Rhinoplasty Considerations in the Ethnic Patient: The East-Asian Patients

Park MJ, Jang YJ.

What this paper says

A review stating that augmenting the flattened nose is the priority in East Asian rhinoplasty, and that surgeons must also be able to reconstruct noses damaged by silicone implants.

Overview

The author states that achieving a satisfying result in East Asian rhinoplasty depends most on augmenting the flattened nose. Correcting an accompanying crooked nose or reducing a hump, together with appropriate work on the tip, is described as essential to success. The article also addresses deformities arising after silicone implant surgery.

Sections of note

Review article; the abstract reports no patient numbers, no outcomes, no complication rates and no follow up.
Augmentation of the flattened nose is described as the most important element.
Correcting accompanying nasal deviation is stated to be essential.
Hump reduction is also stated to be needed in some cases, alongside appropriate tip work.
The surgeon must be aware of cosmetic deformities that follow silicone rhinoplasty.
The surgeon should be capable of nasal reconstruction in patients with silicone implant related problems.

What it means for a patient

The approach adds height and structure rather than reducing, though hump reduction and straightening may still be needed.
Silicone implants are widely used in this population, and their late complications are treated as a routine part of practice rather than a rarity.
Repairing an implant damaged nose is reconstruction rather than cosmetic surgery.
This is expert opinion with no reported outcomes or rates.

Why this paper matters

Silicone implant augmentation has been performed in very large numbers across East Asia for decades, so a substantial share of current cases are repairs of earlier implant work. This review treats that as central rather than peripheral. It supplies no figures on how often such problems occur.

Terms

Augmentation: building the nose up by adding graft or implant material.
Flattened nose: a nose with a low bridge and limited projection.
Nasal deviation: the nose bending to one side rather than running straight.
Silicone rhinoplasty: augmentation using a silicone implant on the bridge.
Nasal reconstruction: rebuilding nasal structure lost to injury, disease or previous surgery.

Summary written by rhinoplasty.cc from the abstract, 2026-09-09; not medical advice. The authors' own abstract follows.

From the abstract

“To achieve an esthetically satisfying surgical outcome in rhinoplasty of East Asians, it is most important to emphasize the augmentation of the flattened nose. However, correction of the accompanying nasal deviation or hump reduction together with appropriate tip work is essential for a successful outcome following…”

Excerpt; the full abstract is on PubMed.