Number of Words: 530
Rhinoplasty For Asians
Gone where the days when the idea of beauty was defined with a more homogenous look. Now, it has been injected with a great amount of change in viewing different ethnicities as unique because of extensive cosmetic surgeries.
Caucasians undergo rhinoplasty because they want to reduce the size of their noses but not for the native- borns in 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 unnoticeably becoming very side-splitting because it should not be towards the creation of an attractive Caucasian nose on an Asian face.
The surgeon himself or herself should exert effort in giving proper orientation of their noses' pathophysiology before performing rhinoplasty for Asians. It is further discussed below:
* 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 for in the rare patient who has sufficiently strong cartilage. It is better to prefer creating an anterior strut graft with ear cartilage when using the open approach of rhinoplasty for Asians. There was a said experience that even two layers of cartilage appear 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.
The challenge of the 'nose job' is to enhance the nose while creating a balanced and natural over- all look that will be in tip- top harmony with the other facial features, such as performing rhinoplasty for Asians.
What Asian women do not know is that, Caucasian men find the natural look of their noses very attractive. Well, the rising number of inter- racial marriages is a testimony to that.