While the large majority of Asian rhinoplasty operations are undertaken to augment the spine, or dorsum, of the nose, some Asian patients (particularly those of Japanese descent) may present with large noses with a prominent dorsal hump.
While reduction rhinoplasty surgery principles are similar to those employed in non-Asian or Western rhinoplasty, the nasal spine in the Asian patient may still sit relatively low and so sometimes requires additional augmentation along its uppermost portion following removal of the more localized hump.
If only a dorsal hump needs adjustment, the basic surgery consists of shaving down the lower cartilaginous portion of the bump and rasping or chiseling down its higher bony portion.
If too bulbous, the bottom of the nose, or lobule and tip, may require modification as well.
Surgery there entails altering the supporting cartilage after which the dermis and fat are debulked to allow them to drape over the modified nasal skeleton.
As with all Asian rhinoplasty surgery, each operation must be highly individualized.