Although the general principle of an Asian rhinoplasty is similar to that of the Caucasian, the approach and the technical execution is quite different. The goals should be to:

1) Retain ethnicity.
2) Be conservative with thickness of enhancement.
3) Keep the tip of the nose separate and distinct.
4) Keep the size of the nose in proportion to the size of the face.

Most Asians will require augmentation of the nose. In selected cases, breaking and narrowing of the nasal bone will yield an attractive nose. However, most patients will need to have implants inserted. Nasal implants have proven extremely successful. They are safe and precise, with a low occurrence of complications. A straight implant is most commonly used today. These implants may come prefabricated direct from the manufacturer or they may be carved from a silicone block.

The implants can be customized to fit each individual patient. During the consultation process, the nose can be measured to determine the implant size and thickness. The thickness of the implant should be conservative to maintain ethnic identity.

A natural-looking nose tip can be accomplished by using a cartilage graft. The cartilage that exists in the ear and inside of the nose can be harvested. The septal cartilage is ideal due to its size, strength, and shape. The cartilage is carved and shaped, then inserted at the tip of the nose. A cartilage graft done in this fashion has yielded a consistently pleasing aesthetic shape and optimal tip projection.