Q: I have an Asian bulbous nose that I would like slim down with rhinoplasty. I would also like the bridge raised and the tip defined. Any recommendations on what procedure to go with and what would be necessary to achieve my desired outcome (and if it is even possible with my current nose)?
A: There are many options when choosing Asian rhinoplasty, but the safest, most permanent and predictable way to achieve excellent results is with tissue from your own body (autologous grafts). The choice of cartilage grafts will depend on the degree of augmentation and refinement you desire. If you like very refined, tall noses, rib cartilage may be the best option for you. I am a strong proponent of building the bridge with a diced cartilage fascia graft, and reinforcing your tip with cartilage grafts to increase the projection and refinement of the tip.
Computer morphing of your nose during an in-person consultation with a rhinoplasty specialist would more definitively determine the best grafts for your nose.