Cosmetic Rhinoplasty

The Rhinoplasty Clinic Pte Ltd.

Short Nose

What is A Short Nose?

A short nose ideally occupies about 1/3rd of the vertical height of the face, and is considered shortened when it occupies less than 1/3. Such kind of nose has over exposed nostrils from the front. For this reason, in medical terminology, it is also referred as an upturned nose.

In cosmetic rhinoplasty, short nose correction is considered as the most difficult nose job as it requires an in-depth understanding of the nose anatomy. A combination of techniques including raising the position of the radix, turning the tip downwards, or extending a recessed columella is generally used, depending on the facial analysis. Special attention needs to be given to the patient’s forehead, hairline and chin position during correction. Only a well-experienced nose plastic surgeon is capable of generating satisfactory outcomes.

Candidates for Short Nose Rhinoplasty

The treatment of short nose rhinoplasty is predominately recommended for people with:

  • Short/ upturned nose by birth
  • Overexposed nostrils, especially observed in Korean men
  • Disappointed with previous rhinoplasty

How To Correct Short Nose?

Short nose correction can be done by using the surgical methods. Most of the best rhinoplasty surgeons in the world have observed that a short nose encompasses an angle ≥110° from the nose tip and lips, which leads to overexposed nostrils. To correct this distortion via a nose cosmetic surgery, appropriate precautions need to be taken as an inappropriate implant can further shorten the patient’s nose.

Extending Nose Via Cartilage Surgery: This method is widely used in South Korea surgery and is considered as ideal for Korean nose job men to correct the facial ratio. In this method, upper cartilage of the nose is cut and fixed downwards to make the cartilage look longer from downwards.

Cartilage Transplantation: If the above surgery does not indicate desired results, cartilage transplant is often recommended by the nose plastic surgeons. In this method, an additional cartilage is transplanted between the wing and septal cartilage to enhance the length of the patient’s nose tip.

Rhinoplasty: Post cartilage transplantation, if a patient needs to raise the nose tip or widen nose bridge, then a cosmetic surgery for nose is performed. In this method, your surgeon may use an implant for nose bridge and a cartilage for improving the nose tip.

Implant VS Autologous Rhinoplasty

Many people think a nose job means inserting of a silicone implant. However, did you know that there is a safer, more natural option than using silicone implants? Autologous Rhinoplasty is peforming rhinoplasty using ONLY material from your own body. That’s right – no artificial foreign material at all for your rhinoplasty!

Many rhinoplasty surgeons now prefer using the autologous method of performing rhinoplasty. This is for good reason. To summarise the difference between two, we can refer to the table below:

Implant

Autologous

Longevity Needs replacement every 10 years or thereabouts Lifetime
Risk of rejection Yes – for as long as implant is present No
Risk of infection High – for as long as implant is present Very Low
Risk of extrusion Yes No
Risk of nasal contraction Yes No
Appearance More dramatic looking More natural looking
Comfort Implant may be uncomfortable Usually feels natural
Surgical time 1-2hour 4-6hours
Additional scars No Yes – but can be managed postop
Technical difficulty Easy Difficult

To put it simply, both have their pros and cons. Implants are convenient and easy to use, but you will face constant problems for as long as the implant is in the nose. Many of these are distressing and complicated to manage and can lead to deformity. On the other hand, Autologous rhinoplasty requires more time and effort, but this also means once you “survive” the recovery period, there is essentially little hassle – no maintenance, no worry, for life!

Long Nose

What is A Long Nose?

According to Dr. Tan, a nose is considered too long if it occupies >1/3 of the face. This condition is also referred as ‘Pinocchio Nose’ or ‘’Hawk Nose’’ that gives a disproportionate look to a person’s face. To fix an over-projected nose of a patient is a challenging job and requires a careful analysis by rhinoplasty specialists to see if it is a real or apparent lengthening. Apparent lengthening can be caused by a hanging columella, drooping tip, narrow dorsum or a long hump

Lifting of a drooping tip is usually performed on Asians while Westerner customers usually opt for fixing a long hump.

At The Rhinoplasty Clinic, long nose corrections are done under the close observation of Dr. Tan Kar Su – a renowned ENT practitioner with sub-specialization in the field of Facial Plastics Surgery.

Candidates for Long Nose Rhinoplasty

Correction of long nose is mainly recommended for patients with:

  • Genetic nose deformities by birth
  • Unhappy with the nose asymmetry
  • Previous rhinoplasty surgery went wrong

How To Correct Long Nose?

