Most rhinoplasty surgeons would agree that the main goals of Asian augmentation rhinoplasty are to create
• a noticeable but not overly high nasal bridge
• solid definition and length for the nasal spine (dorsum)
• a projected and defined nasal tip,
• moderate width and flare at the nostrils, and
• acceptable symmetry.
In a few cases, simple fracturing and then narrowing the nasal bone will produce mild but adequate change. More commonly, however, nasal implants are required for significant augmentation of the bridge, spine, and/or tip.
Asian rhinoplasty can be performed through an incision hidden inside of the nostrils (closed rhinoplasty) or through a small external skin incision (open rhinoplasty).
Closed rhinoplasty is more common.
Open rhinoplasty may be preferred in more difficult cases or in cases of revision. The difficulty of reshaping the nasal tip can also be lessened with open rhinoplasty, but the scar is noticeable, especially in the thicker Asian skin.
In selected patients, the flare and/or width of the nose can be reduced at its base by surgery near the nostrils.
Symmetry is an important consideration, as is harmonious integration with the rest of facial features. Some Asians, for instance, suffer from a prominent overbite due to an underdeveloped chin. Augmentation rhinoplasty accompanied by chin augmentation can yield a superior and more balanced change.