Rhinoplasty or nose surgery performed on most Caucasian usually involves some sort of reduction in the size of the nose. In particular, the nasal hump, or the large nasal tip is reduced.
On the contrary, rhinoplasty for most Asians and African-Americans involves enlargement or augmentation of the nose! In these cases the flat nasal bridge is heightened or the projection of the nasal tip is increased. This requires a different type of rhinoplasty, one that involves use of nasal implants.
Who is a Candidate for Nasal Implants?
Nasal implants are generally used to augment the nasal dorsum or bridge. Many Asians and those of African descent don’t have prominent noses and at times are deficient in the height of the nasal bridge. In addition to wanting to enhance and balance their facial features, they often complain that their glasses slip off their nose because they don’t have a strong nasal bridge!
Esthetically speaking, lack of nasal dorsal or bridge height tends to make the nose look short and fat. It also makes the eyes appear too far apart. Finally, lack of forward nose projection also tends to make the face look too flat and round. Augmentation of the nasal bridge will help elongate the nose and gives the face a more refined and balanced appearance.
What materials are used for Nasal Augmentation?
Most plastic surgeons prefer to used natural material for nasal augmentation, especially that from the patient themselves. This material is called an autologus graft, and is often harvested from the nasal septal cartilage, ear cartilage, ribs, or bone. While autologus grafts have the advantage of better acceptance by the patient’s body and less chance of infection; they do partially re-absorb or shrink. Besides requiring added surgery to harvest these grafts from a patient’s body, often the amount of tissue available for harvest might be limited and not enough to achieve the desired augmentation. On the other hand, synthetic grafts or implants are abundant and come in a variety of shapes and sizes. They don’t require added surgery to harvest a graft, and don’t re-absorb or shrink after implantation. Unlike autologus grafts, synthetic nasal implants carry a higher chance of infection or extrusion. These implants are typically made from Silicone, Gortex or PTFE.
Are Implants Tailored According to a Patient’s Ethnicity?
For many years, a “one size fits all” approach was taken to nose reshaping, and this also applied to the type of implants that were used. “Caucasian” implants were used on all patients.
Today, however, cosmetic surgeons tailor implants according to specific facial characteristics of various ethnic groups, including African-Americans, Hispanic, and Asian patients. For example, an implant used for an Asian is usually slimmer and smaller than one used for a typical African-American.
A skilled cosmetic surgeon will choose the appropriate implant size and shape, and might even carve and modify them to customize it for the patient’s ethnic traits and specific facial features.
How Is Nose Augmentation with Nasal Implants Performed?
This is a procedure that should be performed only by a highly skilled plastic surgeon, with experience in ethnic nasal surgery or rhinoplasty. Generally, the surgery involves the creation of a nasal pocket for insertion of the specially designed implant. The incision is made inside the nose, with dissection along the dorsum or top of the nose to create the appropriate space for the implant. Rarely, sutures are used to hold these implants in place; instead a tight fit pocket will hold in the nasal implant in the appropriate place. After surgery, the implant is kept in the correct place by wearing a nasal splint for a week.
Adjunct Procedures for Nasal Augmentation
Besides augmenting the nasal dorsum, often times, the flare of the nasal ala or the nostrils are reduced. This is accomplished by making an incision in the nasal alar crease, removing excess ala, and reducing the size of the nostril opening.
Sometimes nasal “strut grafts” are used as a “post” to increase the height and projection of the nasal tip. Other times, grafts are used in the pre-maxilla, or the area between the nose and the upper lip, in order to reduce the appearance of a sunken mid-face.
What Kind of Anesthesia is Used for Nasal Implantation?
Nasal augmentation is an outpatient surgery that can be performed under sedation or with general anesthesia. The procedure takes about one hour, and usually the patient can be back at their usual activities within one to two days.
Before operation, please inform us if there are any allergies or serious medical conditions. Also please inform us all medication that you are taking.
Please contact us if you need any pick up on your arrival at the airport. We can help you reserve the hotel room and other arrangement if necessary.
However please inform us your flight itinerary one week before your arrival.
Post Operative Care
- No doctor’s fee if any corrections are required.
– All post-operative aftercare is provided without cost.
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7 – 10 Days
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Airport Immigration and Customs
Please present the supporting documents confiril ming the scheduled operation upon request. Please do not carry any unnecessary drugs or dangerous objects in your luggage.
Appointment with Surgeon
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The prices of our service already included(if needed).
1. Consultation fee
2. Post operation fee
3. Medication fee
4. Hospitalization fee (if needed)
5. Anesthesia fee
6. Lab test fee
7. Free pick up service from the air port / hotel
8. Cost of operating room
9. Doctor fee