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Rhinoplasty to make the nose more American

Westernization of the Asian nose

, Rhinoplasty to make the nose more AmericanNose surgery or rhinoplasty is becoming an increasingly popular request by Asian patients. The typical Asian nose appears wide and flat. Today many Asians are interested in changing their appearance in a way that makes them look more American. Two most common cosmetic surgical procedures requested to accomplish this are blepharoplasty, specifically upper eyelid surgery, and rhinoplasty surgery.

Most rhinoplasty patients, particularly American and European rhinoplasty patients are bothered by the “bump” on their nose. In these cases, the rhinoplasty surgeon will reduce the size and shape of the nose by removing and narrowing the nasal bones and cartilage which make up the bridge and dorsum of the nose. Asians patients on the other hand, typically lack projection of the tip of the nose and height of the bridge. Asians rhinoplasties are often additive, meaning something is added to the tip of the nose or along the bridge or dorsum of the nose to give more projection and height.

Tip projection can be increased by placing either cartilage in front of or on top of the existing tip cartilage. The second maneuver which is commonly used to increase tip projection is to place a strut of cartilages between the tip cartilages. This strut acts like a tent pole to which the tip cartilages can be sutured. Cartilage can also be added along the dorsum or bridge of the nose to increase the height and projection. The nasal septum is an ideal donor site for the cartilage graft in both of these situations. The repositioned cartilage depends on in growth of new blood vessels for survival and fortunately the nose is a very vascular organ.

Occasionally an Asian patient may not have adequate septal cartilage. In these cases the facial plastic surgeon or plastic surgeon may choose to use the patients rib cartilage. However, one drawback with rib cartilage is that is can warp or change shape over time. In addition an incision is required over the rib in the anterior portion of the chest. Other sources for augmentation might be irradiated cadaver cartilage or artificial synthetic implants.

Nasal implants consist of a solid silicone rubber material which is extremely biocompatible meaning, our body is not likely to react or reject the implant. However, any implant placed into the body such as a breast implant, or knee replacement can potentially become infected. Therefore precautions are taken by placing patients on antibiotics before, during, and after, the placement of nasal implants. The implants used in rhinoplasty surgery come in various shapes and sizes. Once the proper nasal implant is place under the skin of the nose they appear and feel quite natural. Our body forms a capsule of good scar tissue around the implant to secure its placement. Fortunately today facial plastic surgeons and plastic surgeons have many options to safely westernize the Asian nose for patients who want to appear more American.

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The Sullivan Centre
7706 Olentangy River Road
Columbus, OH 43235
Phone: 614.436.8888

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Welcome to Columbus Facial Plastics at The Sullivan Centre.

We believe that healthy, youthful renewal begins with science. Founded in 1996 by Dr. Michael and Christine Sullivan, our practice was the first of its kind in central Ohio. For 20+ years, The Sullivan Centre has led the way in advancing the science of beauty and providing only the safest and most effective surgical and non-surgical treatments for our patients.

I met Dr. Mike, Dr. Chris and the rest of the team in 2014 and have had the incredible opportunity to train and collaborate with Dr. Mike for the past five years. I officially joined The Sullivan Centre in September 2019 and could not be more excited to lead this exceptional practice into the future.

My goal is to provide you with the education and expertise needed to help you feel confident with your decision to pursue surgical or non-surgical treatment. I am proud to be a part of a highly skilled team that delivers personalized care so that you feel comfortable through every step of the process.

In addition to practicing exclusively in facial plastic and reconstructive surgery, I also serve as the medical director for our non-surgical services. We are fortunate to have two of the most experienced aesthetic providers in central Ohio in their respective fields. Dina Maynard and Nancy Cotterman, RN have been caring for patients at The Sullivan Centre for a combined 25 years! You won’t find anyone with more training or skill.

Spend as much time as you need learning more about our team and the services we provide. We are passionate about what we do, and we would love to see you soon.

Dr. Stephen Nogan M.D.
Facial Plastic & Reconstructive Surgeon
Columbus Facial Plastics at The Sullivan Centre