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Rhinoplasty

Asian Rhinoplasty Before & After Photos

Asian Rhinoplasty FAQs Answered by Dr. Law

Dallas Asian Rhinoplasty Specialsit Dr. Law

Since an individual’s ethnicity can play a substantial role in his or her facial features, some cosmetic and plastic surgery procedures are designed to cater to specific ethnic groups. Surgical and nonsurgical Asian rhinoplasties (aka nose-reshaping procedures) fall within this category. At Law Plastic Surgery in Dallas, Dr. Huay-Zong Law, an experienced plastic surgeon and injector, helps individuals attain the features they desire with surgical and nonsurgical rhinoplasty procedures.

The Goal of An Asian Rhinoplasty in Dallas

Although every nose has its own unique features, there are certain visual characteristics that are commonly seen in people of a particular ethnicity. The aim of an ethnic nose-reshaping procedure is not necessarily to Westernize the nose, but instead to preserve the patient’s facial congruity and racial identity, while creating a nose that is in better proportion with the face.

Unique Characteristics of the Asian Nose

The Asian nose has a variety of unique characteristics, during a surgical or nonsurgical ethnic nose-reshaping procedure, Dr. Law can make changes to address each of a patient’s unwanted characteristics.

Common characteristics of the Asian nose include:

• A round, bulging nasal tip (aka a bulbous tip).
• A weak bridge.
• An under-projecting nasal tip.
• An excess of subcutaneous soft tissue, which causes the nasal skin to be thicker.
• A low radix.
• Thick, underdeveloped nasal bones.
• Weak and small cartilages.
• A wide alar base (i.e., wide nostrils).
• A sharp nasolabial angle, which is the angle between the nasal tip and the upper lip.

For many of Dr. Huay-Zong Law’s Asian patients, one of the most important factors is retaining some aspect of the unique facial features that are tied to their ethnicity. As an experienced plastic surgeon, Dr. Law has the artistic vision and the skills necessary to accomplish this.

Some of the most common Asian nose-reshaping techniques include the:

• Dorsal augmentation

  Dorsal augmentation — to add height to the bridge of the nose.

• Alar base reduction

  Alar base reduction — to reduce the size of the nostrils, as well as the alar flair.

• Nasal-tip augmentation (aka a tip plasty)

  Nasal-tip augmentation (aka a tip plasty) — to add height to the nasal tip.

The characteristics a patient would like Dr. Huay-Zong Law to address dictate which surgical or nonsurgical techniques will serve the patient better. During an ethnic rhinoplasty, Dr. Law can also improve a crooked nose, address a deviated septum and reduce the size of a hump on the bridge of the nose.

Dr. Huay-Zong Law Uses His Experience and Skill to Help Individuals Become the Best Version of Themselves

Most patients ask that Dr. Law only address the specific ethnic nose characteristics that they are unhappy with because they still want to look like themselves. By recognizing the nose characteristics associated with each ethnicity, Dr. Huay-Zong Law can maintain a version of these familial characteristics, ensuring the patient’s nose still has some of the features that are unique to his or her ethnicity.

Asian rhinoplasty procedures available at Law Plastic Surgery in Dallas include:

• The nonsurgical nose-reshaping procedure (aka liquid rhinoplasty)

  This procedure is ideal for patients who are interested in making temporary changes to their nose. It is also a good option for individuals who are not ready to have a surgical nose-reshaping procedure.

• A surgical Asian rhinoplasty

  This nose-reshaping procedure is perfect for individuals who would like to make permanent changes to their nose.

During the initial consultation, Dr. Law determines if a patient is a good candidate for a surgical or nonsurgical option.

A Nonsurgical Asian Rhinoplasty

During a nonsurgical Asian nose-reshaping procedure, Dr. Huay-Zong Law strategically injects dermal fillers into specific areas of the patient’s nose. Injection locations depend on the changes the patient wants Dr. Law to make.

