I mainly use the open rhinoplasty approach, which requires a small incision around the base of the nose, and in the inside. This approach allows for the most control of the tip and easy access to the dorsum for placement of the implant. The scar is nearly invisible after only a short time. There is usually a minimal to moderate amount of swelling, which resolves significantly within seven to 10 days.
A balanced dorsum and tip can be achieved with a very natural appearance. Far too often, I have seen patients with excessive augmentation and tip work that is not harmonious with the face. It is usually obvious that the patient has had rhinoplasty, which is not one of my goals. The result should be natural and balanced with minimal signs of additional work done.
Rhinoplasty techniques have improved significantly. Silicone implant is not always necessary for augmentation. . Often times I can use the patient’s own tissues with their own cartilage or tissue to obtain very natural results without the potential future issues of an implant. Asian rhinoplasty can be performed safely and effectively with a balanced and natural result.