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Asian Rhinoplasty

Asian Rhinoplasty FAQs Answered by Dr. Law


Asian Rhinoplasty (Nose Job) in Richardson, TX

Asian rhinoplasty is a medical term referring to the procedures plastic surgeons use to address inherited nose characteristics that an Asian patient would like to change. Dr. Huay-Zong Law is an expert injector and highly skilled plastic surgeon in Richardson, Texas. Dr. Law uses liquid nose-reshaping, open-and-closed rhinoplasties and nasal-tip augmentations (aka tip plasties) to help his patients attain the natural-looking nasal contours they desire. During Asian rhinoplasties, Dr. Law uses his experience and dedication to preserve his patients’ unique ethnic facial characteristics.

Who Should Consider Having a Surgical Asian Rhinoplasty in Richardson, Texas?

Some Asians would like a nose with a higher bridge, narrower nostrils, a lengthier projection and a more refined tip. Dr. Huay-Zong Law can use an Asian plastic surgery procedure to help these patients meet their aesthetic goals.

Distinct Asian nose characteristics include:

  • Excess nasal skin.
  • Thick nasal bones.
  • A low nasal bridge and base.
  • Wide nostrils that tend to flare.
  • A very sharp nasolabial angle.
  • A bulbous tip that lacks projection.

Are There Any Age Restrictions for Ethnic Rhinoplasty?

Ideally, Asians interested in having a nose-reshaping procedure should be 18 or older. Nonetheless, if Dr. Law receives full parental consent, he may agree to perform an ethnic nose-reshaping procedure for a male who is 17 or a 15-year-old female.

The potential patient must also be healthy and understand what benefits nose-reshaping surgery and a liquid rhinoplasty can and cannot provide.

Is the Goal of an Asian Rhinoplasty to Westernize the Nose?

Westernizing the nose is not necessarily the goal of an ethnic nose-reshaping procedure. With these procedures, Dr. Law intends to harmonize the face. His goal is to complement the patient’s facial features while preserving their unique characteristics.

People considering ethnic rhinoplasty need to choose a plastic surgeon who is familiar with performing surgical and non-surgical Asian rhinoplasties. People in or near Richardson, Texas, who are considering reshaping their noses should call Law Plastic Surgery at (972)331-1900 to make an appointment with Dr. Law.

What Is the Difference Between Traditional Rhinoplasty and Asian Nose-Reshaping Surgery?

Typically, plastic surgeons use a traditional rhinoplasty to reduce the nasal dorsum and decrease projection. During Asian nose-reshaping surgery, the plastic surgeon defines the nose, increases its projection and raises the bridge.

Open vs. Closed Rhinoplasty in Richardson, Texas

Dr. Law recognizes that each patient has unique facial features. Therefore, he always creates personalized treatment plans.

During open nose-reshaping surgery, Dr. Law makes a short incision across the narrow strip of tissue in between the nostrils (i.e., the columella). Then, he carefully lifts the skin to access the inner structure. Since an open procedure allows Dr. Law to make more changes to the tip and bridge than a closed procedure does, he usually recommends that Asians have the open procedure. After open nose-reshaping surgery, the patient may receive internal and external stitches. He removes these stitches during the patient’s follow-up visit.

The incision heals within a couple of weeks of surgery. Although a small scar may develop at the incision site, as long as the patient doesn’t expose the scar to UV light during the early stages of healing, the visibility of this scar decreases substantially within several months of surgery.

While performing a closed nose-reshaping procedure, Dr. Law creates incisions inside the nose. He closes these incisions with dissolvable stitches.

Techniques Plastic Surgeons Can Use During a Surgical Asian Rhinoplasty

An ethnic nose-reshaping procedure typically takes two to three hours.

The methods Dr. Law includes in a surgical treatment plan depend on the patient’s aesthetic goals and unique facial features. Before surgery starts, all surgical nose-reshaping patients receive local anesthesia with sedation or general anesthesia. Dr. Law recommends the type of anesthesia he believes will serve the patient best during surgery.

