ABSTRACT
Asian rhinoplasty is a broad term that refers to a set of rhinoplasty techniques commonly used in Asian populations. Although these techniques are well developed and documented in Asian languages, there are relatively few English-language articles on the subject, and even fewer on current debates and controversies among plastic surgeons. Knowledge of these different techniques is essential to perform an adequate rhinoplasty in Asians. For Western patients, reduction rhinoplasty with dorsal hump rasping and lower lateral cartilage resection is classic. In contrast, silicone implant augmentation rhinoplasty is the most commonly used technique in Orientals. This article focuses on current rhinoplasty practices and controversies in Asia. It reviews morphologic differences between the Oriental and Western noses, as well as common patient requests. Polytetrafluoroethylene (Gore-Tex) and silicone implant augmentation are discussed. A new augmentation rhinoplasty with diced cartilage is described in more detail.
KEYWORDS
Augmentation rhinoplasty - Asian - implant - diced cartilage - aesthetic surgery - Oriental
REFERENCES
-
1
Liao W C, Ma H, Lin C H.
Balanced rhinoplasty in an oriental population.
Aesthetic Plast Surg.
2007;
31
636-642
-
2
Tham C, Lai Y L, Weng C J, Chen Y R.
Silicone augmentation rhinoplasty in an Oriental population.
Ann Plast Surg.
2005;
54
1-5
discussion 6-7
-
3
Ahn J M.
The current trend in augmentation rhinoplasty.
Facial Plast Surg.
2006;
22
61-69
-
4
Ham K S, Chung S C, Lee S H.
Complications of oriental augmentation rhinoplasty.
Ann Acad Med Singapore.
1983;
12(2, Suppl)
460-462
-
5
Lee K C, Kwon Y S, Park J M et al..
Nasal tip plasty using various techniques in rhinoplasty.
Aesthetic Plast Surg.
2004;
28
445-455
-
6
Onizuka T, Yoshikawa A, Hori S, Usami Y, Jinnai T.
Augmentation rhinoplasty.
Aesthetic Plast Surg.
1988;
12
229-234
-
7
Rohrich R J, Muzaffar A R, Janis J E.
Component dorsal hump reduction: the importance of maintaining dorsal aesthetic lines in rhinoplasty.
Plast Reconstr Surg.
2004;
114
1298-1308
discussion 1309-1312
-
8
Regnault P, Alfaro A.
The Skoog rhinoplasty: a modified technique.
Plast Reconstr Surg.
1980;
66
578-590
-
9
Peck G C.
Basic primary rhinoplasty.
Clin Plast Surg.
1988;
15
15-27
-
10
Zeng Y, Wu W, Yu H, Yang J, Chen G.
Silicone implant in augmentation rhinoplasty.
Ann Plast Surg.
2002;
49
495-499
-
11
Shirakabe Y, Suzuki Y, Lam S M.
A systematic approach to rhinoplasty of the Japanese nose: a thirty-year experience.
Aesthetic Plast Surg.
2003;
27
221-231
-
12
Khoo B C.
Augmentation rhinoplasty in the Orientals.
Plast Reconstr Surg.
1964;
34
81-88
-
13
Boo-Chai K.
Some aspects of plastic (cosmetic) surgery in orientals.
Br J Plast Surg.
1969;
22
60-69
-
14
Furukawa M.
Oriental rhinoplasty.
Clin Plast Surg.
1974;
1
129-155
-
15
Hiraga Y.
The double eyelid operation and augmentation rhinoplasty in the Oriental patient.
Clin Plast Surg.
1980;
7
553-567
-
16
Hiraga Y.
Complications of augmentation rhinoplasty in the Japanese.
Ann Plast Surg.
1980;
4
495-499
-
17
Shirakabe Y, Shirakabe T, Takayanagi S.
A new type of prosthesis for augmentation rhinoplasty: our experience in 1600 cases.
Br J Plast Surg.
1981;
34
353-357
-
18
Shirakabe Y, Shirakabe T, Kishimoto T.
The classification of complications after augmentation rhinoplasty.
Aesthetic Plast Surg.
1985;
9
185-192
-
19
Aung S C, Foo C L, Lee S T.
Three dimensional laser scan assessment of the Oriental nose with a new classification of Oriental nasal types.
Br J Plast Surg.
2000;
53
109-116
-
20
Chun K W, Kang H J, Han S K et al..
Anatomy of the alar lobule in the Asian nose.
J Plast Reconstr Aesthet Surg.
2008;
61
400-407
-
21
Deva A K, Merten S, Chang L.
Silicone in nasal augmentation rhinoplasty: a decade of clinical experience.
Plast Reconstr Surg.
1998;
102
1230-1237
-
22
Jin H R, Lee J Y, Yeon J Y, Rhee C S.
A multicenter evaluation of the safety of Gore-Tex as an implant in Asian rhinoplasty.
Am J Rhinol.
2006;
20
615-619
-
23
Zhanqiang L.
Carving Gore-Tex reinforced sheets for augmentation rhinoplasty in Chinese patients.
Plast Reconstr Surg.
2006;
117
326-328
-
24
Conrad K, Gillman G.
A 6-year experience with the use of expanded polytetrafluoroethylene in rhinoplasty.
Plast Reconstr Surg.
1998;
101
1675-1683
, discussion 1684
-
25
Daniel R K.
Discussion: silicone augmentation rhinoplasty in an Oriental population.
Ann Plast Surg.
2005;
54
6-7
-
26
Lam S M, Kim Y K.
Augmentation rhinoplasty of the Asian nose with the “bird” silicone implant.
Ann Plast Surg.
2003;
51
249-256
-
27
Sun A K, Xu F, Liu W Z, Dong W D.
The long-term effect of augmentation rhinoplasty with silicone.
Lin Chuang Er Bi Yan Hou Ke Za Zhi.
2000;
14
501-502
-
28
Yang J, Wang X, Zeng Y, Wu W.
Biomechanics in augmentation rhinoplasty.
J Med Eng Technol.
2005;
29
14-17
-
29
Chang Y L, Chen Y R, Noordhoff M S.
One-stage salvage of fractured nasal prosthesis with immediate calvarial bone grafting.
Aesthetic Plast Surg.
1988;
12
235-237
-
30
Hamra S T.
Crushed cartilage grafts over alar dome reduction in open rhinoplasty.
Plast Reconstr Surg.
1993;
92
352-356
-
31
Hamra S T.
Crushed cartilage grafts over alar dome reduction in open rhinoplasty.
Plast Reconstr Surg.
2000;
105
792-795
-
32
Daniel R K, Calvert J W.
Diced cartilage grafts in rhinoplasty surgery.
Plast Reconstr Surg.
2004;
113
2156-2171
-
33
Kelly M H, Bulstrode N W, Waterhouse N.
Versatility of diced cartilage-fascia grafts in dorsal nasal augmentation.
Plast Reconstr Surg.
2007;
120
1654-1659
, discussion 1654–1659
-
34
Erol O O.
The Turkish delight: a pliable graft for rhinoplasty.
Plast Reconstr Surg.
2000;
105
2229-2241
, discussion 2242–2243
-
35
Rohrich R J, Muzaffar A R.
The Turkish delight: a pliable graft for rhinoplasty.
Plast Reconstr Surg.
2000;
105
2242-2243
Philip Kuo-Ting ChenM.D.
Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital at Linkou
5, Fu-Hsin St., Guei-Shan 333, Taoyuan, Taiwan
Email: philip@adm.cgmh.org.tw
