Most of the time, Caucasian noses require reduction rhinoplasty, with the nasal bones reduced in height and tip tripod structure supported with strong cartilage pieces harvested from self. On the other hand, Asian noses are more delicate and more complicated in anatomy, which require more specific knowledge and better maneuvers to increase the dorsum height and tip support, in order to obtain satisfactory results.
It is becoming a new trend for Asian people to go through a comprehensive combination surgery in order to correct the nose shape. Our doctor typically chooses to use an implant for simple Asian rhinoplasties. However, when the anatomy is difficult, or deformity more severe, our doctor will perform the rhinoplasty with different techniques, such as closed rhinoplasty (through the inside of the nose, or open rhinoplasty (via small incision across the cokumella. Alloderm, patient’s own ear or rib cartilages, or other relevant materials may be chosen. Any or all of the above-mentioned steps/approaches could be selected and carried out for the desired nose shape.
Corrective surgery for failed nose job—-Dr. Yu treats all kinds of failed nose jobs, especially after implant surgeries. An in-person consultation with Dr. Yu would greatly help in designing the salvaging plans.
Due to its abundance, rib cartilages could be utilized to correct both nose bridge insufficiency and the tip/columella complex. Although at this point of time, the revision rate remains relatively high among all the plastic surgeons.
Columella veiling/columella show is very easy to correct, provided that the surgeon knows how to correct it. Our doctor utilizes an extremely minimally invasive approach to augment the columella, for either its thickness or its vertical supporting strength, mostly via an intra-oral approach. The result is no visible scar from anywhere on the face or nose and the recovery is super-fast!
Canine fossa depression (base of the nose deficiency/depression) can be treated with fat grafting if minor, or with self-cartilage grafting and or Alloderm if moderate to severe. A combination of all three approaches could be used for even better and much more coordinated aesthetic correction.
Nasal alar reduction works to shrink the size of the nostrils. Dr. Yu uses an internal approach, by making incisions at the lateral aspect of the nasal sill to remove a wedge of tissues, including the corresponding nasal floor. After the mucosa is trimmed, the floor tissue can actually be turned down to augment the canine fossa (base of nose) right then and there. At the same time, the nasal alar is brought in to cinch down on the size of the nostril. The recovery is fast, and the scars are barely detectable.