Cartilage Grafting or an Implant

Cartilage grafting is one of the most common techniques surgeons use to create a strong, more defined nasal structure. To provide optimal results, Dr. Law may recommend an open rhinoplasty to patients who need cartilage grafting or an implant to reach their goals.

If using a cartilage graft, Dr. Law harvests and transfers cartilage from one area to another. The best cartilage harvesting locations include the outer ear, the ribs and the septum.

Dr. Law may use cartilage or an implant during an Asian nose-reshaping procedure to:

  • Lengthen the nose.
  • Elevate a flat or low-set nasal dorsum.
  • Refine the nasal tip.

Repairing a Deviated Septum

An injury can cause the cartilage between the nostrils to change position; this is referred to as a deviated septum. A deviated septum can negatively affect the ability to breathe. During nose-reshaping surgery, Dr. Law may return the septum to its natural location.

Issues With the Columella

Columella is the medical term for the thin strip of skin located between the nostrils.

A Hanging Columella (aka Columellar Ptosis)

During a rhinoplasty, Dr. Law corrects a droopy nasal tip, which improves the appearance of the tip’s lower section.

A Retracted Columella

A retracted columella refers to one that cannot be seen. Dr. Law makes the columella more visible by extending the septum with an implant or cartilage. He also improves the internal nasal valve with bilateral spreader grafts.

Nasal Tip Augmentation

Since an open rhinoplasty makes changes to the nasal tip easier for Dr. Law to perform, he prefers the open option over the closed technique. Therefore, if an Asian patient has nasal tip issues, Dr. Law recommends open nose-reshaping surgery. With this technique, Dr. Law balances the nasal tip to harmonize the face and compliment the patient’s facial features.

Nasal Tip Augmentation Techniques

Dr. Law may change the ratio, projection and rotation of the nasal tip. Dr. Law can remove a thin wedge of soft tissue to narrow nostrils that the patient believes are too wide. This tissue removal can also address nostrils that flare.

Dr. Law can remove excess tissue to refine the tip. He can modify the shape of the nasal tip with a septal extension graft. Dr. Law can use a strong caudal septum, an extended spreader graft or a batten graft to provide additional support for the nasal tip.

Cap Graft

While performing open and closed nose-reshaping surgeries, Dr. Law can increase the projection and definition of the nasal tip with a cap graft.

Thick Nasal-Tip Skin Grafts

When the skin on the nasal tip is thick, the surgeon must be skilled enough to carefully carve and bevel it. In addition, the plastic surgeon performing a tip graft must know ways to hide the patient’s grafts well. Dr. Law’s experience and skill allow him to provide his patients with exceptional nasal tip modifications and well-hidden grafts.

Addressing Nasal Bridge Issues During Asian Nose-Reshaping Surgery in Richardson, Texas

Dr. Law addresses a variety of nasal bridge issues for his patients of Asian descent.

A Flat Nasal Bridge

A flat nasal bridge can make it difficult to wear glasses. Dr. Huay-Zong Law can create a slender, more refined bridge using an implant or cartilage.

A Hump

If a patient has a hump on their nose bridge, Dr. Law can reduce its prominence during nose-reshaping surgery. After reducing the size of the hump, the appearance of their nose changes substantially.

A Low Radix

The radix refers to the very top of the bridge. A Caucasian’s radix usually lines up with the upper eyelid, and an Asian’s radix is typically lower. During nose-reshaping surgery, Dr. Law can use cartilage or an implant to adjust an Asian patient’s radix so it lines up with the upper eyelid. After surgery, the patient’s bridge looks longer and straighter.

What Can a Liquid Ethnic Rhinoplasty in Richardson, Texas, Accomplish?

The liquid Asian rhinoplasty only takes 30 to 35 minutes. This treatment is a good option for patients who want to make certain aesthetic changes to their noses but aren’t ready or don’t want to undergo nose-reshaping surgery. The results of liquid nose-reshaping are temporary, lasting about 12 months.

Sometimes a patient who is planning to have a surgical rhinoplasty decides to have a liquid nose-reshaping procedure first. After having this temporary procedure, many patients find it easier to visualize what their surgical rhinoplasty results may be.