As an experienced, highly skilled injector, Dr. Huay-Zong Law reshapes the patient’s nose to smooth out bumps, modify the nasal tip, enhance the bridge and improve nasal symmetry. However, the results achieved with this nonsurgical option are temporary, lasting about a year. Some patients who are planning to have a surgical nose-reshaping procedure choose to have a nonsurgical Asian rhinoplasty first. By having this nonsurgical option first, patients can get an idea as to how their results from a surgical nose-reshaping procedure might look.

A Surgical Asian Rhinoplasty

During this surgery, Dr. Law can address issues with the nasal tip, the bridge, the columella and the radix. Unlike its nonsurgical counterpart, the results of surgical rhinoplasties last indefinitely, which is why choosing an experienced plastic surgeon is vital.

Sometimes an ethnic nose-reshaping patient wants Dr. Huay-Zong Law to change one nose characteristic and keep another. During an ethnic rhinoplasty, the patient is in control, therefore, the only changes that Dr. Law makes are those that the patient requests.

Dr. Huay-Zong Law performs open and closed nose-reshaping surgeries. He also performs Tip plasty procedures. During a tip plasty, Dr. Law balances a patient’s nasal tip by correcting its rotation, projection and its ratio to the other parts of the face.

Addressing ethnic nose characteristics with a surgical rhinoplasty in Dallas:

Issues with the Nasal Tip

When viewing the nose from the front, Asians frequently inherit a wide, prominent nasal tip. Dr. Huay-Zong Law reshapes the cartilage of the nasal tip to refine it and create a better balance between the patient’s nasal tip and other facial features.

Since Asian nasal tips project less than those of other ethnic groups, Dr. Law increases the projection of the nasal tip by pushing the nasal tip forward. This makes the tip appear more refined and narrow.

This increase in projection is accomplished with an implant or with cartilage that Dr. Huay-Zong Law collects from the patient. Potential cartilage collection areas include the septum, which is the cartilage and bone that separates the nasal cavities, the outer ear or the rib.

Issues with the Columella

The columella is the strip of skin that separates the nostrils. When an individual has a hanging columella (i.e., columellar ptosis), the nasal tip droops. While performing a patient’s rhinoplasty, Dr. Huay-Zong Law can address a hanging columella. Correcting columellar ptosis improves the way the lower part of the nasal tip (i.e., infratip lobule) looks. After reducing the hanging columella, there is less drooping when viewing the nose from the front. In addition, when viewing the profile of the nose, it appears shorter.

Another common characteristic of the Asian nose is a retracted columella. When the columella is retracted, there is no visible skin between the nostrils. Dr. Law corrects a retracted columella with cartilage or an implant. Typically, he creates the patient a more appealing columella by performing a septal extension graft in conjunction with bilateral spreader grafts.

Nasal Tip Augmentation Techniques: A Tip Plasty

For the majority of Dr. Huay-Zong Law’s Asian patients, the open approach is the best method for addressing nasal tip issues. The open approach offers patients more diverse options than the closed approach can.

Nasal tip augmentation methods:

Using the septal extension graft, Dr. Law can modify the shape of the patient’s nasal tip. He adds support to the tip using an extended spreader graft or a strong caudal septum. Dr. Huay-Zong Law can also reinforce the tip with a batten graft.

As Dr. Law designs a patient’s septal extension graft, he considers the positioning of the new dome. In addition, Dr. Huay-Zong Law meticulously shapes the patient’s graft to modify the rotation and projection of his or her nasal tip.

A cap graft (with or without an interdomal suture and columellar strut) allows Dr. Law to effectively increase the definition and the projection of the patient’s nasal tip. He can perform a cap graft during an open or a closed surgical nose-reshaping procedure.

Even when the patient has thick skin on his or her nasal tip, the plastic surgeon must carefully bevel and carve tip grafts to ensure they remain hidden for the long term. An experienced plastic surgeon knows how to accomplish this.

Dr. Huay-Zong Law may want to complement the new shape of the patient’s nasal tip. To enhance the patient’s results he may use cephalic resection, a premaxillary graft, a shield graft, an alar rim graft or a lateral crural graft.

