Raffy Karamanoukian, MD
Rhinoplasty Expert Los Angeles

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Asian Rhinoplasty Procedures Performed in Los Angeles


Description of an Asian Rhinoplasty and Procedures Related to Nose Surgery in Asians

The concept of an Asian rhinoplasty derives from an understanding of the unique anatomy of the typical Asian nose.  The idea of a typical Asian nose has its limitations, as we all know, because every ethnic group has variations in anatomy and facial features.  However, there are many Asians who present to a plastic surgeon for correction of two main problems

  1. Low Nasal Bridge with Poor Projection
  2. Wide Nose

In these common cases, it is imperative that the plastic surgeon plans a surgery that builds the internal structure of the nose rather than reducing it in size.  The typical Asian rhinoplasty usually involves dorsal augmentation and width reduction.

One common approach to the Asian nose is the placement of a dorsal bridge implant that is made of pliable silicone or other permanent implant such as MedPor.  One of the major problems with these solid implants is that there is a real risk of implant extrusion or rejection.  The risk, although small, is cumulative with time and there is a likely linear relationship between the amount of time the implant is in the nose and the risk of extrusion.  This is not to say that an implant rhinoplasty is not a good or feasible option, but it certainly is a less common option in the United States.

In practice, Dr. Karamanoukian has had experience with both solid silicone implant removal and liquid silicone removal from the nose.  Both types of cases involve implant rejection from the nose.  Solid implants may become displaced or infected, and may ultimately extrude from the nasal tip or inner mucosa.  Liquid silicone injections may also cause problems involving granuloma formation and rejection. 

There are many patients who face the difficult decision of whether they should undo a previous implant rhinoplasty in favor of a natural dorsal augmentation with their own tissue.  These patients often complain of implant malposition, movement of the implant, extrusion of the nasal implant, or an unaesthetic contour that is related to a poorly sized nasal implant.  For these patients, the options are plentiful and Dr. Karamanoukian will discuss these options for revision rhinoplasty or dorsal augmentation in order to facilitate your decision. 

There are many outstanding options for Asian rhinoplasties that do not include the introduction of a nasal implant or permanent filler. Dr. Karamanoukian performs Asian rhinoplasty using cartilage grafting and repositioning techniques that minimize the use of alloplastic augmentation.  Further, Dr. Karamanoukian performs Asian rhinoplasty using Particulate Cartilage and Fascia that uses your own tissue to recreate a more youthful and projecting nasal bridge.