Fasting isn’t necessary before liquid rhinoplasties. However, Dr. Law recommends that his patients avoid eating foods that contain large quantities of sugar or salt for a couple of days before their injections. Refraining from eating these foods helps reduce post-treatment inflammation.

Dr. Law performs a liquid rhinoplasty by injecting dermal fillers into particular points on the nose. He uses the patient’s aesthetic goals to determine where to inject the filler.

With a non-surgical rhinoplasty, Dr. Law can modify the tip of the nose, smooth out bumps, improve nasal symmetry and enhance the bridge.

A Liquid Rhinoplasty Procedure in Richardson, Texas

Before the procedure begins, patients are encouraged to ask any last-minute questions they have.

For comparison purposes, one of Dr. Law’s staff members may take pictures of the treatment area before the procedure begins.

Procedure steps:

  1. With a special pen, Dr. Law will mark several locations on the nose. These serve as a guide for him as he injects the patient’s filler.
  2. With a special pen, Dr. Law will mark several locations on the nose. These serve as a guide for him as he injects the patient’s filler.
  3. One of Dr. Law’s nurses disinfects and applies numbing cream to the treatment area. It takes approximately 20 minutes for this numbing cream to take effect.
  4. Once 20 minutes have passed, Dr. Law performs the liquid nose-reshaping procedure.

Who May Not Be a Good Candidate for Liquid Rhinoplasty?

Dr. Law performs liquid nose-reshaping procedures for men and women at his office in Richardson, Texas. Most people are good candidates for a non-surgical rhinoplasty. Nonetheless, there are issues that could affect an individual’s candidacy.

These issues include:

  • Having a hypersensitivity or allergy to the filler or an ingredient included in the filler.
  • Having precancerous or cancerous lesions near the nose.
  • Being pregnant or currently breastfeeding.
  • Having an autoimmune disease or a bleeding disorder.
  • Infection, redness or inflammation near the nose.
  • Having body dysmorphic disorder (BDD) or unrealistic expectations.

The best way to reduce the likelihood of experiencing problems during or after any surgery is to choose a highly skilled surgeon to perform it. When it comes to plastic surgery, Dr. Law is that surgeon.

What To Expect During the First Consultation for Surgical and Non-Surgical Asian Rhinoplasty

The patient receives several registration forms to complete before the consultation begins. These forms ask the typical questions about medical history, current medications, previous surgeries and treatments. If a patient tends to develop cold sores, please let Dr. Huay-Zong Law know. He can prescribe an anti-viral medication before surgery to prevent the sore from developing.

Additionally, for safety’s sake, patients need to tell Dr. Law if they regularly drink alcoholic beverages, use anything that contains nicotine or use recreational drugs. Dr. Law also needs to know if the patient has an allergy to latex or any medication.

During the consultation, Dr. Law asks the patient about their aesthetic goals. Some patients find it helpful to bring a photo of someone who has a nose similar to what they would like to accomplish. Dr. Law will do his best to create nose contours that closely mimic the photo. However, he cannot guarantee the patient’s results will match perfectly.

A Facial Examination

As he examines the patient’s nose contours and facial features, Dr. Law pays close attention to how well the nasal contours and other characteristics of the face harmonize.

One of Dr. Law’s assistants may take several photographs. These pictures help Dr. Law as he creates the patient’s surgical or dermal filler injection plan. After the patient’s procedure, Dr. Law uses these photos for comparison purposes.

Once he completes the patient’s exam, Dr. Law will know whether the patient can benefit from an Asian nose-reshaping procedure. If he believes a different procedure will help the patient meet their aesthetic goals, he may recommend it.

How To Prepare for a Surgical Nose-Reshaping Procedure in Richardson, Texas

To ensure they have an adequate amount of time to recover directly after surgery, patients should take a week or two off work or school.

For the two weeks before their surgical rhinoplasty, patients should avoid cosmetic treatments, dental work and medical procedures.

At least seven days before their nose-reshaping procedure, patients must stop taking non-steroidal anti-inflammatory drugs (NSAIDs) and aspirin. If patients need to take medication for pain, they can take acetaminophen.

When it comes to having surgery, there are specific vitamins and herbal products that can be problematic. Therefore, patients must stop taking these vitamins and herbal supplements during the seven days before their surgery.

