Dr Darryl Hodgkinson has more than 30 years of experience as a plastic surgeon specialising in rhinoplasty surgery. Here he gives you the facts about nose reshaping surgery. FACT: The results of a rhinoplast...Continue Reading
Asian Rhinoplasty (Asian Nose Job) – Augmentation Rhinoplasty in Double Bay Sydney
Before & After Gallery Asian Rhinoplasty (Asian Nose Job) – Augmentation Rhinoplasty in Double Bay Sydney
About The Procedure
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. 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. Asians in Australia tend to request a more Eurasian nose.
During your consultation, Dr. Hodgkinson will assess your goals and current situation, providing you with realistic expectations for the results of your procedure.
Asian Rhinoplasty with Dr. Hodgkinson
Dr. Hodgkinson prefers to use the patient’s own tissue during a rhinoplasty, 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.
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.
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, 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.
It is quite common that male rhinoplasty patients are more prone to dissatisfaction with their rhinoplasties; for this reason, extended consultation time is mandatory.
The healing process for the Asian Rhinoplasty procedure
Healing in the nose is somewhat unpredictable. As is a risk with all surgery, 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 roughly five to ten percent 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 rhinoplasties present.
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 can be claimed on 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 using numerous cases of Asian Rhinoplasty, along with examples of Blepharoplasty (eyelid surgery) and 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.
Dr. Hodgkinson and his experienced team 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. As a result, he has seen an approximately 50 percent rise in the number of Asian patients who seek his clinic in the last five years. This 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.
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 roughly 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.
Before and 6 months after Asian Rhinoplasty using a bone graft, Performed by Dr HodgkinsonYou will have a splint placed across your nose for around seven 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.
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, its 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.