[Warning: Graphic] Minimally-Invasive Ethnic Rhinoplasty (Alar Reduction + Fillers) | Does It Work?

There is an increasing demand for aesthetic surgery that emphasizes enhancement of natural beauty, rather than Westernization or looking “white”. A new set of aesthetic standards specific to the ethnic nose is emerging. As standards evolve, so do the methods to achieve them. Features that typify the so-called “ethnic” or platyrrhine nose include thick skin, a low bridge, and a rounded, weak tip. When these features become disharmonious, patients seek augmentative procedures that augment the radix, dorsum, and tip. It is possible that size is prioritized over shape. While surgical maneuvers like rib grafting and implant placement are my first choice, some patients insist on wide-awake options that are less invasive. This is one of the greatest challenges I’ve faced.

Correction of the low radix and foreshortened nose are important elements of Asian and African American rhinoplasty. The radix is the interface between nose and face. Changes in its morphology influence the appearance of both. The effect of the radix on perceived nasal height is exploited in dorsal nasal and radix augmentation surgery. In my practice, the nasal dorsum is the most commonly addressed structure in Asian rhinoplasty, and alar (nostril) flaring reduction in African Americans.

This video is age-restricted and only available on YouTube. Watch on YouTube

The patient in this video underwent:

1. Alar reduction

2. Nonsurgical (injectable, “liquid”) rhinoplasty (“nose job”)

3. Maxillary augmentation with filler

4. Malar and tear trough augmentation with filler (not shown)

Because she was visiting from out of town, these results are only 1 week old. We will continue to update as swelling subsides and new follow up is available.