Asian Rhinoplasty (Asian Nose Job)

Before & After Gallery Asian Rhinoplasty (Asian Nose Job)

NOTE: These images are un-retouched un-posed clinical images, of actual Dr Hodgkinson patients.
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Before and after rhinoplasty with bone grafting on a Eurasian patient

About The Procedure

There are many examples of plastic and cosmetic procedures where cultural norms and behaviours   will influence the decisions towards a desired aesthetic.  The asian rhinoplasty, or asian nose surgery, is a common example of a special variation on the rhinoplasty procedure that is tailored to provide a unique asian beauty, and facial harmony for Asian patients.

How is Asian rhinoplasty different?

Unlike a caucasian rhinoplasty, the Asian rhinoplasty achieves a nose shape that balances the facial features common to those with Asian heritage.  This may include the elevation of the nasal bridge, improving a weak nasal tip, and altering the shape and size of the nostrils.

​​Am I a Good Candidate for Asian Rhinoplasty?

Being well informed about the Asian rhinoplasty procedure will help you determine if you are a good candidate for it. The more you understand about the procedure, the better you will appreciate it, and know if it is the right procedure for you.

Researching will also make you more aware about the complexity of the procedure, and the need to undergo nose surgery only via an experienced specialist plastic surgeon like Dr Hodgkinson, to ensure that you are in the best position for achieving your desired look.

During your consultations with your chosen specialist plastic surgeon, together you will consider your overall health, desires and expectations to help you make a final decision on whether you are a good candidate for this procedure.

In general, a good candidate would be;

  • In good physical health
  • A non-smoker
  • Have realistic expectations
  • Understand the risks.

Asian Rhinoplasty with Dr. Hodgkinson

Plastic surgeon Dr. Hodgkinson is a firm believer that the results of a rhinoplasty procedure should be ethnically appropriate, fitting in with the person’s ethnic profile. Asians in Australia tend to request a more Eurasian nose.  For his Asian patients, Dr. Hodgkinson approaches the process in such a way that the bridge and tip of the nose are given more projection.

Surgeons in Asia commonly use silicone Medpor and Gor-Tex to give the desired dorsal projection. As we move forward , however, the popularity of this method is waning. This is often due to a high rate of failure over time.

A before and after Asian secondary rhinoplasty

Dr. Hodgkinson prefers to use the patient’s own tissue during rhinoplasty surgery, usually a small piece of bone from behind the elbow. This achieves the desired result but with a more reliable outcome. This is particularly pertinent long term where complications such as extrusion and infection are less likely to occur if the patient’s own tissue has been used.

How is Asian rhinoplasty done?

The nasal-tip cartilages can be surgically modified, stitched and reshaped, reducing a boxy tip to a more pyramidal shape. For this, Dr. Hodgkinson usually uses an open procedure. For Asians patients who would prefer a greater projection in the tip of the nose, Dr. Hodgkinson is able to stitch or stack cartilage grafts onto the underlying cartilages which provide the desired tip elevation.

Before and after Asian secondary rhinoplasty
A before and after Asian secondary rhinoplasty with six months of healing as performed by Dr. Hodgkinson

Although there has been a move to use the patient’s tissue to perform the Asian rhinoplasty procedure by increasing the height of the dorsum of the nose, the most popular operation internationally is still the insertion of a silicone implant. We still see 10 to 15 percent of cases that have early and late complications from extrusion or exposure to silicone implants. The other problems with these types of implants is that they move, they never fix, they often thin the tissues, so light can show through the nose and they give an unnatural high appearance and prominent appearance of an implant.

Unfortunately, over periods of time, the risk of extrusion, or the implant coming through the skin increases. Dr. Hodgkinson has treated many patients with this complication here in Australia with many coming from overseas for treatment.

Dr. Hodgkinson’s process

Dr. Hodgkinson will remove any unwanted implants at the same time as performing an immediate reconstruction of the tip of the nose. He uses cartilage and creates the dorsum of the nose with bone. While these are known to be challenging cases, Dr. Hodgkinson has been able to prevent a significant deformity for these patients by doing the procedure in one stage. Patients are often very grateful for the amount of effort put in to try to restore their appearance after the implant has extruded or come out through the nose.

Even though Dr. Hodgkinson has performed thousands of rhinoplasties, he still spends a great deal of time with his patients before surgery. With the aid of the computer program ‘Alter Image,’ Dr. Hodgkinson individualises an achievable nose which looks natural and does not look operated on.

asian rhinoplasty
Before and after a rhinoplasty augmentation procedure with bone graft.

The healing process after Asian Rhinoplasty surgery

Healing in the nose is somewhat unpredictable and as with all surgery, there is a risk that slight asymmetries might occur. In the case of the rhinoplasty procedure, these asymmetries may become evident during the scar maturing phase of healing. This usually happens around the six to eight-month mark. A minor touch-up procedure may be required in a small percentage of the primary rhinoplasty cases.

In a secondary rhinoplasty where the nose requires complex grafting, underlying scarring or loss of tissue compounds surgical problems, and the results are less predictable. Dr. Hodgkinson aims for improvement but downplays expectations due to the special issues secondary or revision rhinoplasties present.

