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A Systematic Approach to Rhinoplasty of the Japanese Nose: A Thirty-Year Experience |
A Systematic Approach to Rhinoplasty of the Japanese Nose: A Thirty-Year Experience
Yukio Shirakabe1, Yoshiro Suzuki1 and Samuel M. Lam2
(1) , Tokyo, Japan
(2) , Texas, USA
Published online: 13 October 2003
Abstract: The Japanese nose exhibits a combination of leptorrhine and mesorrhine features that mandates an innovative treatment strategy. Unlike elsewhere in Asia, the Japanese nose often has adequate dorsal height, and at times even dorsal convexity, but maintains a more retruded and amorphous tip configuration. The proposed systematic approach to Japanese rhinoplasty is divided into four categories: (1) dorsal augmentation with or without tip augmentation, (2) dorsal reduction with tip augmentation, (3) tip augmentation only, and (4) dorsal reduction only. The use of autologous and alloplastic materials to achieve the desired aesthetic objectives is described herein. A layered auricular graft technique is outlined for tip surgery, and a unique nasal implant design is discussed.
Keywords: Rhinoplasty - Japanese - Asian - Augmentation - Reduction
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