Composite implants are one of the best ways to correct a Asian nose. For augmentation, you can use cartilage from your nose or ribs. Most of the time, Dr. Chow will use cartilage to alter the tip shape of the nose. He is able to use cartilage from various sources to augment and shape the nose.
Autologous rib cartilage
Asian rhinoplasty has been called one of the most difficult facial plastic surgeries. Many Asian patients wish to have a more refined and high-quality nasal bridge. There are many augmentation options that can be used to achieve the desired results. Autologous rib cartilage is one of the most versatile graft material. This tissue can serve multiple purposes, including augmentation of the dorsal area and new height formation.
Sliced cartilage fascia
The dorsum refers to the bony portion at the end of the nose. It runs from the tip to the eyes. A surgeon can place a synthetic or diced cartilage fascia transplants to improve the dorsum. This is the natural-looking option, as the surgeon can shape the cartilage to suit the patient's needs.
Shield grafts
Shield grafts can be a popular option in Asian nose surgery. These can be used to return the nose's tip to its original shape and height. To make a new dome, a cartilaginous protector is used. You have two options: a curved or smooth graft or one that is flat and ridged. It can be one or more layers. The surgeon will determine how many layers are necessary based on the amount of projection that is needed.
Skin grafts
Not all Asian nose skin grafts work. The Asian nose has a very thick envelope, making it difficult to use traditional methods to narrow it. This is why the doctor will often use structural cartilage to shrink the tip while keeping the thickness of soft tissue. Alternatively, he may use a combination of the two techniques to improve the appearance of the nose.
Silicone nasopharynx
An Asian patient had complained after undergoing rhinoplasty that a silicone implant in the nasopharynx had moved. This was the fault of a different plastic surgeon, and this was contributing to an unattractive shadow on the upper nasal bridge. After surgery, the contour of this area was fine at first, but it became more irregular after one year.
Alar base modification
There are many ways to modify and narrow the alar base or nostrils. However, few studies have focused on Asian patients. A technique that may prove useful for Asian patients is combined sill-alar excision. This addresses both wide nostrils as well as alar flare. This technique was evaluated in a retrospective cohort study.