Cost Of Asian Rhinoplasty -

A rhinoplasty is a surgical procedure, often done in combination with other cosmetic procedures such as facelifts or breast augmentation. It’s also sometimes performed on its own to reshape your nose or correct a birth defect. The cost of rhinoplasty will depend on the city in which you live, the type and extent of corrective surgery required, your surgeon’s training and experience, your specific insurance coverage (if applicable) and other factors such as optional tests and follow-up care.

In this post, we review the Cost Of Asian Rhinoplasty, asian rhinoplasty purseforum, Is Asian rhinoplasty permanent, and Is Asian rhinoplasty the same as rhinoplasty?

Cost Of Asian Rhinoplasty

Rhinoplasty has been a popular procedure in Asia for many years. The cost of rhinoplasty in Asia depends on several factors. You need to take into consideration the difficulty and complexity of your case, as well as the location and materials used during your surgery.

The cost of rhinoplasty in Asia depends on several factors.

The cost of rhinoplasty in Asia depends on several factors. The first is the difficulty of the procedure, as well as its extent and location. For example, if you’re planning to have your surgery done at a reputable hospital with an experienced surgeon, then you should expect to pay more than if you were getting it done at home by yourself or with someone who does not have medical training.

The second factor that influences how much money will be spent on this type of plastic surgery is what materials and instruments are used during the procedure itself; these things can vary significantly between different hospitals, so make sure that your chosen facility uses quality equipment before committing yourself there!

1. How much difficulty does the procedure present for the surgeon?

The difficulty of the procedure is directly related to how difficult it is for the surgeon to work with your particular nose. As mentioned above, there are some features in Asian noses that make them more challenging than those of other ethnic groups.

The complexity of rhinoplasty makes it important for you to choose an experienced surgeon who has done many rhinoplasties before and understands what needs to be done in order to achieve your desired result.

2. The extent of the treatment?

The extent of the procedure depends on your needs.

The extent of the treatment is determined by your needs.

3. The location of the surgery?

If you are thinking of travelling to a country like India, Thailand or Korea for your rhinoplasty procedure, then you can expect to pay less. The reason for this is that there are fewer medical regulations in these countries and therefore surgeons are able to offer cheaper services.

4. What materials and instruments are used during the procedure?

The cost of materials and instruments used during the procedure:

Your surgeon may use a photo or video camera during your rhinoplasty. This device is attached to a small computer that sends images directly to your doctor’s office, where they can be reviewed before surgery. Some surgeons also use this technology while they’re operating on you. It’s not uncommon for them to review pictures taken during the operation before moving on with their work; this way, they know what needs tending immediately if something goes wrong (like when there are problems with blood supply).
Anesthesia: If you don’t want anesthesia for your procedure, then talk with your doctor about how much it would cost—and whether or not anesthesia will help keep costs down later on down the road when something goes wrong during recovery from surgery!

5. Rhinoplasty is a fairly complex procedure and requires skill and expertise of surgeon performing it, so make sure you choose your surgeon well.

Choosing a surgeon is very important in this situation. You should look into their credentials, ask them for references and see before and after photos of their work. If you are not comfortable with the person who will be operating on your nose, then do not go through with it!

The cost of rhinoplasty in Asia depends on several factors

The cost of rhinoplasty in Asia depends on several factors. Some of these include:

The difficulty of the procedure and extent of treatment required. This can be determined by a thorough consultation with your surgeon, who will be able to assess whether your nose requires minor adjustments or major reconstruction.
The location of surgery (a hospital or private clinic). Hospitals are cheaper, but you may have to wait longer for an appointment with a qualified surgeon if there are no available beds at the time you want surgery performed. Private clinics tend to cost more but offer shorter waiting times because they specialize in cosmetic surgeries and other procedures related to beauty enhancement.

asian rhinoplasty purseforum

Facial plastic surgery is a very personal experience. You want a surgeon with excellent technical skills refined through hard work and experience, of course, but one who is also a confidant, someone with whom you feel comfortable sharing your goals and motivations. Dr. Chase Lay is a rare facial Facial Plastic Surgeon in the Bay Area located in San Jose who encompasses all of those traits.

Raised and educated in Texas, where he earned his medical degree at the University of Texas, Dr. Lay completed his residency in Head and Neck Surgery at Southern Illinois University. While there, he performed more than 1,500 functional, reconstructive, and cosmetic procedures on the face and in particular the eyes and periorbital area. As a facial plastic surgeon trained in Head & Neck Surgery, Dr. Lay understands the importance of maintaining proper form and function of the eyes, nose, and face when performing cosmetic or reconstructive surgery.

