Composite implants are a great option for correcting a Asian nose. A great option for augmentation is to use cartilage taken from the nose and ribs. Dr. Chow is most likely to use cartilage to modify the tip of the nose. Dr. Chow has the rare ability to use cartilage from many sources in order to reshape and augment the nose.
Autologous rib cartilage
Asian rhinoplasty may be the most complex procedure in facial plastic surgeon. Many Asian patients seek to achieve a more refined and high nasal bridge. You can achieve the desired results using a variety of augmentation techniques. Autologous rib-cartilage is one of many graft options. This tissue can be used in multiple ways, including for augmentation or the formation of new dorsal elevation.
Sliced cartilage fascia
The dorsum is the bony area of the nose that runs between the eyes to the tip. A surgeon can enhance the dorsum by either placing a synthetic implant or adding diced cartilage fascia grafts. The surgeon can create the desired shape and size of the cartilage, making it look more natural.
Shield grafts
Shield grafts are a popular option for Asian nose surgery. They can be used in order to restore the nose's original height and shape. A cartilaginous shield is used to create a new domed shape. You have two options: a curved or smooth graft or one that is flat and ridged. It can be one or more layers. The surgeon will determine the number of layers necessary based upon how much projection is required.
Skin grafts
Asian nose skin surgery is not always successful. The Asian nose has a very thick envelope, making it difficult to use traditional methods to narrow it. 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
After rhinoplasty, a patient from Asia complained that her silicone nasopharynx implants had moved after she was treated. This was the fault a different plastic surgeon. The result was an unattractive shadow around the upper nasal bridge. This area had a good contour at the beginning, but the contour became less perfect over time.
Alar base modification
There are numerous techniques available for narrowing and modifying the alar base and nostrils, but few studies have specifically addressed Asian individuals. 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.