Asian Nose Job Specialist | San Diego Asian Rhinoplasty Surgeon
Asian rhinoplasty is one of Dr. Kolstad’s most common procedures. San Diego has a diverse community with people from every part of the world. Many nose job surgeons will have the same rhinoplasty result for every face. Dr. Kolstad specializes in achieving unique results that match your features as well as your ethnic background.
How Are Asian Noses Different From Those Of Other Ethnicities?
Many of our Asian patients are not looking to make a large dorsal hump smaller, but instead are seeking to augment a diminutive nasal bridge. They are seeking refinement of the nasal tip, without it looking too narrow. Above all, they seek to retain the features unique to their ethnicity.
The goal of Asian rhinoplasty is simple: to enhance one’s natural features and refine the others in a way that balances the nose in harmony with the rest of the face. Achieving this goal is best performed by the hands of a specialist. When examining a nose it is helpful to evaluate the individual subunits.
Asian noses can have tips that are often wide and prominent on the front view. By reshaping the nasal tip cartilages the nose will appear more refined and in better balance with the other facial features. Asian noses typically require significantly less excision of nasal tip cartilage (cephalic trim). Most commonly refinement can be achieved by increasing the projection of the nasal tip.
Asian nasal tips have are typically less projected than other ethnicities. By pushing the nasal tip outwards (increasing projection) the nose will appear more narrow and refined. Dr. Kolstad’s preferred way of adding projection is by using cartilage. The most common source of the required cartilage is the septum. Auricular (ear) and costal (rib) cartilage are secondary choices. Dr. Kolstad does not use L-shaped nasal implants to increase the nasal tip projection. L-shaped implants are easy for surgeons to place but can lead to disastrous outcomes if they protrude through the nasal skin.
A hanging columella (the strip of skin between the nostrils) is a cause of a drooping nasal tip. Columellar ptosis can be corrected at the time of rhinoplasty to improve the infratip lobule (the lower part of the nasal tip). Reducing a hanging columella will make the nose appear less elongated on the profile view and less drooping on the front view.
Asian noses will frequently have a retracted columella (no visible strip of skin between the nostrils). A retrused columella can be corrected by adding cartilage to the nose. Typically a septal extension graft is used in combination with bilateral spreader grafts to create a more appealing columella.
Asian noses can have a prominent hump on the bridge. The hump or convexity is most visible on the profile view. Reducing the prominence of the hump can make a significant impact on the overall appearance of the nose.
Asian noses can also have very low projection of the bridge. A flat nasal bridge can lead to challenges wearing glasses that require nasal support. Adding height to the bridge will make the nose appear more slender and more refined. Dr. Kolstad prefers to use either rib cartilage or silicone dorsal onlay implants to add height to the bridge.
The radix is the highest part of the bridge of the nose. Asian noses tend to start lower on the radix of the nose, typically level with the pupil of the eye. Caucasian noses start higher on the radix, around the height of the upper eyelid.
A common trend in Korean rhinoplasty is to make the starting point higher on the radix. By moving the nasal starting point from the midpupil to the upper eyelid the nose will appear longer and straighter. If the starting point is moved too high on the radix an unnatural, plastic appearance can be created.