Facing rhinoplasty as something generic and with always predictable results is a big mistake! Harmony and improvement of appearance should always respect the qualities of the patient’s face depending on the nasal profile he presents and his individual characteristics. Thinking about it, Dr. Fernando Nakamura brings precious information about the particularities of rhinoplasty in Asian noses.
Nose profiles highlighted as candidates for rhinoplasty have characteristics commonly associated with recurrent complaints from patients. These profiles are:
- Caucasian nose: presents bone structure and cartilage that tend to form undulations and projected upper back. Already its tip is usually turned downwards.
- Negroid nose: generally has thicker and oily skin, without many bony structures, with a low back and a more rounded nasal tip.
- Eastern nose: also has low back and broad tip, generally, with great disharmony between these two areas.
Many of the changes that are performed in a rhinoplasty of a Caucasian or Western patient are not appropriate on an Asian face. Dr. Fernando Nakamura uses his experience to improve the appearance of the Asian nose in a way that is harmonious and balanced with all the oriental facial features of the patient, respecting his ethnic pattern.
Asian nose features
The anatomical structure of the Asian nose often differs from noses of other ethnicities, as well as the characteristic of the skin. Asians tend to have thicker, more oily skin, implying a lesser definition of the tip of the nose.
Asian nose and nasal tip cartilages tend to be softer and less resilient than those of patients of other ethnicities and are often shorter. As tip shape, size and projection are determined by the intrinsic characteristics of the tip cartilage, this results in a bulbous, broad tip with little projection.
The height of the back of the nose is determined by the size, shape and orientation of the nasal bones as well as by the cartilages of the middle third of the nose. In Asians, the nasal bones tend to be more oblique (more horizontal than vertical), where the simple nasal fracture of the bones does not allow proper nose tapering.
Improving nose appearance
As it is common for Asian noses to be wider and have insufficient projection, rhinoplasty in Asians can better structure the nasal tip, giving more definition to it and increasing the height of the back of the nose.
The surgeon has to add volume to the back, improving the “flat and wide” appearance of Asian noses. In these cases, the back has to be raised to improve the definition of the aesthetic lines (light and shadow), creating a more attractive profile and a more refined frontal vision. The best raw material for this technique is the patient’s own cartilage, eliminating the possibility of rejection.
Now, the base of the nose is a delicate region, because its width is characteristic of the Asian nose, and an excessive correction could lead to an ethnic decharacterization. However, when this width is excessive, a proper reduction can lead to a facial harmony while maintaining the eastern strokes
As a result, rhinoplasty in Asians can improve the appearance of the nose that will be more proportional to the face in a way that makes it more delicate and beautiful, acting on the following points:
- Improved nose width
- Increased nasal dorsum height
- Improved tip definition
- Improved tip structuring
- Adjusting the width of the nose wings
Improvement of facial harmony
Rhinoplasty in Asians is a very specific surgery that requires meticulous technique and attention to every detail, requiring the surgeon a lot of skill and a constant artistic vision. When performing this surgery, it is necessary to develop a beautiful nose while maintaining fundamentally the ethnic traits of the patient. Rhinoplasty in Asians is something unique and requires not only technical aptitude, but also a knowledge of Asian beauty. A beautiful nose is not just a high nose and designed, but needs to be natural and harmonic when viewed from different angles.
The nose is in the center of the face and is often one of the first features noticed by people. Rhinoplasty in Asians has grown steadily in popularity, as the evolution of operative techniques has allowed better aesthetic and functional results. Contact the PERFACE Institute, ask questions and schedule an appointment with Dr. Fernando Nakamura, who dedicates much of his practice as a plastic surgeon to Asian nose surgery.