Issues with the Nasal Bridge that Dr. Law Addresses with Nose-Reshaping Procedures

A Bump/Hump

Some Asians have a bump on the bridge of their nose, which is highly visible when viewing the nose from the side. After Dr. Huay-Zong Law reduces the prominence of the patient’s hump, the overall appearance of his or her nose changes significantly.

Very Low Projection of the Nasal Bridge

Since eyeglasses require support from the nasal bridge, when a patient has a flat bridge, he or she may experience challenges wearing eyeglasses and sunglasses. By adding height to the nasal bridge, the nose appears more refined and slender. Dr. Law can raise the nasal bridge with a silicone dorsal onlay implant or with the cartilage he collects from the patient.

The Radix

Radix is the term used when referring to the highest part of the bridge. Whereas the bridge of a Caucasian’s nose begins at about the height of the upper eyelid, an Asian’s bridge usually starts at the midpupillary line, which is a lower point.

If the patient desires, Dr. Huay-Zong Law can make the starting point of a patient’s bridge higher on the radix.

Dr. Huay-Zong Law accomplishes this by creating a new starting point that is in line with the upper eyelid. To change the starting point of the bridge, Dr. Law adds cartilage or uses an implant to move the starting point to a location that is in line with the upper eyelid. After making these changes, the patient’s nose appears straighter and longer.

Choosing an experienced plastic surgeon for this procedure is vital because if the starting point is created too high on the radix, the patient’s nose will appear unnatural or look like plastic.

Who is a Good Candidate For An Asian Rhinoplasty in Dallas?

Dr. Huay-Zong Law brings his Asian patients’ nose modification desires to fruition with surgical and nonsurgical rhinoplasties. When the patient only wants Dr. Law to address issues with the tip of his or her nose, he may only need to perform a tip plasty.

A good nose-reshaping candidate is someone who is at least 18 years old. Nevertheless, there are times when a teen can have a rhinoplasty as long as the surgeon receives full parental consent. With this consent, a 15-year-old female or a 17-year-old male can have a nose-reshaping procedure. Furthermore, the patient must be healthy and understand the benefits as well as the limitations of the nose-reshaping procedure he or she is considering.

An Initial Consultation in Dallas

Upon arriving at Law Plastic Surgery, the patient fills out several forms. These are the standard registration forms. Patients answer a variety of questions related to their medical history, medications, previous treatments and surgeries. In addition, patients need to let Dr. Law know if they have any allergies to medications or latex.

Patients should be prepared to discuss what they would like to accomplish with an ethnic nose-reshaping procedure in Dallas. Some of Dr. Law’s patients choose to bring in a picture of someone with a nose that resembles the results they desire. This photo gives Dr. Law a visible reference to use as he creates the patient’s customized Asian rhinoplasty treatment plan. It is important to note that, as with every surgeon, Dr. Law cannot guarantee that the patient’s nose-reshaping result will be identical to the photograph. Nonetheless, Dr. Law does his best to provide his patients with results that closely resemble the photograph.

Dr. Law examines the patient’s face and nose. During this examination, he analyzes and gauges the patient’s facial characteristics, paying close attention to his or her nose. Dr. Law may ask his assistant to take several photos of the patient’s nose. These pictures are usually taken from different angles. After the patient’s procedure, these photographs help the patient see the changes Dr. Huay-Zong Law made during the nose-reshaping procedure. In addition, he uses these photographs while creating the patient’s custom-designed treatment plan.

Following the facial examination, Dr. Law knows if the patient is a good candidate for an Asian rhinoplasty. If not, Dr. Law recommends the procedure that he believes will provide the patient with optimal results. At Law Plastic Surgery, patients should never feel obligated to have a procedure because the surgeon recommends it. Dr. Huay-Zong Law only mentions these other procedures to inform the patient of all his or her options. Ultimately, the patient determines which procedure he or she wants.

Dr. Law evaluates the structure of the patient’s nose in relation to the shape of his or her face. Dr. Huay-Zong Law also examines the thickness of the skin. His goal is to shape the nose in such a way as to complement the patient’s other facial features.

