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Ethnic and Asian Nose Surgery, or Asian Rhinoplasty, is one of the most popular cosmetic surgery procedures in Dr. Oleh Slupchynskyj's medical practice. Increasingly sophisticated and unique results are desired by a wide variety of his patients. Naturally, the perception of what is considered "beautiful" changes with time and with the influence of other cultures on one's own. Cultural mixing between Asia and the western world has influenced what is considered to be an ideal nose in various countries. Many Asians consider an attractive nose to be one where the nasal dorsum is augmented and nasal tip is slightly more accentuated than one that is typically "natural looking" for a person of Asian descent.
The Asian nose has several distinguishing features when compared to the Caucasian nose or one of European descent. Typically, the Asian nose has thicker skin, with a deeper and flatter radix, and a lower or sometimes depressed nasal bridge. The tip of the nose tends to have a broad dome, while both the tip and the nostrils can be thicker skinned, wider, and have more fibro-fatty tissue than the Caucasian nose. The columella, or underside of the nose, tends to be minimal as well.
The standard in the past has been for plastic surgeons, typically general plastic surgeons, to perform rhinoplasty on all patients in the same exact way–regardless of their ethnicity. This made the noses of ethnic clients appear unnatural and unbalanced when compared to their other facial features and physical characteristics. Dr. Oleh Slupchynskyj, a dual board certified New York City based Facial Plastic Surgeon believes Asian rhinoplasty, similar to many ethnic rhinoplasty surgeries he performs, requires advanced surgical skills and know how to achieve the very unique and tailored results based on the patient's ethnicity.
When an Asian patient considers rhinoplasty, they typically are looking for more refined and augmented bridge, (i.e. slightly thinner and higher bridge). Also popular is a more refined tip with increased projection. Adding definition to the bridge of the nose is often desired, in order to increase prominence in a natural way that is balanced to the rest of their face. Asian noses commonly have delicate cartilage, requiring superior skill to manipulate when making any alterations. The nasal bridge of an Asian person should start at or below the eyelashes, rather than higher towards the forehead as do many Caucasian noses. Dr. Slupchynskyj states, "This is a seemingly simple, yet important fact to be aware of, as ethnic rhinoplasty is not simply to make the nose look more 'western', but more suited to the patient's face."
Augmentation of the nasal bridge is best achieved with the patient's cartilage from the nasal septum or from the ears. Should the donor cartilage be insufficient or too flimsy for proper sustained augmentation, then a customized Silastic implant is much preferred among experienced surgeons, as it is tolerated well by Asian noses due to their thicker skin. Dr. Slupchynskyj's surgical technique ensures the custom Silastic implant is placed in the correct tissue plane and is sutured into place. Dr. Slupchynskyj never uses Medpor implants due to the known associated risks with this nasal implant. Dr. Slupchynskyj, a Revision Rhinoplasty Specialist, has addressed numerous complications arising from tissue in-growth with Medpor implants, placed by another surgeon during rhinoplasty. Get complete information about your nasal augmentation options, their benefits and attendant risks.
As with any procedure, it is critical to ensure that you are selecting a surgeon who has the qualifications and experience to cater to your specific needs. A surgeon who is experienced with both preliminary and revision nose surgery is highly suggested; by identifying potential obstacles beforehand, they can be avoided and mitigated during surgery, eliminating the need for a revision. If, however, you are seeking a revision, choosing a surgeon experienced in successfully performing revision rhinoplasty is crucial to achieving your goals the second time, and ideally, the last time around.
23 year old Asian female requesting a higher more refined nasal bridge (nasal augmentation)
and nasal tip refinement. Dr. Slupchynskyj performed an Open Technique rhinoplasty
with a custom carved SLUPimplant™. The tip was refined using
cartilage shield and strut grafts.
24 year old Asian female who wanted a higher dorsum ( dorsal augmentation),
and a less bulbous tip. Dr. Slupchynskyj performed an Open rhinoplasty,
augmenting the dorsum and resculpting the tip using cartilage grafts.
43 year old Asian female with a history of Rhinoplasty
with another surgeon, who placed a standard L-shaped silicone implant
causing a Pollybeak Deformity. Dr. Slupchynskyj performed a Revision
Rhinoplasty employing a custom carved SLUPimplant™ just for this patient.
Nasal Tip bulbosity was reduced utilizing cartilage grafts.
50 year old Asian female who had a rhinoplasty by another surgeon using an
L-shaped nasal implant. The L-shaped implant caused a bubous tip
and a Pollybeak Deformity. Dr. Slupchynskyj performed
an Ethnic-Asian
Open Rhinoplasty technique. The L-shaped implantbubous
was replaced with
a custom carved SLUPimplant™, which corrected the Pollybeak
Deformity and rescupting of the tip with cartilage grafts refined the bulbous tip.
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