Composite implants are a great option for correcting a Asian nose. For augmentation, you can use cartilage from your nose or ribs. Dr. Chow will most often alter the shape of the nose's tip with cartilage. He has the unique ability to use cartilage from a wide range of sources for augmentation and reshaping the nose.
Autologous rib cartilage
Asian rhinoplasty can be one of the most difficult procedures in facial plastic surgery. Many Asian patients seek to achieve a more refined and high nasal bridge. Many augmentation techniques are available to achieve the desired results. One of the most versatile graft materials is autologous rib cartilage. This tissue is versatile and can be used for many purposes, including augmentation or formation of new dorsal length.
Sliced cartilage fascia
The dorsum, or bony part of the nose, runs between the eyes and the tip. A surgeon can enhance the dorsum by either placing a synthetic implant or adding diced cartilage fascia grafts. The latter is a more natural-looking procedure because the surgeon can sculpt the cartilage to the patient's desired shape and size.
Shield grafts
Shield grafts are a popular option for Asian nose surgery. They can be used for restoring the nose's normal height and shape. The procedure involves using a cartilaginous shield to create a new dome. The graft can be curved or smooth, or it can be flat and ridged. It can be one layer, or several layers. The surgeon will determine the number of layers necessary based upon how much projection is required.
Skin grafts
Asian nose skin grafts are not always successful. The Asian nose envelope is extremely thick and can prove difficult to narrow using traditional methods. Dr. X often uses structural cartilage and grafts to improve the appearance of the nose while maintaining the thickness of the soft tissue. The doctor may use one of the above techniques or a combination to improve the appearance.
Silicone nasopharynx
A patient from Asia complained about a moving silicone nasopharynx after rhinoplasty. This was the fault of a different plastic surgeon, and this was contributing to an unattractive shadow on the upper nasal bridge. This area's contour was initially good after surgery. However, after a year, it wasn't perfect.
Modification to the base of Alar
There are many ways to modify and narrow the alar base or nostrils. However, few studies have focused on Asian patients. The combined sill/alar excision technique, which can be used to treat wide nostrils and flared alars in Asian patients, may prove beneficial. The retrospective cohort study evaluated this technique.