Asian Rhinoplasty

Conveniently located to serve the areas of New Jersey and New York

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Asian rhinoplasty is a broad term that refers to a set of rhinoplasty techniques commonly used in Asian populations.

Common features of Asian nose are short and flat nasal bones leading to wide and low set dorsum, rounded, under-rotated and bulbous nasal tips with wide alar base, and medium to thick nasal skin.

Frequently, cartilaginous portion of the nasal septum is foreshortened, creating a paucity of potential cartilage that could be harvested for grafting purposes.

Most Asian patients requesting rhinoplasty ask for dorsal augmentation and improvement in tip projection and definition. Quite frequently, patients present with foreshortened noses requiring nasal lengthening. Alar flaring is also relatively frequent and may require alar reduction.

Western surgeons might benefit from asking Asian patients to bring pictures of desirable noses to ensure that the patients’ requests are well understood. Aesthetic standards are quite different between Oriental and Western cultures, and to a lesser degree between East Asian countries.


There are several options for increasing the height of the nasal dorsum:

  • Cartilage graft- either a single piece of cartilage (commonly harvested from patient’s rib) or stacked few pieces of cartilage (from the rib or nasal septum)
  • Minced cartilage graft (harvested from nasal septum or rib) wrapped in temporalis fascia or Alloderm (implantable dermis)
  • Nasal dorsal implant- Gore-Tex or Silicon based

Increasing dorsal height creates an illusion of narrowing the width of the nasal dorsum frequently eliminating the need for osteotomies (fracturing and mobilizing nasal bones)

Tip refinement techniques include suture modification of existing tip cartilages to decrease tip bulbosity, conservative cartilage narrowing in certain cases, and judicious use of tip grafts to provide the tip with better support and better definition.

Rhinoplasty is rightfully considered to be one of the most complex cosmetic surgeries, and it is essential for an individual to choose an experienced and highly trained facial plastic and reconstructive surgeon for Asian rhinoplasty, like Dr. Alexander Ovchinsky. He makes it a priority to take the time to learn about an individual’s Asian nose surgery goals and provide him or her with a naturally and ethnically appropriate nose.


What do I need to avoid before surgery?

If you are on “blood thinners,” you will be asked to stop them approximately one week prior to surgery. We also ask that you avoid certain over-the-counter medications. If you are taking some herbal supplements, you should stop those as well as they may contain blood thinning substances. Also, you have to completely quit smoking at least two weeks before surgery.

What about my daily medications before surgery?

You will have a preoperative appointment well in advance of your surgery when we will review all mediations with you. If you are on “blood thinners,” you will be asked to stop them approximately one week prior to surgery. We also ask that you avoid certain over-the-counter medications. You may continue taking most routine medications up until the morning of surgery with a small sip of water.

What happens after surgery?

You will go to the recovery room for a few hours until you are fully recovered from anesthesia. Once you are stable you will be taken home (or to a hotel) by your family member or a friend. You will want to stay relaxed for the first few days. You will need to keep your head elevated when in bed to help with faster resolution of swelling. You should begin to start walking, eating, and using the restroom the day after surgery. Your activity can slowly increase each day but it will take up to 2 weeks before you start to feel like your old self again. You should avoid any strenuous activity for 4 weeks. You will need to take medication prescribed to you by Dr. Ovchinsky, which usually include antibiotics, pain medicine, antibiotic ointment for the incisions, and occasionally anti-nausea medications.

Are there any dietary restrictions following surgery?

No. Patients can eat whatever they want. Advance your diet from liquids (fruit juice, milk shake, etc.) to soft food (pudding, macaroni and cheese, mashed potatoes and gravy, oatmeal, pasta) to solids as tolerated. To prevent dehydration, please drink as much juices and nutritional fluid as possible.

When will my stitches be taken out?

Stitches are normally removed five to six days after your surgery.

How soon will I be able to exercise?

Dr. Ovchinsky recommends that patients do not return to exercise for three weeks after their procedure.

When will I be able to see the results?

You may see the difference right away, and more so once the swelling goes down within the first one to two weeks. As with any surgical procedure, it takes anywhere from 6 to 12 months for the results to become final.

What is special about the way Dr. Ovchinsky does the surgery?

Dr. Ovchinsky tailors his surgical technique to an individual patient rather than using the same “run of the mill” surgery on everybody. The technique he uses causes minimal pain, has natural results, and is long-lasting. The vast majority of patients are quite surprised afterward at how little discomfort they have and how quickly they return to normal activity. Most patients have minimal bruising. Finally, with Dr. Ovchinsky technique and attention to details during skin closure, scars are typically minimal and are often difficult to see once they have fully matured.