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 Asian Rhinoplasty
There are fundamental differences between rhinoplasty performed on Asians as for rhinoplasty performed on Occidentals.
Both groups wish to enhance facial aesthetics but oimportantly most Asian want to add facial harmony and balance to their Asian features.
In particular these ethnic differences involve:
- Skin
- Cartilage
- Nasal bones
- Facial skeleton
Importantly, the base or nsostril is often wide giving a flared look to the nostrils. It is this flaring which is characteristic of a nose that lacks adequate bridge height.
As a group, Asians require augmentation of the nose to achieve the desired result, in contrast to Caucasians who usually require reduction. However we recommend careful computer measurement techniques prior to surgery in all rhinoplasty procedures.
Additionally in addition to depending on personal preference alteration to the nasal tip may enhance the overall appearance.
Whilst many techniques are recommended to beautify and strengthen the Asian nose, my preferred technique is a augmentation of the bridge combined with a tip refinement. This total approach achieves a more natural overall shape to the nose.
Cartilage Implants:
Of recent times the clinic has advanced the use of the patients own tissue, harvesting graft material from either the septum of the nose or from cartilage of the ribs..
A wide number of implant materials are reported in the literature:
- Solid Silicone
- Gortex
- Medpor
- Proplast
Silicone Implants:
Solid but flexible Silicone has been used as a material for facial implants for over 40 years!
These solid silicone implants are designed to enhance soft tissue areas and thus underlying nasal structure. The implant is quickly encapsulated by scar tissue. In some thin-skinned patients or after aging, the implant itself can become more obvious. There is also an possibility of infection even years after implantation.
Generally the implant is inserted through the inside of the upper lip, but if significant changes are planned to the tip then an open rhinoplasty incision in the columella of the nose may be required.
Smaller tip grafts may be inserted via a smaller incision just inside the nasal tip.
Other materials:
Gore-Tex is made of biocompatible, micro-porous ePTFE (polytetrafluoroethylene )which supports rapid tissue incorporation. It is flexible, soft and yet very strong, S.A.M. is available in pre-formed configurations (facial implants and the like) as well as sheets and blocks. The pre-formed "Trimensional" 3-D shapes improve the outcome of malar, chin and nasal reconstructions. An added bonus is that it can also be easily carved for further customization.
Medpor (Porex): (MEDPORŽ Biomaterial) MEDPOR is made of a lightweight, porous form of high-density polyethylene. This material has a long history of medical applications without any reported harmful effects. This implant's porous texture allows tissue to incorporate into the implant, to prohibit "shifting". The porous feature can be its downfall, for a porous implant, after tissue incorporation, is more difficult to remove without destruction of tissues.
Proplast: Another micro-porous implant used to augment the soft tissues.
For more information and a detailed report on Rhinoplasty in Asians
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