Self-cartilage augmentation Asian rhinoplasty costs $20,000?

Q: I recently went to a Toronto PS who only specializes in rhinoplasty for a consult. I asked him to 1. Build up the bridge 2. Narrow the tips 3. Have a silicone chin implant put in. He quoted me $10k for using silicone nose implant + chin augmentation, and 20k for using my own cartilage. This is even more expensive than a revision rhinoplasty since my nose is untouched. I wonder what do you guys think in terms of the price? I would prefer to go with my own tissues if possible. Thanks!

A: I feel very strongly that synthetic materials should be not be placed in your nose during Asian rhinoplasty, so my personal feeling is that regardless of price you should not consider that option.

With regards to surgeon fees and the variation amongst surgeons – this will depend on geographical location and the expertise of the surgeon.  While the adage is not always true that you get what you pay for, generally surgeons will not be able to stay in business long if their prices are not in-line with their results.

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How to get rid of fleshy nose?

Q: I am having a fleshy broad nose, which is effecting my overall personality. I want to look good so I want to reduce it by a simple home remedy for the time being.

A: The only safe and effective way of permanently reshaping and refining your nose is through surgical Asian rhinoplasty.  I strongly advise against trying to use any “home remedy” for this purpose.

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I’m interested in rhinoplasty (the tip of my nose less rounded). How much is this procedure in the Bay Area/Sacramento?

Q: I’m debating between getting surgery here in the US or going to South Korea, where I know doctors would be very experienced working with Asian noses. Are there any doctors who specialize in or have a lot of experience with Asian noses?

A: There are excellent doctors in both countries as long as you do you due diligence in researching the specific surgeon who will perform your surgery.  It’s often prudent to consult in person with ~3 rhinoplasty specialists experienced in Asian noses to find who fits your personality and instills confidence in you.

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Asian Rhinoplasty for asymmetrical nose with flat nostrils, round nose tip?

Q: I want to have a straight outline going down my nose. I feel that my nose has an uneven appearance, and is wide. I also would like the tip to be a bit sharper and be pushed forward a little more. I place my finger in my nostrils and push it away from my face to see what my nose would look like if it was sharper with a higher bridge. Would it be possible with just cartilage graft to achieve stronger looking nose, and a more prominent bridge?

A: Not only is it possible to achieve what you are looking for with just cartilage grafts from your own body, this is the safest, most predictable and safest method of doing so.  Some surgeons are more adept than others at using your own tissue to create natural and attractive results, so it’s important to research Asian rhinoplasty specialists and consult with them in person to determine who you have the best connection with.

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I am getting an Asian rhinoplasty and I want it to look very extreme. Can this be done with ear cartilage?

Q: I am getting an Asian rhinoplasty and the Dr. wants to use my ear cartilage. I want it to look very different – very defined tall skinny bridge with a very turned up tip. Can I get this look with ear cartilage or would an implant be better?

A: In order to achieve the maximal amount of definition and refinement during Asian rhinoplasty, rib cartilage is often necessary.  Unless you already have a significant amount of tip projection and dorsal height, it will be necessary to add support and structure to your nose which can not be provided by septal and ear cartilage alone.

Implants can look fantastic for a few years, but they are not a permanent option and far from the best option.  With time they have an unacceptably high risk of complications.  Using tissue from your own body (autologous grafts) is safer, and when performed by an Asian rhinoplasty specialist, will give you the most dramatic results.

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How much does Asian rhinoplasty cost if ear or rib cartilage is being used for augmentation?

Q: How much does Asian rhinoplasty cost if ear or rib cartilage is being used for augmentation?

A: The cost of Asian rhinoplasty will vary based on factors such as geography and the experience and skill level of the surgeon.  When it comes to your face, and especially your nose, finding the right surgeon should be of utmost importance.  Never “settle” for a particular surgeon simply due to price.

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Nose fillers or Asian rhinoplasty?

Q: I have a very petite nose. Little to no bridge. This is something I desperately want fixed I was considering permanent nose fillers cause after I get it fixed I never want to look back. Plus I can’t afford to keep coming back for corrections but I don’t know if it will get the job done. I was also considering Asian rhinoplasty but that might be well over my budget. What would you recommend I do?

A: I would caution you against using anything permanent in the nose that did not come from your own body.  The best way to create permanent refinement and reshaping of your nose is with surgical rhinoplasty using tissue from your own body (autologous grafts).  It’s much wiser to wait until you have the means to do it right the first time.

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Will alar wedge excision adversely lengthen my upper lip (area between nose and mouth)?

Q: I am contemplating minor revision rhinoplasty but want to avoid further lengthening of my long upper lip. Will alar wedge excisions affect this area?

A: Alar base modification (alar wedge excisions) will have no effect on the length of the upper lip. Computer imaging may be helpful in your case to demonstrate the effect alar base modification will have on your appearance.

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Will a wider nose make my eyes look closer together?

Q: Hello. My nose is very very narrow and pinches a bit in the center of my bridge. I have had a consultation, and I have been told that my nose would be more compatible with the rest of my facial features if it was made straighter and a bit wider. I actually agree with this, but I’m worried because my eyes already look a bit too close together in my opinion, and I am concerned that making my nose a bit wider will make my eyes look even closer together. Do you know if this will be the case?

A: Actually by lowering the bridge of your nose between your eyes (radix) you will observe the opposite effect: your eyes will appear further apart.  Raising the height of the bridge and making it more narrow would cause them to look closer together.

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How can I achieve slightly wider nostrils?

Q: Hi I was just wondering if my nostrils can be stretched open ever so slightly…or would I need a whole nose reconstruction for this to be possible…also would there be scarring?

A: There are a few ways your nostrils could be widened during rhinoplasty (alar batten grafts, lateral crural strut grafts) and the incisions could be designed to be hidden from view – so the scars would not be visible.

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