My nose is swollen so much 3.5 months after rhinoplasty. Will a steroid injection help with the swelling?

Posted on January 23, 2017 by Donald B. Yoo, M.D.

Q: I had primary rhinoplasty 3.5 months back and the 2/3 bottom of my nose looks so bulbous in front. I ‘m Asian with thick skin. I had my nostrils reduced and tip reduction with grafts. Will a steroid injection help with the swelling? Will I ever see definition along the sides and tip any time soon? Thank you!

A: For many surgeons, kenalog and 5-FU are used to modulate swelling and scar formation after surgery.  Definitely touch base with your surgeon regarding the benefits of using these modalities in your particular case.

After surgery, the majority of swelling will resolve over the first 3-6 months but will continue to resolve for a year and up to 2 years in patients with thick skin.

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I just want to ask if what is the good choice of enhancement to use, because I have bulbous tip of the nose?

Posted on January 23, 2017 by Donald B. Yoo, M.D.

Q: I’m Asian with bulbous tip of the nose. Just want to ask if what is the best enhancement if I make my nose done. Is it premade silicone or cartilage? I just don’t want it to be too obvious. Thanks!

A: Personally, I feel that the best way to achieve permanent results in the safest manner is by undergoing Asian rhinoplasty with autologous grafts – tissue from your own body.  Grafts from your own tissue will have a much lower rate of complications than synthetic implants such as silicone, Gore-tex or Medpor.

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Can I have Asian Rhinoplasty using rib instead of ear cartilage? I’m concerned I don’t have enough ear cartilage.

Posted on January 18, 2017 by Donald B. Yoo, M.D.

Q: I’m planning to have rhinoplasty using rib cartilage to augment my nasal bridge. I don’t want implants. I have bulbous tip and I don’t like the appearance of my nose when I smile it widens. Is it true that rib cartilage warp? Or a diced cartilage will prevent it from doing so?

A: As you have noted, Asian rhinoplasty using tissue from your own body (autologous grafts) will provide the safest and most permanent results.  For dorsal augmentation, a well-executed DCF graft will provide more natural appearing contours without the risk of warping of an en bloc cartilage rib graft.

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Kenalog injections to refine nose tip in thick skinned patient? (rhinoplasty 3 years ago)

Posted on January 18, 2017 by Donald B. Yoo, M.D.

Q: I went to a diff plastic surgeon looking to refine my nose tip. He said most of the cartilage from my tip was taken out already; it is mostly thick skin left b/c I’m thick skinned (Asian w/ oily skin, larger pores). He recommended Kenalog injections to thin the tip out. But after researching, it seems that these injections are used to decrease scar tissue/swelling within a year after rhinoplasty. So I’m wondering if Kenalog injections could be used to thin out the thick skin in the nose tip?

A: The best way to create nasal tip refinement during Asian rhinoplasty is to create greater structural support for the tip of your nose, rather than to simply attempt to thin out the skin.  Kenalog injections may help to a certain degree, but only if you have appropriate tip cartilage support and strength.

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Suggestion for nose and chin and eyes stretching

Posted on January 18, 2017 by Donald B. Yoo, M.D.

Q: My nose is wide and small I have been suggested by the Dr to do septal rhinoplasty for the bridge and tip will automatically be sharp after the bridge and he also says that rhinoplasty will stretch my eyes fold plus chin implant what should I do sir ?

A: Augmenting your dorsum will not automatically create refinement of the tip of your nose.  In addition, rhinoplasty will not “stretch your eyes fold”.  It’s important to do your due diligence in researching and finding a rhinoplasty specialist with experience performing Asian rhinoplasty to achieve the results you are looking for.

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Which Rhinoplasty procedures will give me what I’m looking for? I am Asian

Posted on January 13, 2017 by Donald B. Yoo, M.D.

Q: I love Rhianna nose job. It’s is very natural and fitting. My nose is “slight and bulbous” when I smile, the whole nose is flat. I love my delicate bridge because my mother has one but I want a more defined nose. Is a Colluma strut, alar reduction, and tip refinement taking me on the right track for what I want?

A: In order to achieve excellent, attractive results, it is more important as a patient to find the right surgeon, rather than worry about columellar struts, septal extension grafts, etc.  An Asian rhinoplasty specialist will be able to comprehensively address the issues you have with your nose, both cosmetic and functional.

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Is tip-plasty possible for a bulbous Asian tip?

Posted on January 13, 2017 by Donald B. Yoo, M.D.

Q: I had a septo-rhinoplasty operation. 18 months post-operation the nose is still crooked and the tip still looks very bulbous. I was wondering if it is possible to get more definition in the tip? After my one year post-op I left the doctors office feeling not very confident with my options. He mentioned there wasn’t much else he could do but try again with another procedure. Should I try another rhinoplasty procedure with this doctor? Are there any other options?

A: It’s important as a patient to feel confident about your surgeon’s abilities as well as your surgeon’s aesthetic.  Not only do you want someone that has the surgical expertise to deliver the results you seek, but also shares your aesthetic sense.

The bottom line is, you don’t want to go through all the time, effort, and expense of a revision surgery until you are 100% confident that your surgeon can deliver the results you are looking for.

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Would I be too young for a rhinoplasty?

Posted on January 13, 2017 by Donald B. Yoo, M.D.

Q: I am a 14-year-old girl who’s had this idea of rhinoplasty since around age 11. I have a very typical Asian nose. Is 14 too young for a rhinoplasty? It has been around 3 years since my first menstrual period and my height, shoe size, and weight have been rigid since the beginning of high school. I would preferably like to change my nose over this summer if possible. Thanks!

A: From a purely anatomical standpoint, patients may safely undergo rhinoplasty when they are fully grown and have achieved their adult size.  For most girls, this is between the age of 14-16, and with parental consent the appropriateness of surgery may be discussed.

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I would like an ethnic rhinoplasty for a more defined nose. What would you recommend?

Posted on January 13, 2017 by Donald B. Yoo, M.D.

Q: Hello, my name is Don, I am 23 years old and I live in Holland. For my nose I’d really like to have a more narrow and defined nose. One doctor in Manila, Philippines, advised me this: “to augment the bridge with an implant, infracture the nasal bones and do alarplasty or trimming of the sides”. It sounds really good to me. Though I’d really like to have a second opinion. What do you think?

A: For dorsal augmentation during Asian rhinoplasty, there are many different options including using your own tissue or using synthetic implants.  Autologous grafts have the advantage of providing permanent results in a safe, predictable manner.  Synthetic grafts can produce acceptable results temporarily, but will not yield a permanent result.

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Asian Non Surgical Nose Job?

Posted on January 13, 2017 by Donald B. Yoo, M.D.

Q: Hi, my nose too “flat” for an injection filler to work. I am afraid to have an actual surgery but want to try something like Perlane to build a bridge of my nose… Please advise, Thank you.

A: Nonsurgical rhinoplasty will certainly “work” to the extent that it is able to, when performed by an Asian rhinoplasty specialist experienced in nonsurgical rhinoplasty.  For the dorsum (bridge) nonsurgical rhinoplasty is quite effective at creating augmentation and a significant change.

Surgical Asian rhinoplasty will be able to create a much more dramatic change, however when performed by an experienced Asian rhinoplasty specialist nonsurgical rhinoplasty can be a nice way to “try out” dorsal augmentation.

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