Cosmetic rhinoplasty is often performed to reduce the size or length of the nose by resizing the tip cartilages and nasal bone. In order to moderate the size of an individual’s nasal bone, the width and height of the nose need to be reduced congruently. At the same time, a rhinoplasty surgeon must take care of the underlying cartilage to impart a newly shaped nose structure to the patient in a more balanced proportion, as desired.

Correction of a long nose is a more complex procedure as compared to the normal rhinoplasty operation. It is advisable that the patients visit the best plastic surgery clinic in Korea that have the best nose job surgeons offering excellent rhinoplasty results along with well-equipped hi-tech medical equipment required for appropriately performing the surgery.

Small Nose

Correction of a foreshortened nose or small nose is considered as one of the trickiest nose job operation in the rhinoplasty. Such kind of upturned or over rotated nose may require a counter-rotation or derotation to correct the patient’s facial appearance.

What is A Small Nose?

A small nose refers to a nasal structure, which is proportionately too small corresponding to a person’s stature and facial contour. A careful analysis of an individual’s nose reveals whether the small nose is caused by small nasal bones, small middle vault or small tip. This is frequently accompanied by paranasal deficiencies, especially in Koreans, Chinese, Malays, Thais and Indonesian patients with a small midface. Concurrent correction of this deficiency is important to yield the best results.

Best Candidates for Small Nose

Correction of a small nose is mainly recommended to:

  • Patients with genetic small nose deformities by birth
  • Patients with nasal trauma leading to a caved-in nose
  • Previous rhinoplasty surgery went wrong, causing nose asymmetry

How To Correct Small Nose?

While correcting a small nose, the key focus of a rhinoplasty surgeon performing a nose correction surgery is preserving the structural integrity of the patient’s nose. Dr. Tan Kar Su always takes into account the longevity of the rhinoplasty operation results, whenever he chooses to place grafts in the nose to make it look bigger.

Two common ways employed by Dr. Tan Kar Su for reshaping a small nose are:

Raising the Patient’s Nasal Bridge: In cosmetic rhinoplasty, a nose job surgeon augments the low nasal bridge of a person having a small nose. In this procedure, the nasal dorsum or bridge is raised by introducing grafts or implants. Common nose implants include Gore-Tex, Medpore, Silastic, Ear Cartilage, Rib Cartilage etc. While Dr. Tan Kar Su mostly recommends the use of autologous grafts options, yet the right material to correct the disorder majorly depends on the kind of nose deformity.

Augmenting the Patient’s Tip Area: The exact distance between an individual’s nasal tip and cheeks is medically referred as projection. For people with a small nose, this tip projection is usually missing. The enhancement of nose tip projection is mainly done by using grafting materials. The grafts used in the surgery mainly depend on the type of tip support required and the nasal deformity of a person. Frequently, the top rhinoplasty surgeons use columellar strut grafts to provide an additional tip support along with preventing the future nose collapse.

Large Nose

People having a large nose often exhibit an excessively protruding nose from their face, causing a disharmony to their overall facial structure. For individuals having the nasal tip that stands far from their face are known to have a nose over projection. This is, by far, the most common cause of dissatisfaction amongst the patients having these profiles.
Once again, the correction of a large nose requires a careful analysis to decide where the unwanted mass is located. In Caucasians and Indians, this is usually from an excess of bone and cartilage. In Orientals and Southeast Asians, the bulk is caused by excess skin and fibrofatty tissue overlying deficient cartilage. Concurrent reinforcement of the cartilage structure and reduction of the soft tissue is required to yield the best results.

Causes of Large Nose Deformity

Some of the common factors that lead to a large nose in an individual comprises of:

Hereditary Deformities: In some patients, a large nose is the result of genetic factors. Such a deformity may develop in the foetus itself.

Absent Patellae: This is a rare disease characterized by the underdeveloped scrotum, uncommon facial appearance, mental retardation, and absent kneecaps.

Nose Surgery Went Wrong: At times, nose surgeries go wrong that may lead to the relocation of an unwanted nose, resulting in a large nose in patients.

Rhinophyma: This is one of the common causes of the large nose in people caused by inflation in the fatty skin glands of the adults.

Use of Drugs: Excess use of drugs or drug abuse is another frequent reason of large nose deformity in an individual.

Treatment

A range of techniques are available to correct an over projected nose. One such technique is cosmetic rhinoplasty, which is nose correction surgery whereby a rhinoplasty surgeon determines the requisite changes in the tip region to improve a patient’s nasal appearance. Another possible concept widely used by a nose job surgeon in this scenario is reduction rhinoplasty. In this technique, a planned nasal surgery is performed to reduce the overall size of an individual’s large nose. In this, a large nose is addressed in 3 explicit areas, viz., the tip area, the width of the patient’s nose, and the nasal hump.