Dr. Law needs to know:

If the patient takes any prescription medications, over-the-counter medications, vitamins, herbal products or dietary supplements. In addition, for their own safety, patients need to let Dr. Law know if they participate in recreational drug use, regularly drink alcoholic beverages or use products that contain nicotine.

Patients also need to tell Dr. Law if they are prone to developing cold sores. Once he knows a patient has the virus that causes cold sore, he can prescribe an anti-viral medication to keep these sores from developing.

At least two days before surgery:

If applicable, patients need to discontinue applying Retin-A.

At least a week before surgery:

Medications to avoid include blood thinners (e.g., Coumadin), aspirin and non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen. If a patient needs to take a pain medication during the week leading up to their surgery, he or she can safely take acetaminophen. During this timeframe, patients also need to discontinue taking herbal products (e.g., Ginger) and vitamins (e.g., vitamin E) that are known to thin the blood.

Two weeks before surgery:

Patients should avoid having dental work (e.g., a dental cleaning), medical procedures (e.g., a colonoscopy) and cosmetic treatments (e.g., laser skin resurfacing) during the two weeks leading up to their ethnic rhinoplasty in Dallas.

Preparing for Asian Nose-Reshaping Surgery in Dallas

Patients Having a Surgical Nose-Reshaping Procedure Must Arrive with a Driver

Since patients who have a surgical rhinoplasty or a tip plasty receive general anesthesia or twilight sedation during their nose-reshaping surgery, they must bring a driver with them on the day of their surgery. A patient who arrives at Law Plastic Surgery without a driver must reschedule his or her surgery.

Find a Trustworthy Caregiver

Dr. Law requests that his patients have someone care for them for at least 24 hours following their surgery.

The Day of Surgery

Patients need to arrive at Law Plastic Surgery in Houston with their driver at least 15 minutes before their scheduled procedure. This additional time ensures that if there is anything that needs to be addressed before surgery (e.g., a missing registration paper) there is time to do so.

Patients receive anesthesia; therefore, overnight fasting is required. If a patient has neglected to fast, Dr. Law will have to reschedule the procedure.

What to Wear

Patients should wear comfortable clothing with tops that do not need to be lifted over the head. Instead, the tops should have buttons, snaps or a zipper in the front.

What to Bring

Patients need to bring a picture ID or a driver’s license, as well as a form of payment.

Procedure Steps for the Open and the Closed Rhinoplasty

Patients having an open or a closed nose-reshaping procedure receive either twilight sedation or general anesthesia.

When addressing the nose characteristics commonly seen in those of Asian descent, Dr. Law believes the open technique is usually the best approach. With the open technique, he has a better view of the inside of the patient’s nose.

An Open Rhinoplasty

This procedure can take from two to three hours.

Once the patient is comfortably asleep, Dr. Huay-Zong Law creates a tiny incision across the columella at the base of the nose, which is the vertical strip of skin between the nostrils.

This incision exposes the bone and cartilage that lies beneath. Using this technique, Dr. Huay-Zong Law has excellent control, which allows him to easily manipulate the patient’s nose. Since he creates the incision across the columella, it usually heals quite well, becoming nearly invisible.

If Dr. Law is raising the bridge or the tip of the nose, he uses an implant or harvests cartilage from the patient’s septum, ear or rib.

As an experienced plastic surgeon, Dr. Law knows that he must be conservative while adding the cartilage because the patient’s skin must still be able to cover the open area.

Dr. Huay-Zong Law uses sutures to close the incision. He removes these sutures at the patient’s follow-up appointment.

The patient spends some time in recovery before being released to his or her driver.

A Closed Nose-Reshaping Procedure in Dallas

The only real difference between an open and closed nose-reshaping procedure is the location of the incision. Instead of creating an incision across the columella, Dr. Huay-Zong Law creates entry points inside the nose. The stitches Dr. Law uses with a closed procedure dissolve.

Patients remain in recovery for some time before being released to their driver.

What to Expect While Recovering from an Open or Closed Surgical Rhinoplasty

Some patients take a day or two off work or school.

Following ethnic nose-reshaping surgery, the patient’s nose will feel stuffed up. This feeling can last for just a few days or several weeks.

