Rhinoplasty in the Asian nose

Abstract

For Asian people with poorly developed dorsal height and tip height combined with thick skin, augmentation is the most common procedure in rhinoplasty. Nasal deformities are also prevalent. Frequent use of dorsal augmentation material and grafting procedures in Asian rhinoplasty results in a relatively high rate of revision surgery to correct complications. This article describes dorsal augmentation using alloplastic implant materials and several tip grafting procedures. Surgical techniques for the correction of a deviated nose and convex dorsum are also discussed, with emphasis on extracorporeal septoplasty as modified by the senior author. A technical guide is described to treat this condition.

Keywords: Asian rhinoplasty; Costal cartilage; Dorsal augmentation; Extracorporeal septoplasty; Multilayer tip grafting; Short nose; ePTFE.