To accurately address the requisite changes as well as to maintain a proper proportion of your nose, consult a qualified rhinoplasty surgeon and seek professional help to reshape and modify the desired nose shape. This will not only improve your facial appearance, but also restore your self-confidence.

Flat Nose

Flatness of nose over the 1/3rd of a person’s person face is mainly due to deficient nasal bones. This is primarily the characteristics of Orientals and Southeast Asians. In addition, flat nose tip is also commonly seen in Malays, Chinese, and Filipinos largely due to the lack of tip support from their weak and small cartilage that makes their nose contour indistinct.

Who Qualifies for Flat Nose Rhinoplasty

  • Patients with small and flat nose
  • Patients with low nose bridge
  • Patients with low tip and low bridge
  • Patients with droopy nose tip
  • Patients with low and rounded nose tip

Treatment For A Flat Nose

In most of the cases, patients opt for flat nose rhinoplasty to correct their nose deformity. This surgery heightens the patient’s nose tip or bridge by making use of biocompatible or autologous materials. Since this distortion is more common in Asians, their face generally looks dull and flat. For this reason, Korea rhinoplasty clinics are popular in structuring the nose slimmer by changing the contour impression of a person’s flat nose.

Besides augmentation of the patient’s flat nose bridge, it is critically important in a rhinoplasty surgery to harmonize the nose structure in line with the person’s natural facial structure while finding the right height.

To correctly fix a flat nose, focus is mainly placed on an individual’s nose bridge, which is elevated at an ideal angle to get perfect results. Consequently, a surgeon performs plastic surgery on the nose by making incisions inside the patient’s nostril so that the scars are not visible post-surgery.

For patients with a flat and rounded nose, additional surgeries are required. Visit your doctor to get complete information on the rhinoplasty procedure that works the best for you!

Wide Nose

Apparent nose widening can be caused by the lack of projection. This is especially true in males, where the nose structures are typically wider. To correct a wide nose, it is imperative to seek the help of a qualified rhinoplasty surgeon as simply raising the nose bridge can unbalance the facial appearance of a person. Besides, the thickness and length of the nose bridge need to be carefully considered while considering the nose job surgery.
For this reason, best plastic surgery clinics in Korea always perform a careful analysis of the patient’s face to check whether osteotomies, tip narrowing, or alar base reduction techniques can be done to correct the required nose widening

Causes of Wide Nose

Some of the common reasons of a wide nose bridge in people include:
Basal Cell Nevus Syndrome: In some patients, fatal diseases and ailments may lead to such deformities.

Drugs: It is further observed that a wide nose imperfection may develop in the foetus itself if the mother takes drugs like Hydantoin during the pregnancy.

Hereditary Factor: A wide nose may appear as a normal facial feature among individuals with a family history of having such wider noses.

Other Congenital Condition: There are other genetic factors that may lead to nose deformity in the foetus itself in the early period of the pregnancy.

Treatment For A Wide Nose

To address the problem of a wider nose, most of the nose surgeons recommend open rhinoplasty whereby excess cartilage and bone is removed by making small incisions underneath a patient’s nose skin along with gently elevating the person’s nose by adding soft tissues to reshape their nasal framework.

In some cases, a rhinoplasty surgeon may also narrow the wide tip of patient’s nose or reduced an overly wide alar base to change the overall appearance of their nose. This is performed with a common objective of providing a well-proportioned nose to the person that matches with his/her personality.

Narrow Nose

Even though the narrow nose problems are rarely seen compared to wide nose deformities, nonetheless Caucasians and Indians are commonly seen to encounter these nasal distortions. Not only narrow nose leads to functional difficulties like breathing problems, it also causes disproportionate facial structure. Functional evaluation including a nasal endoscopic examination should be done to localize and target concomitant functional problems

Causes of Narrow Nose Abnormalities

A narrow nose can be attributed to one of the following reasons:

Genetic Reasons: In most of the cases, a narrow nose is caused by a narrow tip or a narrow nose bridge due to heredity factors.
Button Nose Rhinoplasty: Some women may undergo button nose rhinoplasty that may lead to nose too narrow after rhinoplasty. The surgery may cause pinched nasal tips, which is another important reason of a narrow nose in a person.
Accidents: A number of patients endure narrow nose defect post a severe accident causing a narrow nose bridge with a dorsal hump. Besides, in some patients, an accident may lead to a collapsed nasal bones or cartilage, leading to an irregular nose shape.

