Composite implants are one of the best ways to correct a Asian nose. Using cartilage from the nose or ribs can be a great option for augmentation. Most often, Dr. Chow will alter the nose's tip shape with cartilage. 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 can be one of the most difficult procedures in facial plastic surgery. Many Asian patients wish to have a more refined and high-quality nasal bridge. Many augmentation techniques are available to achieve the desired results. One of the most versatile graft materials is autologous rib cartilage. This tissue can serve multiple purposes, including augmentation of the dorsal area and new height formation.
Sliced cartilage fascia
The dorsum, or bony part of the nose, runs between the eyes and the tip. You can have the dorsum enlarged by a surgeon. Because the surgeon can mold the cartilage to the patient’s specifications, the latter procedure looks more natural.
Shield grafts
Shield Grafts are a popular choice for Asian nose surgery. These can be used to return the nose's tip to its original shape and height. The procedure involves using a cartilaginous shield to create a new dome. You have two options: a curved or smooth graft or one that is flat and ridged. It can be one layer, or several layers. Based on how much projection is required, the surgeon will decide how many layers are needed.
Skin grafts
Asian nose skin surgery is not always successful. The envelope of the Asian nose is very thick, and it can be hard to narrow it using traditional methods. The doctor uses structural cartilage transplants to reduce the tip and preserve the thickness of the soft tissues. 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 of a different plastic surgeon, and this was contributing to an unattractive shadow on the upper nasal bridge. After surgery, the contour of this area was fine at first, but it became more irregular after one year.
Modification to the base of Alar
There are numerous techniques available for narrowing and modifying the alar base and nostrils, but few studies have specifically addressed Asian individuals. One technique that might be helpful for Asian patients may be combined sill/alar removal. This treatment addresses both wide nostrils, and alar flare. A retrospective cohort study was done to evaluate this technique.