creating an unattractive shadow at the upper nose bridge. Although the area contoured well after surgery, it was not perfect after one year.
Alar base modification
There are many ways to modify and narrow the alar base or nostrils. However, few studies have focused on Asian patients. One technique that may be useful in Asian patients is combined sill and alar excision, which addresses wide nostrils and alar flare at the same time. This technique was evaluated in a retrospective cohort study.