Herbal products to discontinue:

  • Ma Huang.
  • Ginkgo Biloba.
  • Echinacea.
  • Kava.
  • Ginseng.
  • Valerian.
  • St. John’s Wort.
  • Ginger.
  • Feverfew.
  • Saw Palmetto.
  • Licorice.
  • Goldenseed.
  • Milk Thistle.
  • Bilberry.
  • Dong Quai.
  • Hawthorne.
  • Cayenne.
  • Red Clover.
  • Fish oil.
  • Yohimbe.
  • Melatonin.

Vitamins to stop taking:

  • E.
  • K.
  • B Complex.
  • Multivitamins.

Patients who take a supplement or vitamin that isn’t on this list should ask Dr. Law whether they need to stop it before surgery.

Patients who take prescription blood thinners should speak with their prescribing physician about decreasing the dose of their medication during the week that leads up to their procedure. Patients must never decrease their dose or stop taking a prescription medication before receiving approval from their physician.

Two days before an Asian rhinoplasty, patients must stop applying Retin-A to their face.

Patients Need a Driver and a 24-Hour Caregiver

During surgical nose-reshaping procedures, patients receive twilight sedation or general anesthesia. For this reason, patients need to ask someone they trust to bring them to the hospital and take them home after their surgery. Patients who arrive without their driver will have to reschedule their procedure. Dr. Law wants his patients to be safe, so he considers for-hire transportation following any procedure requiring general or twilight anesthesia unacceptable.

In addition, following Asian nose-reshaping surgery, patients should have someone they trust care for them. Dr. Law asks patients to have someone with them during the 24 hours following nose-reshaping surgery in Richardson, Texas.

After surgery, the patient remains in the recovery area until Dr. Law releases them to their driver.

What to expect during surgical rhinoplasty recovery:

  • A full recovery following ethnic nose-reshaping surgery takes from one to six weeks.
  • During the initial 48 hours of recovery, slight bleeding is common.
  • Patients should expect their noses to feel stuffy. This symptom can last anywhere from several days to a few weeks.
  • Patients must avoid heavy lifting and participating in physically demanding activities for about a week.
  • Patients mustn’t play any contact sports for at least six weeks.
  • A week after surgery, Dr. Law removes the internal and external splints.
  • The incisions created during a closed rhinoplasty typically heal faster than the incisions from an open procedure.

What Are the Potential Complications and Risks of a Surgical Asian Rhinoplasty?

As with all procedures, there are potential risks that patients must consider.

Potential risks and complications of a surgical rhinoplasty:

  • Bleeding.
  • Infection.
  • Visible scarring.
  • An unwanted result.
  • Tip irregularities.
  • Septal perforation.
  • Uneven characteristics.
  • Alar retraction.
  • Upper dental numbness.
  • An overly rotated nasal tip.
  • Nasal valve collapse.
  • Skin damage.
  • Deviated septum.
  • Implant extrusion.
  • Dorsal irregularities.

The best way to reduce the likelihood of experiencing problems during or after any surgery is to choose a highly skilled surgeon to perform it. When it comes to plastic surgery, Dr. Law is that surgeon.

How Much Will an Asian Nose-Reshaping Procedure in Richardson, Texas, Cost?

Dr. Law must evaluate the nose and face to determine how much their liquid or surgical nose-reshaping procedure will cost.

Will Health Insurance Cover a Nose-Reshaping Procedure?

Since nose-reshaping procedures are just for improving the way the nose looks, health insurance doesn’t cover them. However, patients who are going to have Dr. Law address a deviated septum at the same time should ask their insurance about filing a claim to cover some of the costs associated with that part of the procedure.

Dr. Huay-Zong Law’s artistic vision, experience and skill serve him well as he performs procedures to help his patients meet their aesthetic goals.

One of the most common surgical procedures he performs for people of Asian descent is rhinoplasty. If you want to learn more about your cosmetic treatment and plastic surgery options in the Richardson, Texas, area, please contact Dr. Law today. The office number is (972)331-1900, and Law Plastic Surgery’s address is 7777 Forest Lane, C-528 in Dallas.




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