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Asian Rhinoplasty

Asian rhinoplasty is different than the type of rhinoplasty typically performed on Caucasian patients for a number of reasons.  With few exceptions, Asians generally require augmentation of the nose (building up the structural support of the bridge and tip) to achieve a pleasing and natural cosmetic result, in contrast to Caucasian patients who generally require reduction of the bridge of their nose.  The goal of Asian rhinoplasty is to create an attractive Asian nose, but not to create an attractive Caucasian nose on an Asian face.

The Bridge in Asian Rhinoplasty

One of the common features of many Asian noses is a low, flat bridge which lacks definition. This low bridge creates an unfavorable profile where the upper half of the nose looks too weak relative to the tip of the nose.  On the front view of the Asian nose, the lack of height on the bridge results in poor definition of the nose. The flat bridge does not cast the ideal shadows necessary to define the side walls of the nose.  There are 3 options for augmenting the nasal bridge in Asian rhinoplasty:

  1. Non-surgical bridge augmentation using injectable fillers
  2. Surgical augmentation using silicone or Gore-Tex implants
  3. Surgical augmentation using cartilage grafts

Injections can work well in patients needing a small amount of augmentation but results are short lasting and there is some risk of vascular problems (i.e. the filler being injecting into a blood vessel that may damage nasal tissues and skin).  Synthetic nasal implants are used very frequently in Asia and produce good results but up to 19% of implants become infected and either extrude (work themselves out through the skin) or have to be surgically removed.

Dr. Naficy prefers using your own cartilage to augment the bridge. If only a small degree of augmentation is needed, he can use cartilage from the nasal septum and/or the ear. For more significant elevation, he will utilize cartilage from the rib.  Using the patient's own cartilage significantly reduces the risk of extrusion and infection.


Asian Rhinoplasty using rib cartilage graft by Dr. Sam Naficy.  * Individual results may vary.


The Tip in Asian Rhinoplasty

Asian noses tend to have weaker cartilages in the tip as well as thicker skin.  This often results in  tips that lack definition and tend to droop more.  The common techniques of tip rhinoplasty used in Caucasian patients (trimming of cartilage and suturing of cartilage) don't work in Asian rhinopalsty.  Instead, Dr. Naficy uses Asian rhinopasty techniques which create tip support and make the tip taller and thus narrower.


Asian Rhinoplasty by Dr. Sam Naficy.  * Individual results may vary.

Dr. Naficy's practice has been 100% devoted to rhinoplasty and facial plastic surgery for the past 18 years. This is why Seattle doctors and patients have voted Dr. Naficy one of the top plastic surgeons for the face. Patients from the entire globe seek Dr. Naficy's expertise and he has many patients flying in for surgery both nationally and internationally.

Asian Rhinoplasty Photos

These are representative before and after images of Asian rhinoplasty procedures performed by Dr. Sam Naficy. All Asian rhinoplasty and other facial plastic surgery procedures were performed by Dr. Sam Naficy. All images are copyrighted.


Asian Rhinoplasty with rib cartilage graft by Dr. Sam Naficy.  * Individual results may vary.


Asian Rhinoplasty with septal cartilage graft by Dr. Sam Naficy.  * Individual results may vary.


Asian Rhinoplasty with septal cartilage graft by Dr. Sam Naficy.  * Individual results may vary.


Asian Rhinoplasty with septal cartilage graft by Dr. Sam Naficy.  * Individual results may vary.





Asian Rhinoplasty with rib cartilage graft by Dr. Sam Naficy.  * Individual results may vary.

What Type of Anesthesia is Used?

We use IV sedation anesthesia, which is a safe and effective method of anesthesia for facial plastic surgery. IV sedation anesthesia is extremely safe compared to the standard general anesthesia techniques used today. The main advantages of IV sedation anesthesia are: (i) it does not require putting a breathing tube in the throat, (ii) it does not require a breathing machine, (iii) the recovery is much faster, (iv) there is much less "hang-over" from anesthesia, (v) and there is much less nausea. All these elements translate into greater comfort and safety. Dr. Naficy has used this technique of anesthesia in several thousand plastic surgery procedures without any anesthetic complications.

During IV sedation anesthesia a small flexible IV (intravenous) needle is placed into one of the veins of the back of the hand. Through this IV line, relaxing medication is given to make you fall sleep. The amount of medication given is adjusted to the specific needs of each person. After you are sleeping, some numbing medicine is also placed in the skin to numb the area that is being operated on. The beauty of IV sedation anesthesia is that during the procedure you are unaware of anything going on and cannot hear anything, yet you are still breathing on your own.

When the procedure is finished, the relaxing medication is discontinued and you begin to wake up. Because the medications used in IV sedation anesthesia clear the system rather quickly, most of our patients are typically able to go home in less than 30 minutes after the procedure is completed.

Anesthesia guidelines [21kb PDF]



Asian Rhinoplasty with septal cartilage graft by Dr. Sam Naficy.  * Individual results may vary.

What is the recovery like?

A tape dressing will cover the nose for one week. With modern techniques employed by Dr. Naficy, no packing is required inside the nose. There may be some discoloration and swelling around the eyes which will improve over time. One week is usually enough time for returning to work and social activities although individual healing times may vary.

Post-operative care instructions [18kb PDF]

I am interested! What do I do next?

If you are considering this procedure we encourage you to complete this Surgical Consultation Intake Form. There is a great variety in nose shapes and features and each procedure must be custom tailored for the patient to get the best possible result. Dr. Naficy will tell you whether you are a suitable candidate for this procedure and inform you of the potential risks of the procedure.

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