Facial Plast Surg
DOI: 10.1055/a-2595-5275
Original Article

Asian Augmentation Rhinoplasty

Authors

  • John W. Frederick

    1   Private Practice, Facial Plastic & Reconstructive Surgery, Beverly Hills, California
  • Donald B. Yoo

    2   Department of Facial Plastic & Reconstructive Surgery, HALO Beverly Hills Plastic Surgery & MedSpa, Beverly Hills, California
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Abstract

Aims and Background

Asian augmentation rhinoplasty has seen marked transitions in both its technical and aesthetic aspects over time, to address the distinct anatomical needs of Asian patients while aligning with their individual standards of beauty. This study provides an in-depth exploration of the evolution of augmentation rhinoplasty techniques to enhance nasal projection and overall facial harmony in a population characterized by unique nasal anatomy—typically featuring a lower nasal dorsum, limited septal cartilage, and thicker soft tissue coverage.

Historical Aspects

A review of augmentation techniques is provided with an emphasis on diced cartilage fascial grafting.

Anatomy

It is critical to understand the unique anatomy of the Asian rhinoplasty patient—typically featuring a lower nasal dorsum, limited septal cartilage, and thicker soft tissue coverage.

Patient Selection

Patient selection is critical in any facial plastic surgery. Preoperative assessment is key in identifying ideal candidates with appropriate goals.

Techniques

This study will explore general considerations for Asian augmentation rhinoplasty, along with a review of the commonly used augmentation techniques. Emphasis will be placed on the surgical approaches utilizing autologous grafting techniques such as costal cartilage and diced cartilage fascia, as the authors feel autologous grafts have generally shown to provide superior results, safety, and permanence when compared with alloplastic implants.

Conclusion and Clinical Relevance

We hope to stress the individualized approach in Asian augmentation rhinoplasty, where the choice of technique is determined by patient-specific factors such as skin quality, anatomical structure, and desired aesthetic outcome. With appropriate preoperative planning, advanced surgical techniques, and attentive postoperative care, surgeons can achieve natural, lasting results with augmentation Asian rhinoplasty that improves nasal aesthetics but also enhances overall facial harmony.



Publication History

Article published online:
19 May 2025

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