Treatment: Narrow Nose Rhinoplasty

Most rhinoplasty surgeons perform cosmetic rhinoplasty procedures to correct the narrow tip of a person. By marginally taking down the nose bridge height of a person, his/her nose ridge can become more rounded or flatter, or, leading to a slightly wider nasal structure. This can be performed through osteotomy procedure or open rhinoplasty to bring the nasal bone slightly inwards without reducing the size of bridge height. Alternatively, your doctor may use other cosmetic rhinoplasty procedures after a careful examination to check the best treatment option for you.

Hump Nose

Removing an individual’s hump from the nose bridge is, by far, one of the trickiest jobs in rhinoplasty. Different people may have different sizes of the nasal hump. Some patients may even have a small bump in their nose and opt for Korea nose surgery.

Hump nose is mostly commonly seen in Caucasians, Indians or patient with previous nasal surgeries. A narrow nose with a hump can also cause breathing difficulties. Regardless of the size of the hump, a rhinoplasty surgery can always help a person to correct both the functional and aesthetic aspects of their nose by reducing the hump size. Functional evaluation including a nasal endoscopic examination should be considered to localize and target concomitant functional problems.

Causes of Hump Nose Abnormalities

A narrow nose can be attributed to one of the following reasons:
Genetic Inheritance: In the majority of people, a nasal hump is attributed to the genetic factor. The nose of people with a hump gives an impression of a broken nose.
Trauma: A dorsal hump usually comprises of a combination of cartilage and bone, even though the proportions may vary from person to person. In some patients, a major trauma may lead to a misbalance in this proportion, thereby to an asymmetrical nose shape.

Drugs: Some patients may endure a hump on their nose due to perpetual drug abuse.

Treatment: Hump Nose Rhinoplasty

One of the foremost responsibilities of rhinoplasty doctor while removing the hump is to carve down the proportion of cartilage and bone to appropriately remove the nasal hump. During the procedure, the upper most part of the patient’s tissue bone forming a concave shape, making the nose a little scooped out, is proportioned in line with the lower most part of the bone tissues while maintaining the ethnic/family features. Besides, factors such as, age, height, sex, and a range of other factors are also considered by a doctor. This means, the entire face of the person needs to suitably synchronize with the overall facial framework.

Tip Work

Definition

Tip rhinoplasty or tip projection indicates a cosmetic nasal operation that primarily focuses on the modification of the patient’s tip of the nose. A nose tip includes subcutaneous tissues, skin, and the cartilage.

The most common complaint among Chinese, Malays and other Orientals and Southeast Asians is a bulbous tip. Very often this is a combination of thick, oily skin with weak cartilaginous support underneath. Refining such a tip is often one of the most challenging aspects of Asian Rhinoplasty. Often, several techniques have to be used in conjunction to achieve satisfactory results.

Types of Nose Tip Asymmetries

Irregular Nasal Tip: In some people, it is observed that one side of the nose tip appears dissimilar from the other side. For instance, one of the sides may be smaller, bigger, lower ,higher or somewhat twisted compared to the other side. As the shape of the nose tip is mainly dependent on the underlying cartilage, an irregular nose tip may develop due to an injury or genetic reasons. An aesthetic surgeon with expertise in cosmetic rhinoplasty can effectively work on the cartilage underlying the nasal tip, such that both the sides look symmetrical.

Nasal Tip Projection: A disproportionate nasal tip projection appears to stem out from the end of a person’s nose. This deformity can make nose tip bigger than it essentially is. An excessive nose tip projection can be dealt in two ways:

  1. Raising the nose bridge so that the tip no longer appears irregular
  2. Reducing the nose tip projection by seeking help from an experienced cosmetic surgeon

Bulbous Tip: A bulbous nose tip appears more rounded if a person’s domal cartilage is extremely wide and rounded. It is commonly observed that people with thicker nose skin are more likely to have a rounded nose tip. Such a feature is commonly seen in a non-Caucasian nose, where the lower lateral cartilages of the patient may be too convex, wide, or both.

Nose Tip Refinement & Treatment

Tip rhinoplasty or nose tip surgery is a surgical procedure, which helps a patient to change his/her appearance by transforming the structure of their nose tip. The procedure can increase or reduce the shape, size, and width of their nasal tip along with altering the angle between their upper lip and the nose. This operation helps a person to correct his/her nasal birth defects and injuries.

Best plastic surgery clinics in Korea and Singapore are known to customize tip rhinoplasty surgery, depending upon the needs and requirements of the patient. Surgeons may make incisions either within the nose or alternatively conceal these incisions in unremarkable nose locations through the open tip rhinoplasty procedure. While some of the tip rhinoplasty techniques leverage cartilage grafts to enhance the nasal tip projection, others are performed to improve the nasal breathing while carrying out the tip rhinoplasty at the same time.

