Augmentation rhinoplasty is just one of the many techniques in nose-reshaping surgery. As its name suggests, its goal is to increase the nasal projection and possibly create a more defined bridge and/or tip.
In the US, augmentation rhinoplasty has almost become synonymous with Asian rhinoplasty because the Oriental nose often exhibits a lower nasal bridge, less tip projection, rounder nostrils, and wider base in relation to the height.
Rhinoplasty surgeon Dr. Karan Dhir said that most Asian patients ask for more bridge and tip projection, although not to the point that their racial features are compromised. For this reason, the technique is also dubbed as ethnic rhinoplasty, even though it is a general term used to describe any nose surgery performed on non-Caucasian patients.
Meanwhile, nostril reduction is rarely performed on Asian rhinoplasty because propping up the tip is often enough to minimize the appearance of nostril flare.
Augmenting the nose comes in a wide range of techniques. Some patients only need their nasal bone and cartilage to be manipulated, removed, and/or reshaped to achieve good results, while others need a more complex approach.
Because Asians have a thicker nasal skin, they can tolerate solid silicone and other synthetic implants better than Caucasians, meaning there is a lower risk of implant protrusion. Nevertheless, there is always a possibility that the body might reject the implants.
Instead of using solid silicone implant which is criticized for its relatively high complication rate, some plastic surgeons prefer the use of polytetrafluoroethylene or PTFE (example of brand name: Gore-Tex) with its low rejection rate—only 1.9 percent as suggested by a previous study.
The low complication and high success rate of PTFE is attributed to the fact that it is made of a porous material that allows the patient’s own tissue to flourish inside.
Aside from Asians, augmentation rhinoplasty also appeals to patients with a flat nose commonly seen among boxers and professional fighters due to the constant blows and injuries they sustain from their professions.
In general, these patients need additional framework in their bridge to correct the flat appearance and possibly address the breathing difficulty. While it is often possible to achieve good improvements in severe cases of nasal collapse, one must not expect perfect symmetry due to the underlying factors.
To further achieve good results, some patients may also need skin grafts during their augmentation rhinoplasty, Dr. Dhir added.