Considerations during Asian Rhinoplasty and Asian Nose Job using your own rib cartilage and DCF (diced cartilage fascia)

Asian rhinoplasty and Asian nose job surgery has enjoyed a surge in popularity as the interest in rhinoplasty surgery more broadly has also increased due to the wider social acceptance and emergence of techniques and surgeons capable of producing predictably beautiful results. While rhinoplasty as a general concept involves reshaping the nose, it’s far too broad a term to accurately reflect the enormous variation in terms of surgical technique and expertise demanded of rhinoplasty surgeons to modify an individual’s anatomy to create the specific aesthetic desired.

For Asian rhinoplasty more precisely, the challenge of creating definition in a setting where the pre-existing nasal framerwork and innate nasal cartilages are weak relative to the thickness and strength of the overlying skin, the rhinoplasty surgeon has the additional challenge of creating form by supplementing and enhancing the structure and integrity of the nose. The 1970s saw a rapid rise in China, Korea and Japan of using silicone implants to augment the nasal dorsum and bridge, and often project and define the the tip of the nose as well. Silicone provided a quick and easy way to add structure, and some degree of definition, to the nose in a way that was well tolerated for years, and sometimes even decades.

As time went on, however, the effects of having a synthetic implant – silicone, Goretex and Medpor – became clear in that they behaved like foreign bodies in the nose, always facing rejection and sometimes even extrusion or ulceration through the skin. For this reason, surgeons have sought out different sources from your own body to provide building blocks for reshaping the nose, including: septal cartilage, ear cartilage, fascia, rib cartilage, and bone.

For the safest, most permanent results, using 100% your own tissue is the best building block. Whether your surgeon uses ear cartilage, septal cartilage or rib cartilage is only one part of the equation for creating a naturally beautiful nose. While some sculptors may be able to turn a block of marble into a flooring tile, an expert sculptor with superlative aesthetics will be able to create Michelangelo’s David. In the same way, seeking a surgeon who uses your own tissue is the bare minimum, requisite first step to achieving successful results, while the more paramount requirement is having the skill and artistry to create the shape that you desire.

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