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ASIAN RHINOPLASTY


ASIAN RHINOPLASTY

Overview

Asian rhinoplasty is one of the most popular cosmetic surgeries in East Asia and South East Asia. Asian rhinoplasty commonly involves either augmentation of the nasal dorsum (nasal bridge) or enhancing the projection and refinement of nasal tip (commonly known as tip-plasty), or both. Sometimes modification to the nasal bone and nasal ala (wing of the nose) are also performed.

 

Materials used in Asian rhinoplasty:

  1. Silicone implant
  2. Gore-Tex implant
  3. Cartilage graft (harvested from pateint's ear, nasal septum or sometimes rib)

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PATIENT 1
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Before                     After                       Before                    After

PATIENT 2
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Before                     After                       Before                     After

 

 
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Objectives

  1. Augmentation of the nasal bridge
  2. Projection and refinement of the nasal tip
  3. Modification of the nasal bone or nasal ala

 

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Preoperative Preparation

-Treat and stabilize all existing medical conditions, if any.

-Stop smoking at least one week before surgery

-Stop the following one week before surgery:

  1. All supplements that contain vitamin E, ginseng, ginko, garlic, fish oil and other ingredients that encourage bleeding during surgery
  2. Medicine that exacerbate bleeding during operation such as aspirin, NSAIDs and warfarin. You may need to consult the physician who prescribed the medicine before stopping them

- Don’t wear jewelry on the day of surgery

 

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Surgery

Duration: 0.5-1.0 hour for closed rhinoplasty; 2-4 hours for open rhinoplasty

Anaesthesia: Local anaesthesia for closed rhinoplasty, local or general anaesthesia for open rhinoplasty

When to Go Home after Surgery: On the same day

Recovery Time: 1 week for closed rhinoplasty; 2-3 weeks for open rhinoplasty

 

Technique: Rhinoplasty is performed with either closed or open method.

  1. Closed rhinoplasty: A small incision is made inside the nostril. The nasal implant is inserted through this incision. The scar is hidden in the nostril. This method is suitable if the main aim is augmentation of the nasal dorsum. Limited modification of the nasal tip is also possible.
  2. Open rhinoplasty: Incision is made in both nostrils as well as the skin column situated between the nostrils (columella). The nose is opened and exposed for the operation. This technique is required if the main aim is projection and refinement of the nasal tip.

 
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Recovery

  • Swelling is expected 1-2 weeks after closed rhinoplasty; and 2-3 weeks for open rhinoplasty
  • A splint or plaster is placed on the nose for support and to prevent displacement of the implant. Sometimes nasal pack may be used as well
  • Gentle cold compression to minimize swelling and bruises
  • Do not pick the nostrils with finger
  • Use cotton tip and sterile water or saline for cleaning the nostrils three times a day
  • Apply antibiotic ointment on the wound three times a day
  • Finish the oral antibiotics prescribed
  • Elevate the head and avoid sleeping on side of the head
  • Avoid wearing eye glasses for 2 weeks
  • Avoid heavy exercise for 2 weeks
  • If eemoval of sutures is required, it is done one week after surgery.

 



 
 
 
AFFILIATED HOSPITAL

Pantai Hospital Ampang
Jalan Perubatan 1, Pandan Indah, 55100
  Kuala Lumpur, Malaysia
+603-42892828
info@drcheongyouwei.com
 
   
 
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