The best candidates for tip rhinoplasty are individuals looking for improvements in the appearance of their nose. Besides realistic expectations, psychological stability and good health are important factors considered for a patient contemplating this surgical procedure. At times, tip rhinoplasty may also be performed in combination with other surgical procedures.

Risks & Complications

The potential risks and complications associated with this treatment involve improper changes in the appearance of a person’s nasal region, along with:

  • Bleeding
  • Infection & Allergic reactions
  • Chronic pain
  • Numbness
  • Scarring
  • Delayed healing
  • Cartilage & Blood Vessel Damage
  • Asymmetry
  • Nasal septal perforation
  • Delayed healing

 

Unequal Nostrils

Nostril asymmetry is most commonly seen in patients with deviated septum, cleft palates or previous rhinoplasty. Correction requires careful analysis of the underlying cause of the unequal nostrils, whether it is excess skin, deviated caudal septum, and columella or skin scarring.

What Causes Unequal Nostrils?

Some of the common reasons of uneven nostrils include:

  • Some people are born with the nostril asymmetry disorder
  • People with a deviated or twisted caudal septum
  • People with asymmetric nasal tip cartilages
  • Previous rhinoplasty surgery went wrong

Treatment For Unequal Nostrils

The best plastic surgery clinic in Korea generally goes for constructive or cosmetic rhinoplasty to rebuild the caudal septal deformity of an individual’s nose as a first step in fixing the nostril asymmetries. This involves either:

(i) repositioning of the existing nasal septum, or
(ii) removing the patient’s deviated section of cartilage along with its reconstruction by using a new and straight portion of cartilage. This is commonly taken from the person’s different portion of the septum.

Once the rhinoplasty surgeon places the caudal septum in the midline, the columella is subsequently secured by using sutures. The procedure makes sure a stable columellar and tip complex together with a long-lasting improvement to the patient’s nostril asymmetry.

To check out before and after pictures of asymmetric or unequal nostril rhinoplasty, visit our clinic!

Retracted Columella

Definition

Columella is composed of cartilage and skin. It separates nostrils connecting the nasal tip to the nose base into left and right sides. While aesthetically shaping a person’s nose, the columella cannot be ignored, for instance, in the case of septal deviation, the columella may look crooked and hence needs to be fixed as well.

A retracted columella is referred to an aesthetic condition wherein the nose tip projection appears as retracted or pulled-in when viewed from the front or in profile view. The condition follows as a person’s 2/3rd columella is not appropriately projected or is inferior to the standard alar margin.

A person with this kind of nose deformity is also medically terms as no columellar show as the columella is rarely visible. In general, a retracted columella may make an individual’s nose look overly short for the face as well as may even affect the person’s entire nose shape. To correct this disfigurement through rhinoplasty surgery, nose surgeons lengthen the columella and septum together along with repositioning the cartilage grafts.

Causes of Retracted Columella

This condition is most commonly seen in Chinese, Malays and those of Indochinese descent. It is often due to a weak septal cartilage. This is aggravated by overhanging alar that is also commonly seen in this population. Some of the common causes of the retracted columella are:

Previous Nose Surgery: A number of rhinoplasty procedures can cause the retraction of columella through surgical intervention. This means, a retracted columella is primarily seen as an outcome of a primary or a secondary rhinoplasty technique in which excessive skin or cartilage was removed in the course of the procedure.

Normal Anatomic Disparity: Another cause of a retracted columella is the natural physiological trait of a person.

Congenital Deformity: In some cases, patients have a congenital disorder (like a cleft lip/palate) that leads to columellar retraction.

Nasal Trauma: There are many processes that may cause septal perforation or erosion of the cartilaginous septum, which in turn, may also trigger a columella retraction.

Treatment of Retracted Columella

The retracted columella correction in cosmetic rhinoplasty predominately depends upon the identification of the exact causative factor that leads to the defect. For this, the surgeon performs a surgical assessment wherein the patient’s nasal columella is thoroughly examined. Besides, any surgical adjustments to the columella may have extensive functional and aesthetic impact on the nose, so a detailed evaluation is essential.

A columellar retraction is mainly evaluated in comparison to the upper lip and nostril region. If the retraction is caused by a belligerent cosmetic surgery, surgeons will study the pre-procedural images of the patient as a visual reference for the further treatment.

