Revision Rhinoplasty for the Asian Nose

ABSTRACT

Revision rhinoplasty of the Asian nose requires a combination of cultural sensitivity and unique surgical strategies to achieve a successful outcome. Cultural sensitivity means understanding some of the folkloric motivations to undergo rhinoplasty and divergent ethnic standards of beauty. Basic techniques for Asian rhinoplasty are reviewed as a prerequisite knowledge for revision rhinoplasty of the Asian nose, specifically a combination technique of expanded polytetrafluoroethylene for bridge augmentation and autogenous cartilage tip grafting. Revision Asian nose surgery oftentimes involves removal of a previously placed solid silicone implant, which remains the most popular option for augmentation rhinoplasty in Asia. Strategies for revision rhinoplasty in the Asian nose are then reviewed.

Asian - rhinoplasty - revision - silicone - cultural

SUGGESTED READINGS

• 1 McCurdy Jr J A, Lam S M. Cosmetic Surgery of the Asian Face, 2nd ed. New York, NY; Thieme Medical Publishers 2005
• 2 Lam S M. Aesthetic facial surgery for the Asian male.  Facial Plast Surg. 2005;  21 317-323
• 3 Jung D H, Moon H J, Choi S H, Lam S M. Secondary rhinoplasty of the Asian nose: correction of the contracted nose.  Aesthetic Plast Surg. 2004;  28 1-7
• 4 Lam S M, Kim Y K. Augmentation rhinoplasty of the Asian nose with the “bird” silicone implant.  Ann Plast Surg. 2003;  51 249-256
• 5 Shirakabe Y, Suzuki Y, Lam S M. A systematic approach to rhinoplasty in the Japanese nose: a thirty-year's experience.  Aesthetic Plast Surg. 2003;  27 397-402
• 6 Jung D H, Choi S H, Moon H J, Lam S M. A cadaveric analysis of the ideal costal-cartilage graft for Asian rhinoplasty.  Plast Reconstr Surg. 2004;  114 545-550