Rhinoplasty Wire

Nowadays, it is so common to see an Asian with Caucasian features. You will see a Chinese with eyes or nose the same as that of the Western people. No, those people don’t have Caucasian blood. Those changes in their facial features are brought about by cosmetic surgery. Homogenous beauties are now gone with the growing surgeries available especially rhinoplasty.

Caucasians undergo rhinoplasty because they want to reduce the size of their noses, but not for the native-borns on the Eastern coast. Due to the fact that Asian noses are naturally wide and flat, their objective in going under the knife is to achieve that long and slim look. This rampant reality is rapidly becoming very amusing because it is not be towards the creation of an attractive Caucasian nose on an Asian face.

The purpose of rhinoplasty, or a “nose job”, is to enhanced one’s facial feature by giving a balanced and natural over-all look in harmony to the other facial features. But before performing rhinoplasty on Asians, the surgeons give proper and extensive orientation to their noses’ composition. Some of the details that are discussed are as follows:

The nasal skin's thickness better conceals the anatomic detail of the underlying nasal skeleton. This allows better blending of autogenous augmentation with native tissues. Nevertheless, this should not be used as an opportunity for sloppiness in doing rhinoplasty for Asians, because their expectations are exceedingly high.

The more delicate cartilaginous tissues of the lower lateral cartilage generally require reinforcement with autogenous cartilage from the ear or septum to obtain a desired result. Affecting a result with pure cartilage reshaping techniques is difficult and usually inadequate. Septal cartilage frequently requires two-layered reinforcement because of its thinness. When harvesting Septal cartilage in performing rhinoplasty for Asians, preserve 1.5 centimeter of caudal and dorsal septum, to prevent nasal dorsal collapse. In about 20% of cases, the Septal cartilage is inadequate and additional cartilage from the ear is necessary.

Generally, the lower lateral cartilage is too soft and pliable to adequately support the tip. Such softness precludes the successful use of on-lay grafts to the tip, except in the rare patient who has sufficiently strong cartilage. It is better to create an anterior strut graft with ear cartilage when using the open approach of rhinoplasty for Asians. There were reports where two-layers of cartilage appeared inadequate to maintain the projection beyond two years. While Septal cartilage appears adequate for tip projection in closed rhinoplasty, the compromise of circulation at the tip when using the open rhinoplasty approach, may contribute to long-term weakness, absorption of the Septal cartilage, or both. Conchal cartilage grafts placed as a strut appear to have a more durable outcome.

The shorter and more delicate nasal bones place the patient at higher risk for internal valve collapse. Consider spreader grafts in doing rhinoplasty for Asians which requires isolated dorsal reduction. Fortunately, alloplastic dorsal augmentation functions as a spreader graft, precluding the need for this as a separate maneuver.

Everybody has a different concept of beauty. What is beautiful to one person, may not be that good to the other. For instance, Caucasian men find the natural look of Asian noses very attractive. The proof of this is in the growing number of inter-racial marriages. But even with this, Asians are still having rhinoplasty to change their noses. Well, it’s a personal choice, and if you think that it will make you beautiful, then go for it!