Oriental Rhinoplasty

The same goal exists for rhinoplasty performed on Asians as for rhinoplasty performed on Caucasians, which is to build a natural-appearing structure that blends harmoniously with the face.
As a group, Asians require augmentation of the nose to achieve this result, in contrast to Caucasians who usually require reduction.
As with other types of surgery performed on Asians, successful surgery results in a feature consistent with the patient's ethnic identity. Thus an attractive Asian nose should result, not an attractive Caucasian nose on an Asian face.

Your Personal Consultation
During the initial consultation, you may be asked to look in a mirror and point out exactly what you would like to see improved.
This will help your plastic surgeon to understand your expectations and determine whether they can realistically be achieved.

Am I a good candidate for rhinoplasty?
Some of the indications that you may be a good candidate for rhinoplasty are:

your nose appears too small or too short for your face
there is a bump on the nasal bridge when viewed in profile
your nose seems too wide when viewed from the front
the nasal tip droops or plunges
the tip is thickened or enlarged
your nostrils are excessively flared
your nose is off-center or crooked
previous injury has made your nose asymmetrical

It is important that you have a clear idea of how you would like your nose to look and, at the same time, realize that there are limitations to the procedure. Patients with sufficient physical and emotional maturity who undergo rhinoplasty because they want to enhance their self-image are usually very satisfied with their decision.

Nasal implants
Determine the necessary thickness and configuration of the nasal implant.
Place a straightedge ruler from the lash line to the supratip; the gap between this edge and the native dorsum determines the shape and thickness required of the implant.
As a nasal implant, silicone rubber, Gore-tex, dermofat, Cartilage, Alloderm are using currently.

Understanding Risks
Fortunately, significant complications from rhinoplasty are infrequent.
Every year, many thousands of people have their noses reshaped, experience no major problems and are pleased with the results.
Anyone considering surgery, however, should be aware of both the benefits and risks.

How is my plastic surgeon able to reshape my nose?
Through the small incisions or opern rhinoplasty incisions work is done on the cartilage and bone that form the framework of your nose.
Sometimes, the position of certain bones may need to be altered slightly in order to make your nose look narrower and straighter.
If your nose needs to be built up in some areas, this can be done using nasal cartilage, or perhaps bone or cartilage from another site.
The skin and soft tissues then redrape themselves over this new "scaffolding."

How should I prepare for surgery?
If you are a smoker, you will be asked to stop smoking well in advance of surgery.
Aspirin and certain anti-inflammatory drugs can cause increased bleeding, so you should avoid taking these medications for a period of time before surgery.
If your rhinoplasty will be performed on an outpatient basis, be sure to arrange for someone to drive you home after surgery and to stay with you at least the first night following surgery.

How will I look initially?
It is important to realize that the amount of time it takes for recovery varies greatly among individuals.
The first couple of days after surgery, you should restrict your activities and sleep with your head elevated.
This will help to minimize swelling and reduce the possibility of minor bleeding, which is not uncommon.
Remember, you must not take aspirin or certain anti-flammatory medications.
Generally, bruising around the eyes and cheeks is most apparent during the first three days following surgery.
Most discoloration will disappear within a week.
A few days after surgery, you can begin to use makeup as a concealer, if desired.
Noticeable swelling may last for several weeks.
Minor residual swelling, most frequently affecting the nasal tip, may continue for many months, but generally this should not be apparent to others.
Stitches may also be removed at that time.
You may need to continue wearing the nasal splint for up to a week, during which time you should avoid getting it wet.

Results of Your Rhinoplasty
The goal of rhinoplasty is a nose that looks natural and blends harmoniously with your other facial features.
Since the healing process is gradual, you should expect to wait up to one year to see the final results of your rhinoplasty.
You are likely, however, to begin enjoying your new look within weeks of your surgery. Occasionally, a touchup may be desired to further improve the results. If this is the case, the additional procedure is usually less extensive than the original operation.