Rhinoplasty is the surgical modification of the shape of the nose, also known as a “nose job” or nose reshaping. When surgical techniques are used to address the issues encountered in the noses of people with a specific background, this may be referred to as “ethnic rhinoplasty” or “Asian rhinoplasty.” Most ethnic rhinoplasty requires an open approach due to the complex nature of this procedure and the need to provide internal support for the nasal structures. The choice of approach is dictated by the specific goals of the patient, as well as any functional or structural issues that require a specific technique. Septoplasty (fixing a crooked septum) can be performed along with any rhinoplasty.
Common areas of concern in Asian and ethnic rhinoplasty include a flat bridge, a flat tip, wide or flared nostrils, a bulbous or poorly defined tip, and droopy or down-turned profile. Each of these issues can be addressed with specific techniques during your surgery. In many cases, the patient desires a somewhat larger or more projected nose. This requires addition of soft tissue grafts which are generally taken from the septum, the ear (conchal cartilage), and, in the case of a very small nose, the rib cartilage. Other tissues, such as fascia (usually from the temple region, behind the hairline), may be used to cover or wrap and smooth out the cartilage grafts. In a smaller number of cases, the nose may also need to be lengthened. This can also be accomplished with meticulously carved cartilage grafts and precise suture placement. Finally, some patients will desire a change to the size or shape of the nostrils. Dr. Ransom may then perform alar base modification or alar repositioning to treat asymmetric, large, or overly flared nostrils.
Most ethnic or Asian rhinoplasty procedures are performed with the open approach. This involves a small incision placed in the columella (the skin at the bottom of the nose between the two nostrils) and allows wide exposure of the cartilage and bone. This allows precise assessment of the underlying issues with the shape of the nose, as well as accurate diagnosis of functional issues. For rhinoplasty patients desiring a larger nose or significant changes to the tip of the nose, an external approach is essential – this allows Dr. Ransom to secure soft tissue grafts, make the two sides of the nose symmetric, create a more aesthetically pleasing shape for the tip, and most importantly, support the internal structure of the nose.
Dr. Ransom works with each individual patient to create the nose that he or she wants. Computer imaging is used in each consultation to help you define the changes to your nose that you desire. Different noses work for different faces, and Dr. Ransom is sensitive to his patients’ need to “still look like me” after the surgery. This is especially true in ethnic rhinoplasty or Asian rhinoplasty.