Asian rhinoplasty has evolved and is on the rise. Dr Terence Goh, Visiting Consultant, Department of Plastic, Reconstructive & Aesthetic Surgery, Singapore General Hospital, shares more.
Asian rhinoplasty vs conventional rhinoplasty
"The original principles of rhinoplasty were based on Caucasian rhinoplasty, and are borne on the principles of reduction of a large nose while that of an
Asian rhinoplasty are based on augmentation of a nose that is often shorter, flatter with weaker cartilages and poorer definition," says
Dr Terence Goh, Visiting Consultant,
Department of Plastic, Reconstructive & Aesthetic Surgery,
Singapore General Hospital (SGH), a member of the
The objectives cannot be more different and it is recognised that Asian rhinoplasty is more complex and requires a good understanding of Asian nose anatomy and augmentation techniques such as nose tip suturing and nose tip grafts.
How Asian rhinoplasty has evolved
"Asian Rhinoplasty has evolved over time from a closed technique and insertion of nasal silicone implants to an open rhinoplasty technique with specific improvements to the nasal bridge, nasal tip and nasal base. This evolution has been prompted by the increasing affluence of Asian patients, sophistication and higher demands from individuals who want a nose that fits the Asian face and not just a 'westernised nose'," explained Dr Goh.
Additionally, increasing complications such as extrusion of silicone implants and nose contractures leading to upturned noses have led patients to seek permanent reconstruction of these noses using a total autologous reconstruction (using your own tissues) which reduces the risk of infections and contracture.
Traditional concepts of beauty and aesthetics have been based on Caucasian anatomy and data. As the demand for Asian rhinoplasty continues to rise, there is an increasing amount of literature that has demonstrated that the definition of Asian beauty is different from Caucasian faces and hence a re-appraisal and understanding of Asian anatomy is key.
"Asian patients are more sophisticated now and they request for a nose tailored to suit their Asian features.
In fact, even within Asia, the concept of a beautiful nose is different in Korea, Japan and Singapore. Such socio-cultural considerations should be discussed with your surgeon so that a good harmonious outcome can be achieved," says Dr Goh.
3D Computer Imaging: The latest in rhinoplasty
One of the latest advances is the use of 3D Computer Imaging to simulate results after rhinoplasty surgery. With the aid of sophisticated 3D imaging computerised software, we are able to simulate “after results” to allow patients a preview of how the surgery may change their nose and appearance.
Computer imaging has proven to be a useful tool to provide the patient with a visual understanding of the anticipated outcome, although the images are not meant to guarantee surgical results.
Patients are also able to describe to our surgeons using the tablet the type of changes that they want, no matter how subtle. They are able to “try” on different nose profiles to see what best fits them before committing to surgery. These 3D images, combined with standardised photographs, serve as helpful adjuncts in the planning of the operation.
Reconstructive rhinoplasty vs aesthetic nose jobs – there is a difference. Click the link to find out more.