Retracted Columella – Surgical Procedure

Once the occurrence of a retracted columella is identified and its underlying cause is confirmed, a rhinoplasty surgeon will establish the amount of columella lengthening required to attain a natural and satisfactory outcome. For this, frequently spreader grafts are used. However, the selection of grafting material mainly depends on the anatomical quality of the person’s columella. Depending on the case, a tissue or cartilage composite with rib cartilage or nasal septum may be used by the nose doctor.

Hanging Columella and Retracted Alar

Definition

Alar retraction is the upward contraction of the ala (or fragment of the nose adjacent to the tip), which leaves a person with an unwarranted nostril show.

Hanging Columella is a condition when a person’s columella (bridge of the tissue that divides the nostrils at the nose base) is placed such that more than 4 mm of the nostril is visible on his/her profile view.

These common features are mainly seen in Chinese from the South-eastern parts of the China. It is important to distinguish between a hanging columella from retracted nostrils as the treatment is different. Often, together with retracted alar, these two features can cause excessive nostril show.

What Can Cause An Alar Retraction Or Hanging Columella?

An alar retraction or a hanging columella can be caused by the following reasons:

  • Some people are born with a retracted alar or a hanging columella
  • In some patients, alar retraction is the result of previous nose reconstructive surgery
  • Hanging columella may be caused by an overly long septum, or previous nasal surgery causing the disorientation of the actual alignment of the columella cartilages

How to Fix Alar Retraction?

Composite grafting is a well-established technique used by surgeons in revision rhinoplasty and cosmetic rhinoplasty to effectively reshape the actual nostril rim in a natural way.

In general, grafting term in the rhinoplasty infers placement of a cartilage segment into a patient’s nose. However, in some cases, the positioning of the cartilage alone is not considered as a desirable solution. For this reason, many rhinoplasty surgeons combine cartilage with the soft tissue and skin in one graft (referred as composite grafting) as a standard rhinoplasty technique for correcting alar retraction.

How to Fix a Hanging Columella?

The hanging columella is frequently the consequence of a combination of a low hanging placement of the medial footplates, an excessive nasal mucosa, and a long caudal septum. This can be cured by both – an open rhinoplasty or a closed rhinoplasty approach – depending upon a surgeon’s preference. Most of the best plastic surgery clinics in Korea use a closed approach (wherein, the incisions are made inside the patient’s nose as against an exterior columella incision), given the fact that the patient is not having other nasal concerns. 

In a closed rhinoplasty, the patient evades a typical swelling at the nose tip that usually occurs in the open rhinoplasty. For this reason, the recovery time is fairly minimal with apparent immediate results.

The goal of correcting a retracted alar and hanging columella is to establish a congruent relationship between the nostril area and other facial features of the patient.

Wide Alar Base/ Large Nostrils

Definition

An alar base is imperative in appraising the overall appearance as well as proportion of a person’s nose. A flared or overly wide alar base may result in a heavy bottom nose and hence disrupt the subtle balance between the different features of a person’s face. This is commonly observed in people of following origins:

  • Chinese
  • Malays
  • Indochinese
  • Hispanic
  • Filipino

Often, a rhinoplasty surgeon may suggest alar base resection. For this, prudent care should be taken to assess whether the excessive width results from excessive soft tissue, large nostrils or wide alar base. From there, an appropriate design is used for alar base reduction. Nostril reduction without due consideration of its secondary effects can often cause the nose to look excessively “pinched”, the tip to look paradoxically bigger and the paranasal depression to appear worse.

Procedure

The nasal ala composed of soft tissues at the nostril rim and cartilage at the upper nostril. An alar base joins the upper lip area with the cheek. The shape, width, and overall size of this area are primarily the cosmetic concern of nose plastic surgeons. One of the common concerns of the patients seeking rhinoplasty is their wide/flaring nose. In order to bring greater harmony to their face, many patients opt for nostril narrowing or alar base reduction option.

Due to complexity and variability involved in the alar base structure, there are unique challenges associated with the alar base surgery. In the course of a surgical evaluation, the top rhinoplasty surgeons evaluate alar base in terms of the nostril symmetry, size, and shape. Other factors may include the thickness of the nose skin, amount of alar base modification required, and its exact shape and location.

Surgical Techniques

Fundamentally, two most widely used techniques in alar base reduction are:

Weir Incisions: This is the standard surgical techniques used by best rhinoplasty surgeon in the world for alar base reduction. This technique encompasses the removal of a small tissue from the nostril’s edge, i.e., the point wherein the nostril connects the cheek. Subsequently, the nostril is pulled down and then re-attached. This surgical procedure is normally used for rounding of the nostrils or removing the nostril flare.

Joseph Incisions: This is another surgical procedure that takes into account the removal of tissue located at the base of a nose, known as the nasal sill (situated between the edge of the nostril and columella). This procedure is recommended for reducing the overall width of the nostril.

