Non-surgical rhinoplasty of Asian noses

Rhinoplasty is the second most popular cosmetic surgical procedure in Asia, coming in only after blepharoplasty eyelid surgery. The advent of the nonsurgical rhinoplasty using dermal fillers offers another tool in the toolbox for altering the appearance of the nose in a temporary fashion, which Asian Australians are taking up in increasing numbers.

A study published in the Aesthetic Surgery Journal found that a dermal filler can be used safely and effectively to provide aesthetic alterations specifically to the Asian nose (which is physiologically unique), with results lasting over 12 months. The study was a success, however it wasn’t without its challenges.

Nonsurgical rhinoplasty study results
Twenty-nine Asian patients had injectable fillers applied to their noses. At the follow-up visit, 27 of the 29 patients had seen a ‘clinically meaningful correction’ of more than or equal to one grade improvement on the Assessment of Aesthetic Improvement Scale. At the final visit, 28 of the patients had fulfilled this criteria of success.

Almost 80 per cent of the patients said they were satisfied or very satisfied with the filler treatment, with three being neutral, and two being very unsatisfied. One patient’s response was missing. Twenty-five of the patients said they would recommend nonsurgical rhinoplasty using dermal filler to others.

The researchers agreed on some key points that were often challenging, including nostril shape and certain areas of the nose being narrow and difficult to inject.

Cultural nuances – getting it right
Asian Australians are increasingly opting for cosmetic procedures, including nonsurgical rhinoplasty, but successful outcomes rely heavily on a cosmetic dermatologist having experience with and a deep understanding of the nuances of the Asian face. Physiologically and cosmetically, the Asian face has a unique structure in terms of bones, soft tissue, and the way the skin sits on these structures, particularly as we age.

Cosmetic dermatology has a focus on harmonising facial features, rather than enhancement per se. This means taking into consideration the patient’s age, characteristics, disharmonies, and any injuries and creating balance.

We understand the Asian face.
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