After leaving Illinois, Dr. Lay completed an additional one-year AAFPRS accredited Facial Plastics Fellowship. Since 2010, Dr. Lay has performed more than 5,000 cosmetic and reconstructive procedures on the face and eyes with his primary focus being Asian Eyelid Surgery (sometimes referred to as Double Eyelid Surgery), fat transfer, and Asian Rhinoplasty.

Why Choose Dr. Lay

The cornerstone of Dr. Lay’s plastic surgery philosophy is to improve your appearance while maintaining a natural look. That’s been a guiding principle since early in his career when he decided to focus on facial plastic surgery in general and specialize in Asian eye surgery. Men and women considering facial plastic surgery throughout the San Francisco Bay Area choose Dr. Lay.

Specialties

Any surgical procedure near the eye requires a skilled, delicate touch. Dr. Lay’s expertise in eyelid surgery (after being trained for 5 years in Oculoplastic surgery) goes well beyond cosmetic procedures and includes reconstruction for ptosis, pseudootosis, ectropion, and trauma.

Dr. Lay refined his facial plastic surgery techniques and is experienced in significant Head & Neck cancer and trauma reconstructive surgeries. His training in both plastic surgery and oral surgery enables him to perform chin augmentations either using implants or by reshaping the bone itself. Dr. Lay’s preferred methods of facial rejuvenation include procedures such as fat transfer, Ulthera, dermal fillers such as Voluma and Restylane Defyne, blepharoplasty, Botox, and thread lifting.

Is Asian rhinoplasty permanent

What is Asian Rhinoplasty?

Asian rhinoplasty is a type of ethnic nose surgery that carefully aims to correct airway problems or improve imperfections without diminishing the unique features of the patient’s Asian appearance.

Asian Rhinoplasty

Asian patients typically have a low bridge, wide floor of each nostril, thick ala or nostril walls, and a thick and poorly defined tip. Surgical remedies are available as well as non-surgical remedies.

Common Requests for Asian Rhinoplasty Procedures

The most common change for an Asian nose would be to raise the bridge and refine the tip. Nostril narrowing procedures whereby external incision is placed between the wings and the upper lip and lower cheek are placed such that the walls of the alar base are brought closer together thereby narrowing the lowest part of the nose. Typically, these procedures heal quite well and become invisible within several months.

Before and After Asian Rhinoplasty Photos

Why Asian Rhinoplasty?

Asian Rhinoplasty, in certain cities, is a major segment of the rhinoplasty world. Typically, Asian patients are adamant about not deleting their ethnicity. They seek refinement, not major change.

One of the important surgical maneuvers that is more common in Asian rhinoplasty, than in say Northern European Rhinoplasty, is nostril narrowing. The bottom portion of the nostrils, the sills, may be quite wide and thus the wings sit far laterally. If the sill contains no cartilage from either the columellar partition or the wings, the skin is removed allowing the surgeon to migrate the wings closer to the midline. This can be performed in conjunction with other Asian rhinoplasty components, but most often with narrowing and refinement of the tip.

This procedure of nostril narrowing does require that most of the incision be external, but skilled rhinoplasty surgeons conceal the external portion of the incision in the groove between the wing or alar and the upper lip/cheek junction. Asians have a tendency to develop thickened scars if they close with fine sutures, in multiple layers is not performed. However, even if these incisions thicken up a bit, with time they usually recede and particularly with the help of some medication.

Asian Bulbous Nose

What is Asian Rhinoplasty?

Surgical & Non-surgical Asian Rhinoplasty

For a large majority of Asian nose jobs, the permanent non-surgical nose job can be performed in order to perfect the nose. Many patients do not know that the permanent non-surgical nose job exists. Computer imaging technology can show you beforehand the beautiful, natural results you can expect. This rare technique is available to Dr. Kotler’s patients.

Surgical Asian Rhinoplasty

FAQ – Asian Nose Jobs

Asian nose jobs, without nostril narrowing are comparable in length to other ethnic rhinoplasty procedures. Typically operation time for rhinoplasty is two hours. That includes the total time in the operating room; anesthesia induction, preparation, surgical procedures, dressing application and wake up.

The components of an Asian Rhinoplasty are often a bit more sophisticated than for some other ethnic procedures. The need to refine a thick, bulbous tip, raise the bridge rather than lower, the need to narrow the nostrils. These are specialized techniques requiring great skill and technical expertise. Surgeons with more experience are likely to be the most successful, of course.

If undergoing open rhinoplasty, there will be a single horizontal scar connecting the two nostrils. If nostril narrowing is added, those scars are external also. In closed rhinoplasty, the nostril narrowing, if performed, will be the only external scar. The other incisions are performed internally. What may be unique to the Asian rhinoplasty done via the closed rhinoplasty technique is that the two horseshoe-shaped tip cartilages may be “worked on”, by the “delivery technique.” Through additional internal incisions, the two cartilages are “delivered” from their bed between the external and internal skin, worked on, on the outside of nose while still attached and then returned to the bed, narrower and shorn of the extra fat. Quite something to observe! Learn more about open vs closed rhinoplasty.

