Patient experience of
Asian Rhinoplasty & Septoplasty
with Dr. Julian De Silva under
Asian noses are anatomically different to Caucasian noses and required different surgical techniques to achieve a more refined and natural appearance. Asian noses are often characterised by a relatively low nasal bridge which makes the nose appear relatively small and thicker skin which can result in the tip of the nose being bulbous and lacking definition. The appearance of an Asian nose is a consequence of an underlying difference in the Asian anatomy. As a consequence standard Caucasian Rhinoplasty techniques are less effective in improving the appearance of the Asian nose. Dr. De Silva specialises in Facial Cosmetic and Plastic Surgery only, and has worked in the World-famous cosmetic centres of both Beverley Hills and New York. Working as a specialist surgeon in London he treats a large number of Asian patients particularly for Asian Rhinoplasty and Asian Blepharoplasty. Dr. De Silva customises Asian Rhinoplasty for each individual patient often focusing on the nasal bridge, nasal tip and nostrils.
How does Dr. De Silva’s techniques differ for Asian Rhinoplasty?
Dr. De Silva focuses on every patient’s individual needs, and rhinoplasty is a procedure that requires customisation for the individual person. Dr. De Silva often utilises graft tissue in Asian Rhinoplasty to build a more elegant and refined dorsal bridge, this results in the appearance of the nose becoming narrower and more refined. Thirty percent of all the rhinoplasty Dr. De Silva completes is revision rhinoplasty from patients who have undergone surgery elsewhere. Dr. De Silva uses specialised Asian Rhinoplasty techniques to improve both the bridge of the nose, definition in the tip of the nose and to enhance recovery time with the use of anti-swelling medication. By the use of these techniques they offer a patient a natural looking result with more definition and refinement and faster healing time. Dr. De Silva has focused his skills and techniques on giving patients natural looking results with enhanced recovery with less than ten percent of Dr. De Silva’s patients have bruising after rhinoplasty.
Do I need graft tissue for Asian Rhinoplasty?
One of the characteristics of Asian noses is a relatively low nasal bridge, which can make your nose appear smaller. Traditional Caucasian rhinoplasty techniques may be inadequate to improve the definition of the bridge of your nose. Dr. De Silva frequently completes revision Asian Rhinoplasty for patients who have undergone rhinoplasty elsewhere to improve the definition of the nasal bridge. Choices for graft material include using your own cartilage (septal cartilage) or other material. Dr. De Silva’s first choice for graft material is your own cartilage from your nasal septum or cartilage from your ear, sometimes your own cartilage may be insufficient in length the nasal bridge and other material may be required. Silicone is one option, however often this can move with time and need to be revised. Dr. De Silva frequently removes silicone material from the nose as a consequence of movement within the nose. Dr. De Silva prefers the use of material that will give a permanent long-term correction of your nose that will last indefinitely. Dr. De Silva’s focus is on a natural augmentation of the nasal bridge in Asian Rhinoplasty to ensure that the result looks like your nose, just more elegant and refined. The use of graft tissue along the bridge of the Asian nose can result in a more defined and elegant bridge often characterised by Asian models and celebrities.
What can be achieved with the Tip of my nose in Asian Rhinoplasty?
In Asian noses, commonly the tip can lack definition and can be relatively wide or even bulbous. The appearance of an Asian nasal tip is partly characterised by the shape of the underlying cartilages, fat beneath the skin and relatively thick skin. To improve the definition of the tip of your nose in Asian Rhinoplasty requires specialist techniques. Often Open rhinoplasty is a preferred technique for increasing tip definition in Asian Rhinoplasty as it offers an improved result as this enables the skin to be thinned and more accurate definition to be achieved in the tip of the nose with sculpting of the underlying cartilages and the use of graft tissue to give more definition. With open rhinoplasty Dr. De Silva uses an inverted V technique to make the incision discrete and hidden with time. Dr. De Silva utilises open and closed techniques depending on the individual needs of the patient. There are limitations in the degree of definition achievable in the tip of the Asian nose as there is a limit to how much cartilage and skin be shaped safely maintaining sufficient structure and support. The use of a closed technique hides incisions inside the nose and can result in a shorter operating time and recovery. However closed rhinoplasty may not be the optimal treatment for every patient and each Asian Rhinoplasty requires customisation for the individual.
Do I need to have nostril reduction with Asian Rhinoplasty?
The need to narrow nostrils with Asian Rhinoplasty requires complete customisation for the individual. Generally speaking the position of the eyes in the face can give a good indication for facial proportions and need for nostril reduction. Wide nostrils are reduced with alar narrowing techniques. Nostril narrowing is one of the more challenging aspects of Asian Rhinoplasty, as complete symmetry cannot be achieved in the nostrils as they are a complex 3-dimensional dome, a natural shape. Dr. De Silva hides the incision of nostril reduction by making incision in the natural curvature under the nose. Dr. De Silva is frequently asked to correct the scars from patients who have undergone rhinoplasty elsewhere which are best avoided by making hidden incisions in the first place. Nostril reduction also termed alar reduction results in a narrower nose that looks more elegant and improve facial balance.
What is recovery time after Asian Rhinoplasty?
The recovery after Asian Rhinoplasty traditionally resulted in increased swelling and a longer recovery time. Dr De Silva uses refined techniques during the surgery and anti-swelling agents after surgery to speed up recovery. With Dr. De Silva’s techniques the majority of patients (90%) have no bruising after surgery which speeds up recovery time. Patients need to take a minimum of 1-week off professional and social responsibilities, sometimes two weeks is preferred depending on profession, need for HD cameras and filming.
For more information, click on the following links:
- About Us
- Contact Us
- Nose Re-shaping (Rhinoplasty) Frequently Asked Questions
- Rhinoplasty Principles
- Recovery After Rhinoplasty
Trust your Face to an Expert
Centre for Advanced Facial Cosmetic & Plastic Surgery
Dr. Julian De Silva MBBS MD FACO FACS BSc PGc DIC
23 Harley Street, London W1G 9QN, UK
Phone: 020 8748 2860