Q: Hello, my name is Don, I am 23 years old and I live in Holland. For my nose I’d really like to have a more narrow and defined nose. One doctor in Manila, Philippines, advised me this: “to augment the bridge with an implant, infracture the nasal bones and do alarplasty or trimming of the sides”. It sounds really good to me. Though I’d really like to have a second opinion. What do you think?
A: For dorsal augmentation during Asian rhinoplasty, there are many different options including using your own tissue or using synthetic implants. Autologous grafts have the advantage of providing permanent results in a safe, predictable manner. Synthetic grafts can produce acceptable results temporarily, but will not yield a permanent result.