Q: Can the nose bridge be enhanced through closed Asian rhinoplasty? I would like to know if I can make my nose bridge higher through closed rhinoplasty and if ear cartilage is a good choice for this procedure as I am just looking for a subtle change.
A: The endonasal approach in Asian rhinoplasty is suboptimal to address most cosmetic concerns, but if your only goal is to achieve subtle dorsal augmentation, then this can be achieved through an endonasal or closed rhinoplasty approach.
Any significant changes to the tip and significant dorsal augmentation are best achieved through an open approach. Ear cartilage is sufficient for a mild dorsal augmentation. In addition to ear cartilage, temporalis fascia may be necessary to create a diced cartilage fascia graft for augmentation.
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