Dr. Kotler performs Asian Rhinoplasty, Permanent Non-surgical Asian Rhinoplasty and Permanent Asian Non-surgical Revision Rhinoplasty. Practicing in the Greater Los Angeles area, with a large Chinese, Korean, Filipino population, rhinoplasty superspecialists will see a large volume of patients of Asian ancestry. Also, many come from Asia to have their procedures in Beverly Hills because of its world-wide reputation as a center of excellence.

Asian Rhinoplasty recovery

Patients who come in for the Asian rhinoplasty in Beverly Hills are provided with recommendations for their rhinoplasty recovery. For those traveling, we also can make suggestions for hotel and all other tourist accommodations. They may choose to stay at a professional post-operative recovery facility, adjacent to a major hospital. Those who may not be proficient in English are asked to bring a bilingual friend or relative. The post-operative care is facilitated by our doctors and staff, as we provide all medications and supplies that are necessary.

Is Asian rhinoplasty the same as rhinoplasty

The same goal exists for rhinoplasty performed on Asians as for rhinoplasty performed on Caucasians, which is to build a natural-appearing structure that blends harmoniously with the face. As a group, Asians require augmentation of the nose to achieve this result, in contrast to Caucasians who usually require reduction. As with other types of surgery performed on Asians, successful surgery results in a feature consistent with the patient’s ethnic identity. Thus, the goal of surgery should be an attractive Asian nose, not the creation of an attractive Caucasian nose on an Asian face. [1, 2, 3, 4] For more information on aesthetic medicine, including news and CME activities, visit Medscape’s Aesthetic Medicine Resource Center.

See the image below depicting completion of rhinoplasty procedure.

History of the Procedure

Previously, surgery has focused primarily on dorsal augmentation. Although still performed (especially by nonphysicians or those with limited training), injection of paraffin or liquid silicone has been replaced by alloplastic augmentation, most commonly silastic. Historically, the surgeon addressed the tip by augmenting it together with the dorsum in a one-piece, L-shaped implant with the bend of the L forming the new tip. Because extrusion at the tip remains an ongoing concern with implants of this type, the surgeon frequently protects the tip with cartilage from the ear, septum, or lower lateral cartilage.

The nasal tip and especially nasal tip lengthening vis-à-vis facial thirds remains the primary challenge of Asian rhinoplasty (see the image below).

The popularity of open rhinoplasty in the United States has led to an increased interest in applying this method to Asian rhinoplasty.

Nevertheless, due to the poorer healing characteristics of Asian skin, some practitioners prefer the endonasal approach to Asian rhinoplasty.

For nasal dorsal augment, a recent surge of interest in autogenous reconstruction using autogenous cartilage has been observed. Costal cartilage is increasingly used in the United States. Recent attention has been drawn to diced conchal cartilage wrapped in Surgicel or temporalis fascia. The diced cartilage obviates the problems associated with warping, which can occur with rib. As much as 4 mm or more of dorsal augmentation can be achieved using conchal cartilage.

Problem

Address the problem as isolated to the dorsum, tip, alar base, vertical dimension, or all of the above. The Asian nose shares similar ideal dimensions with the Caucasian nose but with emphasis on subtleness: the dorsum requires less height, the tip less definition, the alar base less narrowness. As in Caucasians, ideally the radix begins at or slightly below the lash line. The length, measured from the idealized radix to the base of the columella (subnasale), occupies the central third of the face. The tilt of the columella measures 90-115° from the vertical plane, with higher angulation preferred for smaller women.

Southeast Asians (Malay, Filipino, southern Chinese) typically require the most dorsal augmentation (4 mm or more), while northeast Asians (Korean, Japanese, northern Chinese) require less (1.5-2.5 mm) or none. It may be necessary to better define the tip and increase its projection. A deficient premaxilla may need augmentation, as evidenced by a retracted columella with deficient columellar show from lateral view. The nose may require lengthening as measured from the radix to the tip or from the radix to the base of the columella.

The need for alar reduction is frequent in southeast Asians but much less so in northeast Asians. In most cases, both the flare and width need to be corrected; this necessitates an incision into the alar groove.

Pathophysiology

Skin

Nasal skin’s thickness better conceals the anatomic detail of the underlying nasal skeleton. This allows better blending of alloplastic or autogenous augmentation with native tissues. Nevertheless, do not use this as an opportunity for sloppiness in surgical technique, because in this patient population, expectations are exceedingly high.

