The Benefits of Asian Rhinoplasty

Asian Nose Surgery

Asian Nose Job

Asian Nose Job

Asian Nose Surgery, or Asian Rhinoplasty, is one of the most popular Cosmetic Surgery procedures in Dr. Oleh Slupchynskyj’s practice. A wide variety of his patients request sophisticated, distinctive results. Naturally, the perception of what is regarded as “beautiful” changes with time and with the influence of other cultures on one’s own. Cultural mixing between Asia and the Western world has influenced what patients consider an ideal nose in various countries. Many Asians think an attractive nose is one where the nasal dorsum is augmented and nasal tip is slightly more accentuated than one that is typically “natural looking” for a person of Asian descent.

The Asian nose has several distinguishing features when compared to the Caucasian nose or one of European descent. The Asian nose usually possesses thicker skin, with a deeper and flatter radix, and a lower or sometimes depressed nasal bridge. The tip of the nose tends to have a broad dome, while both the tip and the nostrils can be thicker skinned, wider, and have more fibro-fatty tissue than the Caucasian nose. The columella, or underside of the nose, also tends to be minimal.

Previously, the standard has been for Plastic Surgeons, typically General Plastic Surgeons, to perform Rhinoplasty on all patients in the same exact way regardless of their ethnicity. This made the noses of ethnic clients appear unnatural and unbalanced when compared to their other facial features and physical characteristics. Dr. Oleh Slupchynskyj, a New York City Rhinoplasty Surgeon and Dual Board Certified Facial Plastic Surgeon believes Asian Rhinoplasty, similar to many Ethnic Rhinoplasty surgeries he performs, requires advanced surgical skills that enable him to achieve very unique, custom-tailored results.

When an Asian patient considers Rhinoplasty, they typically are looking for more refined and augmented bridge, (i.e. slightly thinner and higher bridge). A more refined tip with increased projection is also popular. Adding definition to the bridge of the nose is often desired, in order to increase prominence in a natural way that is balanced to the rest of their face. Asian noses commonly have delicate cartilage, requiring superior skill to manipulate when making any alterations. The nasal bridge of an Asian person should start at or below the eyelashes, rather than higher towards the forehead as do many Caucasian noses.

Augmentation of the nasal bridge is best achieved by using the patient’s cartilage from the nasal septum or from the ears. Should the donor cartilage be insufficient or too flimsy for proper sustained augmentation, Dr. Slupchynskyj’s customized Silastic implant is advocated, as it is well tolerated by Asian noses, due to their thicker skin. Dr. Slupchynskyj’s surgical technique ensures the custom silastic implant is placed in the correct tissue plane and is sutured into place. Dr. Slupchynskyj never uses Medpor implants due to the known associated risks with this nasal implant. Dr. Slupchynskyj, an Asian Revision Rhinoplasty Specialist, has addressed various complications arising from tissue in-growth with Medpor implants, placed by another surgeon during Asian Rhinoplasty.

What to Expect From Rhinoplasty Surgery

Rhinoplasty, commonly referred to as a Nose Job, is a surgical procedure used to reshape the nose. For some clients, the procedure is used for purely cosmetic purposes such as repairing profile issues, decreasing its size, or improving the shape. In other cases, it is medically necessary in order to improve a client’s ability to breathe. 

If you are interested in Rhinoplasty, chances are you are curious about what to expect before, during, and after your surgery. This guide will help to educate you, and prepare you for your procedure. It can also bring up important questions or concerns you can discuss with the surgeon during your private consultation.

Step One: The Initial Consultation

The first step in getting a new nose is having a face-to-face, private consultation with the doctor. In addition to listening to your concerns, Dr. Slupchynskyj will take face measurements, ask questions about your medical history, and take photos that will be used as a reference. This will give you an opportunity to get to know the doctor better, and decide the size and shape of the nose best suited for your natural face proportions. You may also be instructed regarding pre-surgical recommendations, including medications and supplements that should be avoided prior to surgery in order to reduce the chances of complications. If you are a smoker, we recommend you cease smoking for at least two weeks prior to surgery to reduce your chances of surgical complications and to facilitate your healing process.

Step Two: The Rhinoplasty Procedure

Depending on the results of your consultation, you will receive local anesthesia in order to keep you comfortable during the surgery. Once you are fully sedated, the doctor will begin making an incision to access the nose cartilage and bone. In most cases, these incisions are made on the inside of the nose to hide the scarring.At this point, the doctor will remove excess bone and/or cartilage, or he may need to add tissue, in order to build the nose according to your specifications. He may use tissue from your body or synthetic filler material, to complete the contouring.If you have a deviated septum, it will be corrected during this phase. Your nose will be straightened and the surgeon will reduce projections that obstruct your breathing. A nasal “cast” may be applied over the nose.  This helps to protect and also retain the nose’s new shape as it heals and are usually only necessary for the first week.

Step 3: Recovering With Your New Nose

It is completely normal to experience a little discomfort for the first few days. Some patients experience minor swelling and bruising in the upper face, yet some do not. Swelling begins to resolve after the first three days and even moreso after the first week to two weeks.  

We recommend that you keep your head elevated, and as still as possible, for the first several days. You should not participate in strenuous activities for several weeks. Healing is a complex process, so it can take up to a year before your nose will be completely restored to its new, permanent shape.

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