OP. DR. ALİ KAHRAMAN
Type Of Anestesia
Ethnic rhinoplasty is a nose surgery to create an aesthetically pleasing nose shape but retaining distinct characteristics that are unique to each ethnic group. Back in the 80s and 90s, the mainstream of a rhinoplasty was based on the Caucasian nose shape which was not suitable for other ethnic groups such as Asian, African American, and Middle Eastern. Today’s advanced rhinoplasty approaches to an individual beauty that embraces the heritage and enhances a beauty rather than creating a universal nose design. There is a growing desire in recent patients to get a total cosmetic surgery to fit the overall balance and proportion of the face, instead of a simple nose surgery. Ethnic rhinoplasty requires a full understanding of certain ethnic groups and extensive rhinoplasty experiences to adjust the details according to the needs.
Every ethnicity has distinct condition characteristics such as skin, tissues, cartilage, and bone. It is important to find an experienced surgeon who has various experiences in performing rhinoplasty for different ethnic groups. In general, Asians and African Americans tend to have poor tip projection, thick skin, bulbous nose, and weak septal cartilage. These groups of people need the surgeon to ‘build up’ their nose structure using the septal or rib cartilage which is opposite of the Western Caucasian or Middle Eastern rhinoplasty. Western Caucasian and Middle Eastern rather have bulky septal cartilage, excess projection, droopy, or hump nose. For many of the cases, the septal cartilage is mainly used for their nose surgery instead of rib cartilage since they have enough amount of septal cartilage.
Asians have unique nose characteristics such as low, bulbous, and short nose which is challenging for surgeons to ‘build up’ the nose very naturally. VIP Asian rhinoplasty includes not only the nose surgery itself but also focuses on achieving harmonized face with other facial structures. For this harmony rhinoplasty, a retruded mid-face and columella are elevated, the tip of the nose is projected more, and the length of the nose is elongated. The autologous rib cartilage rather than a small cartilage is the optimal choice for Asian rhinoplasty, as it provides a stability to support the nasal structure and abundant cartilage amount for the design. Therefore, Harmony Rhinoplasty is recommended for Asian Rhinoplasty. Most Asians have a short-depressed nose, short-retruded columella and mid-face retrusion.
In Asia, many people use foreign implants such as silicone and Goretex to augment or elongate the nose. Unfortunately, when inserting these implants, there is a high chance of complications such as infection, displaced silicone, extrusion, and skin thinning. Thus, most Asian noses require a surgery using autologous cartilages which include the elongation of the nose, projection of the tip, as well as augmentation of dorsum and mid-face. If the use of foreign implants is inevitable, partial use of silicone implant only at the nose bridge may be helpful. The combination of silicone implant and autologous tissue are common rhinoplasty in Korea. Septal cartilage is weak and not enough in the amount to solely use in rhinoplasty due to a little harvested amount. Ear cartilage is also weak, small in volume, and irregular in shape to support the nasal structure. Therefore, in this circumstance, rib cartilage is a most useful choice of material to perform the rhinoplasty in Asian nose, short nose, damaged nose, infected nose, and mid-face retrusion case. Rib cartilage is enough in amount, strong to support nasal structure, and safe since it is an autologous tissue.