Slight bleeding is normal for the initial 48 hours following surgery.

Dr. Law removes the patient’s internal and external splints at the one-week follow-up appointment. Recovering from nose-reshaping surgery takes anywhere from one to six weeks.

For at least a week, patients must avoid participating in strenuous activities or lifting heavy items. In addition, patients must not play any type of contact sport for at least six weeks.

The external incision across the columella heals within two weeks of the procedure; however, it can take several months for the pink hue to diminish.

The incisions made during a closed nose-reshaping procedure will most likely heal faster than those created during the open procedure will.

A Tip Rhinoplasty (aka Tip Plasty)

A tip plasty is much less common than the open and closed nose-shaping procedures; nonetheless, this procedure can be beneficial to patients who only want to address issues with the tip of their nose.

Issues that Dr. Huay-Zong Law addresses with a tip plasty include:

• A droopy tip.
• An unwanted curve.
• A bulging nasal tip.
• A wide or bulbous nasal tip.
• Unbalanced nostrils.
• Nostrils that tend to flare.
• Resolving problems from a former tip plasty.

A good candidate for a tip plasty is someone who:

• Does not use products that contain nicotine.
• Has facial structures that will benefit from this tip refinement procedure.
• Is only concerned with aesthetics related to the tip of his or her nose.
• Is in good health.
• Understands the limitations of a tip plasty.

A Tip Plasty Procedure in Dallas

This procedure takes approximately an hour.

Patients receive general anesthesia or twilight sedation.

The goal of a tip plasty is to create the patient a balanced nasal tip. This procedure allows the surgeon to correct the projection, rotation and ratio of the tip in relation to the rest of the nose. During a tip plasty, Dr. Law can either reshape the cartilage in the tip or remove it. He can also refine or lift the nasal tip or enhance the patient’s nostrils.

Recovering from a Tip Plasty

Patients should expect to have some inflammation and bruising. The tip plasty recovery time is relatively short, with patients returning to their normal activity after two weeks.

Tip Plasty Results

Since a tip plasty is a surgical procedure, the results are permanent.

Potential Risks and Complications of a Surgical Ethnic Rhinoplasty

As with any procedure, patients need to consider the potential risks and complications of the surgical ethnic nose-reshaping procedure.

Potential complications and risks associated with an Asian nose-reshaping surgery in Dallas include:

• Infection.
• Bleeding.
• An undesirable result.
• Poor scarring.
• An over-rotated tip.
• Tip irregularities.
• Asymmetrical characteristics.
• Upper dental numbness.
• Septal perforation.
• Alar retraction.
• Damaged skin.
• Nasal valve collapse.
• Implant extrusion.
• Deviated nose.
• Dorsal irregularities.

Patients can reduce the possibility of experiencing a complication by choosing a seasoned plastic surgeon like Dr. Law to perform their nose-reshaping procedure.

A Liquid Rhinoplasty at Law Plastic Surgery in Dallas

Some patients choose to have a liquid nose-reshaping procedure before having a surgical rhinoplasty. Dr. Huay-Zong Law performs this nonsurgical procedure for men and women at his office in Dallas. The results of a liquid nose-reshaping procedure last about a year.

Is There Anyone Who Is Not Considered a Good Candidate for a Liquid Nose-Reshaping Procedure in Dallas?

The fillers used during this nose-enhancement procedure add volume to the nose; therefore, this procedure is not a good choice for individuals who are interested in reducing the size of their nose. In addition, a liquid rhinoplasty is not used to make major adjustments to the nose (e.g., narrowing the tip, thinning the bridge or removing a large hump/bump).

Medical circumstances that could prevent an individual from being a good candidate for a liquid nose-reshaping procedure include:

• An existing allergy or hypersensitivity to the filler itself or one of its ingredients.
• A history of a bleeding disorder or an autoimmune disease.
• Having unrealistic expectations.
• Being pregnant.
• Currently breastfeeding.
• Having body dysmorphic disorder.
• Inflammation, infection or redness near the nose.
• Pre-cancerous or cancerous lesions close to the nose.