Post an alar base reduction, a surgeon accurately rounds the ala to give the patient’s nose an appropriate shape. If the surgery is incorrectly done or the tissue is removed in an over aggressive way, a patient may lose the natural nostril curve along with abnormal scars at the nostril area.

To avert this outcome, Dr. Tan Kar Su makes use of specialized surgical techniques and procedures to maximize the odds for a natural and smooth nostril contour, without any discernible scar. Besides, the doctor also takes care of:

  • The maintenance of the patient’s natural nostril curve
  • Discreet and well concealed scars
  • Quick healing if the scars
  • Perfection of the internal nostril shape

The key objective of an alar/large nostrils reduction procedure is to provide a natural and well-proportioned outcome to the patient, without any secondary distortion.

Female Rhinoplasty

Definition

Female rhinoplasty is a surgical nose procedure performed for correcting as well as reconstructing the shape of the women nose while restoring its functions and enhancing its aesthetic value. Female noses are ideally slimmer and smaller than the male noses with a slight dorsum upcurve that gives a more elegant result.

Types of Female Rhinoplasty

Women rhinoplasty procedure addresses both the function and appearance of a female nose. The best rhinoplasty surgeons are capable of correcting a range of nose flaws, including:

Functional Rhinoplasty: such as curing obstructed breathing, snoring problems, straightening a woman’s crooked nose, changing the tip of the drooping down nose, etc.

Cosmetic Rhinoplasty: such as moderating the length of a person’s nose, making a nose wide or narrow, reducing the nose hump, nostril reduction, etc.

Revision Rhinoplasty: such as correcting a contracted nose, previous implant removal, remedying an incorrect nose surgery (previously done), etc.

Reconstructive Rhinoplasty: refining a post-trauma nose, a saddle nose, cleft nose, or other congenital deformities, etc.

Benefits of Female Rhinoplasty Procedure

Rhinoplasty in women mainly highlights the subtlety involved in a nose plastic surgery before and after. A small alteration in the nose can profoundly improve its orientation and balance the face. This means, a small proportion of change in the features, if executed with precision, can lead to beautiful and natural outcomes. A nose surgeon’s job is not to alter the appearance in a way that it becomes difficult for the friends to identify you, but to improve your features that blend well with your facial structure along with overall personality. Only a highly trained surgeon is capable of making well versed and subtle changes to indicate the best rhinoplasty results.

Some of the key issues that can be easily corrected with a rhinoplasty surgery include:

  • Removing or decreasing the hump size
  • Correcting collapsed nostrils or a deviated septum
  • Reducing the width or overall length of the bridge
  • Vertical alignment of the nose
  • Refining the nose tip to remove a hook or excess cartilage
  • Correcting nasal malfunction like:
  • Frequent sinus infections
  • Nasal congestion
  • Sinus headache
  • Dry throat
  • Diminished sense of smell

Female Rhinoplasty Procedure

During the initial consultation, a surgeon explains at length about the entire procedure – i.e., whether an open rhinoplasty or a closed rhinoplasty technique will be performed. Accordingly, incisions (in a closed rhinoplasty procedure) are made that will remain hidden inside the nostrils with no external scars on the nose. Alternatively, if the open procedure is recommended by the surgeon then the incision will be made across the columella in order to gain access to the nose structures that are required to be modified and repaired. Following the surgery, the patient’s nose is splinted and taped.

Female Rhinoplasty: Recovery Time

A normal female recovery surgery, in general, takes seven to ten days to recover swelling and regular bruising. Any other marks gradually resolve over the following weeks. Some of the common rhinoplasty recovery tips as advised by a surgeon include:

  • Avoiding any strenuous activity for a few weeks to facilitate the body to adequately heal
  • Keeping away from contact sports (like soccer, basketball, etc.) for approximately eight weeks
  • Stringently following the pre and post operation routine
  • Regularly visiting the doctor to discuss complications, if any.

Male Rhinoplasty

Definition

Male nose correction surgery or male rhinoplasty is a surgical procedure, which entails changing the structure, size, and shape of the nose. Since strong straight noses are desired by the male patients, this procedure takes into account reshaping their cartilage and nasal bones to produce a harmonious and balanced nose that perfectly blends their his facial features.

Unlike the female rhinoplasty, the dorsum of the patient needs to be wider and straight, without an upward curve. Also, the male noses tend to be broader to remain harmonious with the typically stronger facial features.

