Open structure rhinoplasty for management of the non-Caucasian nose

Abstract

Aesthetic surgery of the non-Caucasian nose frequently requires aggressive surgical manuevers to attain the desired changes in nasal contour. Unfortunately, thick, sebaceous skin of the non-Caucasian nose is at great risk for increased scar contracture, which could deform an already weak nasal structure. To prevent deformity, we use the open structure rhinoplasty technique to add support to the nasal structure in the form of columellar struts and sutured-in-place tip grafts. In this article, specific modifications of the open structure rhinoplasty technique are described for management of the non-Caucasian nose.