The nose is one of the most distinguishing features among the different ethnicities that comprise this country. Because of the variations in both appearance and structure, Dr. Nassif utilizes different surgical techniques when performing rhinoplasty on Caucasians than on his Asian rhinoplasty patients. Each patient group has different requests and varying beauty ideals that create diversity in treatment plans among those who visit the doctor.
Typically, during rhinoplasty of a Caucasian nose, the doctor will create some changes specific to the ethnicity. Often, patients wish to reduce the overall size of the nose, which can be accomplished through a number of techniques. The dorsal hump, or nasal bump, may be shaved down to a lesser height, and the bridge can be narrowed through an osteotomy where the nasal bones are fractured and repositioned closer together. The tip may be refined to form a desirable contour and, depending on individual preferences, the nostrils can be repositioned.
The main goal of a majority of Caucasian rhinoplasty surgeries is to minimize the prominence of the nose. Patients wish to refine its size and shape while maintaining the facial harmony that is so important to one’s attractiveness. Reducing the size of a large nose in Caucasians can bring it into better proportion with other facial features, which is why rhinoplasty may improve one’s overall looks when the nose is large.
Those who undergo Asian rhinoplasty often experience very different changes. Commonly, patients request that Dr. Nassif build up the height of the bridge of the nose rather than decrease its size. During Caucasian rhinoplasty, a manual or powered rasp is used to file the dorsal hump, which may be unnecessary during Asian rhinoplasty and, instead, tissues are often added to the nose during the procedure. Rather than remove material from the bridge of the nose, Dr. Nassif often adds a DCF (dice cartilage wrapped in fascia) implant made from the patient’s own cartilage to this area.
Patients of Asian rhinoplasty often express interest in adding length to the end of the nose, which can be accomplished through the use of the patient’s own harvested tissues. This technique of shaping the nasal tip varies drastically from Caucasian rhinoplasty procedures where materials are often trimmed away from this area of the nose. Caucasian rhinoplasty procedures rarely ever require the use of these custom-made support structures, often fashioned from the patient’s own ear or septal cartilage; however, in Asian rhinoplasty, grafts are often essential to defining the nasal tip. Asian skin tends to be thicker than that of Caucasians, and scar tissue buildup is a concern during the procedure if the methods used during surgery are not modified to accommodate this anatomical difference.
Dr. Paul S. Nassif, M.D., F.A.C.S. is a Beverly Hills, California, facial plastic surgeon at Spalding Drive Cosmetic Surgery and Dermatology. The doctor specializes in Asian rhinoplasty, among other facial cosmetic procedures, both surgical and non-surgical. The doctor strives for natural results that make a patient appear as though they were born with aesthetically pleasing facial features. Regardless of his Southern California location, the doctor does not prescribe to the stereotypical, artificial plastic surgery ideals that many equate to the region. Dr. Nassif has a well-rounded approach that addresses both the look and functionality of facial features, which is imperative to any rhinoplasty. Call Dr. Nassif today at (310) 275-2467, or send an email through the doctor’s Contact Us form.