In most cases, a surgeon may recommend a male rhinoplasty to:

  • Narrow the nose bridge
  • Straighten the crooked nose of the patient
  • Narrow/Widen the nostrils
  • Reshape the nose tip
  • Modify the angle between the patient’s upper lip and nose

Why Do You Need Male Rhinoplasty?

Male rhinoplasty is increasingly gaining popularity due to some explicit factors, such as:

Improved Appearance: More and more men today prefer to opt for nose reshaping & reconstructive surgery as they appreciate the way they look. Male patients seek nose plastic surgery as they are no longer constrained by the old stigma that pronounces only women, models, and actors can get plastic surgery done.

Boosts Self Esteem: As today’s society is more focused on a person’s aesthetic aspects, one of the positive incentives of performing male rhinoplasty is that the surgery helps in increasing confidence of a person. A well-skilled rhinoplasty surgeon is capable of helping you achieve your goals while maintaining your ethnic features.

Fixing Functional Problems: In some cases, male rhinoplasty is also performed to correct issues like deviated septum.

Sorting out An Long-standing Injury: A male nose job is also performed to repair injuries caused by an accident, such as falling off from bike, getting hit by a football, or a fractured/broken nose.

Male Rhinoplasty – Side Effects, Risks & Complications

The procedure, in most cases, takes about two hours and is usually performed under general anaesthesia. So, the patients may essentially stay overnight in the hospital. Since most of the nose surgery incisions are completed within the nose itself, so there are usually no scars. However, in some of the rhinoplasty procedures, an incision may be mad in the nostrils skin (known as open rhinoplasty) that may leave some fine scars. These incisions are closed with the dissolvable stitches that disappear over a period of time.

Post-Surgery Risks and Complications

At times, the nose of the patient may be swollen or bruised after surgery. Besides, some patients may have dressings in their nostrils that may complicate the breathing process. In such cases, the doctor provides pain relief medications and splint over the nose to assist with any discomfort

Recovery Time

The duration varies in accordance with the patient history and the type of surgery performed. It frequently differs between two weeks to a few months.

Ethnic Rhinoplasty

Definition

Ethnic Rhinoplasty or Multiracial Rhinoplasty is a nasal surgery wherein a rhinoplasty doctor surgically alters a patient’s nose to create an aesthetically pleasing and symmetrical nose matching the person’s face, without moderating his/her ethnic characteristics. Therefore, the most important aspect of this rhinoplasty is to shape an individual’s nose so that it looks natural – one that is congruent with the patient’s ethnic background, whether he/she is a Caucasian, Indian, Malay, Chinese, Oriental or Indochinese.

Why Do You Need Ethnic Rhinoplasty?

Distinct anatomical difference exists between different noses (mesorrhine, leptorrhine, platyrrhine, etc.) as every person’s nose is part of his/her genetic heritage and reflects their ethnic background. The shape, size, structure, and specification of every nose is unique, and so, it needs to be addressed in a customized way.

Some of the major reasons that foster a person to opt for ethnic rhinoplasty are:

Improved Facial Appearance: Top rhinoplasty surgeons have the abilities to radically transform a person’s facial appearance by changing the look of their nose in a way that synchronizes their features, without reversing their ethnic features.

Better Nose Functioning: Many patients opt for nose surgery to improve the functional abilities of their nose (such as, breathing issues, vertigo, or allergic problems) that are aggravated or caused by the abnormalities in the nose.

Types of Ethnic Rhinoplasty

Surgeons performing a nose job on multiracial patients need to recognize the difference in their features and accordingly implement unique surgical strategies to attain the desired functional and aesthetic outcomes.

Asian Rhinoplasty: Nasal surgery performed on the Asians and Caucasian patients is significantly different as the latter generally asks for nose reduction, while the former aspires for nose augmentation. Since most of the Asian noses are flatter and wider in appearance, surgeons often increase their nose projection by inserting implants or grafts at the bridge of their nose. This not only retains their original Asian characteristics, but also improves the aesthetics of their nose. Other options include nostril reduction and nasal tip enhancement.

Middle Eastern & Mediterranean Nose Rhinoplasty: Such people have a large nose along with a large hump. So, the surgery is fashioned in such a way to refine nose tip, without eliminating their ethnicity traits.

African American Rhinoplasty Surgery: Most of the Afro-American patients request a narrower nose with a narrow bridge and a well-defined tip. Since these patients have thinner cartilage with thicker skin, the best rhinoplasty surgeons in the world prefer placing grafts on their nasal tip, nose base, or at the bridge to create a more natural outcome while retaining their ethnicity at the same time.

Dr. Tan Kar Su, one of the best rhinoplasty surgeons, carefully examine both the functional and aesthetic aspects to ensure that his patients attain what they are looking for!

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