Before and 6 months after Asian rhinoplasty
Before and 6 months after Asian Rhinoplasty with Bone Grafting

For those who suffer from a deviated, or crooked septum, there may be blockages of the airways. This is often most common in the case of a severe deviation but they can be corrected with a septoplasty. This can be performed at the same time as a cosmetic rhinoplasty. Septoplasty for a deviated septum or injury to the nose has a small associated rebate from both Medicare and Private Health Funds.

Why Dr. Hodgkinson is best suited to the Asian Rhinoplasty

Dr. Hodgkinson has previously lectured on his in-depth experience and vast skill set with the Eurasian Nose at the Australian Academy of Facial Plastic Surgeons, The Korean Society of Rhinoplasty Surgery, The Brazilian Society of Plastic Surgery and the International Society of Aesthetic Plastic Surgeons.

By drawing on his vast experience of Asian Rhinoplasty, along with examples of Blepharoplasty (eyelid surgery) and double eyelid surgery in particular as well as other procedures popular amongst Asian patients, Dr. Hodgkinson has helped many other surgeons to learn new techniques and approaches to the methods which he has mastered over time.

team

Dr. Hodgkinson and his experienced team are leaders in plastic and cosmetic surgery, and they have seen significant interest in the cosmetic surgical procedures they offer to Asian patients as a result of the Doctor’s much sought-after, unique skills, and approach. This patient interest extends past the Asian rhinoplasty procedure to also include other facial procedures and body procedures such as liposuction and breast enhancement surgeries with and without implants.

Asian Rhinoplasty Frequently Asked Questions

  • I am unhappy with my flat nose, can this be rectified?

    It certainly can. Dr. Hodgkinson is an expert in altering flat noses in both Caucasians and Oriental rhinoplasty. He is able to build up the bridge of the nose to provide an improved aesthetic, creating a better balance with the eyes. Asian patients find this gives a more Eurasian appearance, which they prefer.

    female rhinoplasty sydney

    An example of a built-up bridge of the nose with bone grafting to provide an improved aesthetic, creating a better balance with the eyes.

    This procedure can be done with silicone however these are considerable problems long term with foreign material in the nose. Dr. Hodgkinson’s unique process uses the patient’s own tissue or a small piece of bone from the elbow to produce a more refined profile creating a more desirable appearance when viewing the face from the front. This result lasts a lifetime.

    This highlights the upper part of the face and has been performed by Dr. Hodgkinson hundreds of times with few problems, in comparison to the silicone process, which tends to extrude or be rejected over time.

  • When is a good age to have nose surgery?

    We find the most common age for people to undergo nose job surgery is in their young adult years between the ages of 18 and 30, especially for those starting their university education or beginning new careers.

    In fact, it is during the school or university summer holidays that we see the most student-aged patients for nose surgery. The full age range of patients, however, extends from 16 to 75! Improving a patient’s profile can dramatically enhance their overall appearance, and often rhinoplasty is combined with a cosmetic procedure on the chin or facial rejuvenation surgery to balance and enhance the look of the face as a whole.

     

    Before and After Rhinoplasty

  • How can I decide whether or not nose surgery is for me?

    We encourage patients to make use of the many tools we have available to help them explain to us what they want to achieve including: our articles, blog posts, galleries of “before and after” photos of actual patients, clinical procedural brochures, videos and digital computer imaging. All of these tools play a vital role in helping us to communicate with our patients and to understand their expectations and desired results.

    We encourage patients to describe what they want and show us photos of the noses that they like. It is also helpful for them to share photos of any relative of theirs who they think has a particularly attractive nose. Patients may bring photos of models, celebrities, or film actors from popular magazines. This is not discouraged but rather encouraged as a further tool for communication. Clear, accurate communication between surgeon and patient is a top priority to allow a proper assessment to be made and realistic advice to be given.

     

    Before and After Nose Surgery – Rhinoplasty

  • Are there any risks?

    It is important to note that Dr. Hodgkinson is an expert in the Asian rhinoplasty procedure, performing it thousands of times, always ensuring the highest levels of safety and care. Every surgical procedure presents potential risk.

    If Dr Hodgkinson uses the bone and cartilage graft, it’s important not to overextend the elbow for at least 6 weeks. Problems with the donor site are rare, but can include a bursa or swelling that may need drainage or reversal later as a minor procedure.

    Following instructions after surgery is critical for uneventful healing.

  • When will I be able to return to work?

    Asian rhinoplasty causes minimal discomfort and any pain experienced after the procedure can be lessened with oral painkillers such as Panadol. The recovery period for Asian rhinoplasty will take approximately seven to ten days with most activities able to be resumed within two weeks. The one exception to this is contact sports for which patients should wait at least six weeks before resuming.

    Dr. Hodgkinson’s expert team and state-of-the-art Day Surgery facility will create the most comfortable environment possible for all patients. The primary goal is always minimal post-operative sedation along with the quickest recovery period possible. Most patients experience a slightly strange feeling as the anaesthetic wears off, and it is not uncommon to also experience a level of tiredness, soreness, swelling, or discomfort.

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    Before and 6 months after Asian Rhinoplasty using a bone graft, Performed by Dr Hodgkinson

    You will have a splint placed across your nose for around seven to ten days after surgery. This will help quicken the healing process, and paper tape will also be required for a further several weeks once the splint is removed. Our team will provide all the relevant information about your post-operative care, and we encourage all patients to ask any questions necessary to ensure they are entirely at ease with the process of their procedure and recovery.