Special Consideration in Rhinoplasty for Deformed Nose of East Asians

Overview

The authors set out the representative deformity types they encounter: a concave bridge, a low bridge, a wide bridge, a deviated nose, a convex bridge, saddle nose, short nose deformity, and deformities involving irreversible damage to the skin and soft tissue covering. They state augmentation is the key concept across all of these.

Sections of note

• Review article; the abstract reports no patient numbers, no outcomes, no complication rates and no follow up.
• Eight representative deformity types are named.
• Augmentation of the nose is described as consisting of framework, tip and bridge augmentation.
• Septal extension grafting and tip grafting are named as the two maneuvers of profound importance for augmenting the lower two thirds.
• Dorsal augmentation is described as the central concept for improving all deformity types.
• The authors state this applies even to the hump nose.

What it means for a patient

• The approach adds height and structure rather than removing tissue, even where a hump is present.
• Damage to the skin and soft tissue covering is listed as its own deformity category and is described as irreversible.
• No results, complication rates or comparisons are reported in the abstract.
• This is expert opinion rather than a study.

Why this paper matters

Rhinoplasty technique varies substantially by nasal anatomy, and applying reduction based methods to a low bridge produces poor results. This review organizes the East Asian deformity types around a single augmentation principle. It provides no data on how the approach performs for any of them.

Terms

• Augmentation: building the nose up by adding graft or implant material.
• Concave dorsum: a bridge that curves inward rather than running straight.
• Saddle nose: a collapsed bridge leaving a dip in the profile.
• Short nose deformity: a nose that appears too short with the tip rotated too far up.
• Septal extension graft: cartilage attached to the septum to set tip position.
• Soft tissue envelope: the skin, fat and muscle covering the nasal framework.