Cartilage

The more delicate cartilaginous tissues of the lower lateral cartilage generally require reinforcement with autogenous cartilage from the ear or septum to obtain a desired result. Affecting a result with pure cartilage reshaping techniques is difficult and usually inadequate. Septal cartilage frequently requires two-layered reinforcement because of its thinness. When harvesting septal cartilage, preserve 1.5 cm of caudal and dorsal septum to prevent nasal dorsal collapse. In about 20% of cases, the septal cartilage is inadequate and additional cartilage from the ear is necessary.

Generally, the lower lateral cartilage is too soft and pliable to adequately support the tip. Such softness precludes the successful use of onlay grafts to the tip, except for the rare patient who has sufficiently strong cartilage (about 10% of patients). Currently, when the author performs an open rhinoplasty, preference is given to creating a columellar strut combined with a shield graft when the septal cartilage is sufficiently strong.

In many cases, septal cartilage as an anterior strut graft appears adequate for tip projection in closed rhinoplasty, if a minimum of 22 mm of cartilage can be obtained to act as both a strut and a shield graft. When an endonasal approach is used, a 1-layered graft appears adequate to maintain durable tip projection.

When tip grafting, defatting should be limited in order to decrease the likelihood of graft visibility. This is particularly true in the open approach, as the 2-layered graft combined with a columella incision can lead to compromised circulation at the tip area and more significant scarring.

More recently, Erol has reported on aggressive tip defatting when performed with closed rhinoplasty and a higher dose of triamcinolone (Kenalog 10/1 mL).

Nasal bones

The shorter and more delicate nasal bones place the patient at higher risk for internal valve collapse; consider spreader grafts in the rare patient requiring isolated dorsal reduction. Fortunately, alloplastic dorsal augmentation functions as a spreader graft, precluding the need for this as a separate maneuver in many cases.

Because of the shorter height of the nasal bones, the author finds that a curved osteotome provides a more consistent result than the percutaneous approach.

Indications

The indication for Asian augmentation nasal surgery is a patient with realistic expectations and mental stability. Asian male rhinoplasty patients appear to have a higher rate of dissatisfaction from nasal surgery. Careful screening is recommended, especially with regard to outcome and the likely shortfalls of the operation.

Relevant Anatomy

First analyze the nasal dorsum, which begins at or slightly below the eyelash line. A straight line drawn from this point to the supratip area determines the appropriate dimensions of the nasal implant. Because of the high visibility of implants ending in the mid dorsum, it may be necessary to lower the height of the dorsum to accommodate a longer implant, even if the dorsal deficiency appears isolated to the radix.

Next, assess the nasal tip for three characteristics: the need for increased projection, tip definition, and/or length from radix to tip. Because of their interrelationship, the need for improvement in any one of these aspects impacts the other two.

The resilience of the lower lateral cartilage determines the approach used to correct the deficiency. According to Millard-Sheen, a well-developed firm nasal tip may require nothing more than a suture-reshaping technique or a graft isolated to the nasal tip identical to a Caucasian rhinoplasty. More typically, a tip grafting technique is required. As the tip becomes increasingly delicate, construct increasingly substantial tip cartilage.

As the nasal tip projection is increased with a graft, the nose rotates cephalically, shortening the radix-tip length. Several techniques can be used to offset the cephalic rotation. These include the extended septal strut with the a wider dorsal edge; a septal extension graft; and the backstopped shield graft or reversed shield graft (convex surface placed caudally).

As mentioned above, when using an open approach, the author prefers conchal cartilage, made 2 layers thick, to serve as an anterior strut graft. Perhaps owing to circulatory disruption, septal cartilage appears to weaken or resorb over time, resulting in the loss of tip projection. The endonasal approach preserves better circulation to the tip area, and this may explain the better survivability of cartilage tip grafts.

Next, look for maxillary spine deficiency, as evidenced by a retracted columellar base and an acute nasolabial angle. The degree of deficiency may require a plumping graft of cartilaginous tissue. Finally, determine whether the alar base requires correction of width or flare. Increasing the projection of the nasal tip usually obviates the need for this in the northeast Asian population (Koreans, Japanese). More frequently, this procedure is performed on Southeast Asians such as Filipinos and Malay. When correcting the flare, the surgeon should avoid a pasted-on appearance of the nostril at all costs. This is done by preserving a slight curvature to the nostril when making the lateral incision.

A study by Wu et al indicated that in East Asian patients, bilateral accessory tip add-on grafts can be employed in augmentation rhinoplasty. Providing a bridge between the alae and the columellar strut, the crescent-shaped grafts can aid in tip support. Although the investigators did not recommend routine use of these add-on grafts, they stated that the grafts could be used for such indications as a severely short nose with insufficient interior soft tissue.

Cost Of Asian Rhinoplasty