Reasons Dr. Huay-Zong Law May Need to Delay a Patient’s Liquid Nose-Reshaping Procedure

Sometimes Dr. Law will hold off on a patient’s procedure until he or she:

• Discontinues taking supplements or medications that are known to thin the blood.
• Gets rid of a cold sore or some other facial skin condition that is present (e.g., rosacea or acne).

Preparing for a Liquid Asian Rhinoplasty in Dallas

A nonsurgical nose-shaping procedure has the same pre-treatment restrictions as its surgical counterpart (e.g., avoid certain medications, stop using Retin-A, cold sore history).

Although patients are not required to fast before a nonsurgical procedure, Dr. Law does recommend that patients avoid consuming foods that are high in sodium and sugars for a day to two before their procedure. Following this recommendation helps to minimize the inflammation that the patient experiences after the procedure.

What Clothing to Wear

Patients need to wear comfortable clothes. In addition, to avoid an accidental bump on the nose, the tops that a patient wears during recovery should have snaps, buttons or a zipper on the front.

Remember to Bring

• A picture ID or a driver’s license.
• A form of payment.

A Liquid Rhinoplasty in Dallas: The Procedure

This procedure takes about 35 minutes.

Once the patient checks in, he or she is taken to one of the procedure rooms. The nurse asks questions about the patient’s current medications as well as allergies. In addition, the nurse takes the patient’s vitals and records them for the surgeon.

Dr. Law visits the patient. He discusses the procedure and the expected outcome.

If the patient has any questions, now is a good time to ask.

Photos may be taken of the patient’s nose to use for comparison purposes after the procedure.

Using a special pen, Dr. Huay-Zong Law marks several locations on the patient’s nose. These markings serve as his guiding points as he injects the dermal fillers.

A nurse cleans and disinfects the treatment area.

The nurse then applies a numbing cream to the area around the patient’s nose.

The patient relaxes in the procedure room for about 20 minutes, which gives the numbing cream the time it needs to take effect.

A Liquid Nose-Shaping Procedure in Dallas

Once the numbing cream takes effect, Dr. Law strategically injects dermal fillers into specific locations. The injection locations correlate directly with the changes the patient requests. Patients state that as they receive a dermal filler injection all they feel is a slight pressure or pinching sensation.

In between the injections, Dr. Huay-Zong Law may massage the skin, which helps him create the nose shape the patient desires.

Once the injections are complete, Dr. Law gently places an ice pack over the patient’s nose. The ice pack helps reduce any inflammation that is present, which limits the amount of discomfort the patient experiences.

Nonsurgical Rhinoplasty Results

Directly following a nonsurgical nose-shaping procedure, the changes in the patient’s nose are evident. These results usually last about a year.

Potential Risks and complications of a liquid nose-reshaping procedure include:

• A pooling of blood outside a blood vessel (i.e., a hematoma).
• Inflammation, redness, tenderness or bruising at the injection sites.
• Visible scarring.
• Infection, which includes the formation of granulomas. A granuloma is a small clump of white blood cells.
• An allergy to the filler or some other product used during the procedure.
• Unsatisfactory aesthetic results (e.g., lumps beneath the skin).
• Although extremely rare, the filler can accidentally be injected into a blood vessel, resulting in a blockage of blood flow, which causes skin decay and tissue death.

How Much Does An Asian Rhinoplasty Cost in Dallas?

To find out how much an Asian Rhinoplasty costs, Dr. Huay-Zong Law must evaluate the potential patient. During this evaluation, he determines which procedures will provide the patient with the results he or she desires.

Dr. Law uses surgical and nonsurgical Asian rhinoplasty procedures to create his patients of Asian descent the nasal characteristics they desire. Individuals in the Dallas area who are interested in learning more about ethnic rhinoplasties should call Law Plastic Surgery at (972) 331-1900 to schedule a consultation with Dr. Huay-Zong Law. Law Plastic Surgery is located at 7777 Forest Lane, C-528 in Dallas.

Asian Rhinoplasty FAQs