Open Rhinoplasty in the Korean Nose

Abstract

Differences between the Asian and Western nose have been well described in the literature. The typical Asian nose is characterized by a broad lower dorsum, decreased tip projection, thick lobular skin, wide lobule, abundant subcutaneous fatty tissue, alar flaring, a retracted columella, and small osteocartilaginous framework. The lower lateral cartilages are often weak and thin. Because of these anatomical features and aesthetics between different racial and ethnic group there are different types of rhinoplasties which patients demand according to the racial and ethnic group. Augmentation rhinoplasty, nasal tip surgery for decreased tip projection and lengthening the short nose are the most performed rhinoplasties in Korea. For the augmentation rhinoplasty, I personally use alloplastic material such as silicone and Goretex for dorsal augmentation, autogenous materials such as septal or ear cartilage for tip augmentation. For the surgical approach, I use endonasal approach for the dorsal augmentation, open rhinoplasty for the dorsal and tip surgery. For the correction of decreased tip projection not only various suture technique but also grafts such as strut graft, cap graft, and shield grafts are used. For the lengthening of the short nose, extended septal graft (ESG) is used. In this symposium, I would like to present and discuss the characteristics of the Korean nose, the surgical approach and technique of augmentation rhinoplasty, implant materials, surgical techniques and methods for nasal tip surgeries which are applied to Korean nose and extended septal graft for correction of short nose. Differences between the Asian and Western nose have been well described in the literature. The typical Asian nose is characterized by a broad lower dorsum, decreased tip projection, thick lobular skin, wide lobule, abundant subcutaneous fatty tissue, alar flaring, a retracted columella, and small osteocartilaginous framework. The lower lateral cartilages are often weak and thin. Because of these anatomical features and aesthetics between different racial and ethnic group there are different types of rhinoplasties which patients demand according to the racial and ethnic group. Augmentation rhinoplasty, nasal tip surgery for decreased tip projection and lengthening the short nose are the most performed rhinoplasties in Korea. For the augmentation rhinoplasty, I personally use alloplastic material such as silicone and Goretex for dorsal augmentation, autogenous materials such as septal or ear cartilage for tip augmentation. For the surgical approach, I use endonasal approach for the dorsal augmentation, open rhinoplasty for the dorsal and tip surgery. For the correction of decreased tip projection not only various suture technique but also grafts such as strut graft, cap graft, and shield grafts are used. For the lengthening of the short nose, extended septal graft (ESG) is used. In this symposium, I would like to present and discuss the characteristics of the Korean nose, the surgical approach and technique of augmentation rhinoplasty, implant materials, surgical techniques and methods for nasal tip surgeries which are applied to Korean nose and extended septal graft for correction of short nose.