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Category Archives: Rhinoplasty

A Different Rhinoplasty Approach for Asian Patients

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As a plastic surgeon specializing in Asian cosmetic procedures, I understand that the unique facial structure of Asian patients demands a different rhinoplasty approach. In Honolulu, our Hawaii rhinoplasty patients come from various racial and ethnic backgrounds, but they share the goal of having a nose that is in harmony with the rest of their face. That’s why it’s so important that a surgeon understands the nuances of working with many different patients. Nose surgery for an Asian patient usually involves creating an aesthetically attractive nose that is larger by carefully grafting cartilage and using silicone implants. The implants are used to … Continue reading

Rhinoplasty Options: Correcting a Dorsal Hump & The Supratip Break

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Looking in the mirror every day and seeing a nasal bridge that looks convex and projects outwards can be upsetting. Patients getting rhinoplasty to fix this at my Honolulu practice learn about a technique called dorsal hump rhinoplasty. A dorsal hump refers to the bone and cartilage that is on the top of your nose. It can be inherited or the result of any trauma to the nose. Rhinoplasty is a great option when our Hawaii patients are looking for a straighter profile for their nose. Some patients who are undergoing this surgery are also interested in a supratip break. This is an … Continue reading

Rhinoplasty Recovery After Correcting for a Dorsal Hump

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Looking in the mirror every day and seeing a nasal bridge that looks convex and projects outwards can be depressing. If you’re getting rhinoplasty in Hawaii to fix this, it’s helpful to learn about dorsal hump rhinoplasty recovery options here in Honolulu. During dorsal hump rhinoplasty recovery, a splint may be used to stabilize the area. The area is also wrapped in tape. The splint will be worn for a week, after which it will be taken off. After this, the patient should re-wrap the nose once a day for the next two weeks, aiding in the healing process. Discuss … Continue reading

How Rhinoplasty Can Address a Wide Nose

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I have many patients come into my practice who are self-conscious about the width of the bridge of their nose. This appearance is usually due to wide nasal bones. When I perform rhinoplasty for Hawaii patients at my Honolulu practice, my approach to a wide nose begins with the nostril sills or the alar insertions — sometimes both. (The nostril sills are the areas at the inner bottom of the nostrils; the alar insertions are the outer rounded parts of the nostrils.) When the nostril sills are the issue, I perform a sill excision to reduce their size. When the alar … Continue reading

The Inverted V: When Revision Rhinoplasty Becomes Necessary

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One of the most common causes of an inverted V nasal malformation (i.e., a dip in the nasal bridge) is complication after rhinoplasty surgery. Unfortunately, correcting it requires a revision rhinoplasty, which we perform for Hawaii patients. But how does the primary rhinoplasty procedure create this kind of problem? When a dorsal hump is removed during rhinoplasty, there is a risk of taking away too much cartilage from the area. It’s a delicate thing, and mistakes like these are all too common. When there isn’t enough collagen left to support the vault (the bridge), an inverted V deformity occurs. If you … Continue reading

The Overprojected Nose: How Rhinoplasty Adjusts Proportions

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  Aesthetically pleasing faces are usually defined by their proportions. Are the facial features in balance? An oover projectednose skews the proportions of the face, drawing attention to itself in the process. Through rhinoplasty here in Hawaii, Dr. Shim Ching can correct for an imbalance, bringing your facial features into better alignment. To perform a de-projection on an over projected nose, a plastic surgeon must reduce or reposition the tip of the nose. The tip is defined by the lower lateral cartilages, and the uppermost area of these is called the domal cartilage. Slightly reducing this cartilage is sometimes all it takes. This … Continue reading

Transformation Through Rhinoplasty: Don’t Settle for a Crooked Nose

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Many people suffer from nasal deformities. Issues such as a crooked nose are common and embarrassing problems, and they can give a person a negative self-image. To correct for these aspects of the nose, Dr. Shim Ching offers rhinoplasty surgery to patients here in Honolulu, Hawaii. When a person has a crooked nose, the nasal bones are out of proper vertical alignment. Because they are connected to the nose’s cartilaginous structures, the middle vault area (on the bridge of the nose) and its cartilage are also misaligned. The septum, an internal vertical nasal structure made of bone and cartilage, may also be … Continue reading

Why Patients Consider Rhinoplasty

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Many men and women alike are dissatisfied with their noses. The reasons vary from structural issues to aesthetic ones. Nose surgery can dramatically improve overall facial symmetry and harmony and help improve nasal function. Board-certified plastic surgeon Dr. Ching has helped many men and women achieve the nose they desire through rhinoplasty at our Honolulu, Hawaii practice. For some people, the nose may seem too large or too small in proportion to the rest of their facial features. For others, the tip of the nose may have a similar issue. The profile of the nose may reveal bumps or indentations … Continue reading

Shim Ching, MD