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Question:
I'm 27, Asian, and I'd like to get a nose job. I heard that the nose grows and changes as you get older. Is this true? What does this mean for the results of the nose job then?
Answer:
The nose does change over time. For example, the nasal tip support mechanisms may weaken over time, thus giving the appearance of a longer nose with a droopy nasal tip. During rhinoplasty, we use techniques to maintain, and sometimes enhance, those tip support mechanisms.
Question:
I’m Asian and have a very thick nose. I would like this refined. How is this done?
Answer:
My method for nasal tip definition is a graduated approach. First, I use suturing techniques to achieve more refinement of your tip cartilages. In thick skin patients, this tends to provide minimal refinement of the nasal tip. Therefore, I then consider the use of a nasal tip graft. I shave the edges of the tip graft so that the edges of the tip graft blend in naturally with your native tip cartilage.
Question:
I'm of Southeast Asian descent. I'd like to have a nostril reduction. How is this performed?
Answer:
Nostril reduction is achieved by trimming some of the width of the nostril at the junction of the nostril and the cheek. This incision is well hidden within the crease between the nostril and the cheek/upper lip. For more information on westernization rhinoplasty, click here.
Question:
I have a low nasal bridge. I'm Asian. Would this require breaking the nose to fix it?
Answer:
Not necessarily. A low nasal bridge can be augmented with a variety of techniques. One technique is non-surgical and involves injectable filler, such as hyaluronic acid (Juvederm) or calcium hydroxyapatite (Radiesse). A longer lasting procedure is surgical (rhinoplasty) and involves placement of cartilage and/or fascia to augment the dorsum. That cartilage is obtained from either the ear, the septum or the rib. The fascia that is obtained is temporalis fascia. For before and after photos of Dr. Batniji’s Newport Beach rhinoplasty procedure, click here.
Question:
I am Asian-American and am seeking a consultation on rhinoplasty. I would like to have the bridge of my nose raised and narrowed and also have the width of my nose at the nostrils narrowed. I believe that this means some type of augmentation. Can this be done without detracting from my Asian features?
Answer:
Yes, rhinoplasty can be performed without detracting from your Asian features. To narrow the nostrils, I look at the nostril width and the skin at the floor of the nose. Through a small incision placed strategically at the crease between the nostril and the face, the nostrils can be narrowed. To add volume to the bridge of the nose, I like to use your own cartilage rather than an implant. Depending upon how much augmentation is needed, I may recommend cartilage from the septum, the ear, or the rib. We like to use a blanket covering material from the scalp, called fascia, to wrap around the cartilage so that it can give you a natural result that doesn't detract from your Asian features...this is known as diced cartilage with fascia.
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