Principles of Asian rhinoplasty

The final result of any Asian rhinoplasty procedure is ultimately a function of the client's preference, the local/racial aesthetic sense, the available donor/synthetic materials and the surgical planning and execution. The surgeon is often faced with the dilemma of choosing from the different techniques and available materials in achieving the desired result for his client with a minimal complication rate.

As mentioned previously, the typical Asian nose lacks tissue in general, both internally as well as externally. The principle of approach for the Asian rhinoplasty is to augment the nose i.e. to increase its radix height, its dorsal height and to project the tip. Tip up-rotation and excessive nostril show should generally be avoided as discussed in our later subchapters. In order to add to the existing structure, additional augmentative implant materials are required. A list of augmentative implant solutions are listed below. This list is illustrative and not intended to be exhaustive; it will change as improved product technology comes to the market.

Autologous grafts

Septal cartilage
Conchal cartilage
Costal rib
Autologous fat
Fascia e.g. temporalis fascia, tensor fascia lata
Bone eg iliac crest, calvarium
"Diced cartilage" in temporalis fascia

Homografts

Tutoplast (Processed human fascia)

Xenografts

Permacol (Porcine dermal collagen)

Reference: www.rhinoplastyarchive.com/

The information aims to provide educational purpose only. Anyone reading it should consult ENT Specialists before considering treatment and should not rely on the information above.