Balanced Rhinoplasty in an Oriental Population

Abstract

In Taiwan, augmentation rhinoplasty and double-eyelid blepharoplasty are the most popular aesthetic procedures. Although aesthetic concepts vary for different races, the current concept of nasal and facial beauty shows a tendency to correspond to that for white people. The authors present their 10-year experience with a simple and practical approach of simultaneous blepharoplasty and rhinoplasty. This study enrolled 255 consecutive patients who underwent simultaneous rhinoplasty and blepharoplasty between January of 1996 and December of 2005. All were Chinese in ethnic origin. The patients in the series were predominantly women. Only 10 were men. Five of the cases involved congenital palpebral anomalies including congenital entropion, congenital ptosis, and Down syndrome. A total of 245 patients had an adequate follow-up period longer than 5 years. The patients' satisfaction and postoperative complications were recorded. Among the 245 patients receiving the balanced rhinoplasty, there were no cases of implant extrusion, displacement, or infection. Most of the patients (230/245 cases, 94%) were satisfied with their nasal and periocular shape. The authors believe that simultaneous blepharoplasty and rhinoplasty are a simple and reliable method for effecting better results for Asians.