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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

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

Shim Ching, MD