Tuesday, July 16, 2013

Dean Toriumi: Asian Rhinoplasty

Asian Rhinoplasty

Dr. Toriumi has expertise in Asian and other forms of ethnic rhinoplasty. These patients frequently have a deficiency in tip support and dorsal height. Dr. Toriumi strives for a natural look and uses computer imaging to discuss a proposed aesthetic outcome.

In Asia, many patients undergo placement of silastic and other forms of artificial implants. Dr. Toriumi feels strongly that the patient's own tissues should be used for augmentation in rhinoplasty. Therefore, he prefers to use septal, ear and costal (rib) cartilage for grafting and augmentation. Costal cartilage provides sufficient material for major augmentation and can also be used in patients who have no other cartilage available due to multiple previous surgeries. Costal cartilage can also be used in patients who have no other cartilage available due to multiple previous surgeries.



This patient underwent previous surgery in the Orient and had erosion of a silastic implant through the skin of the nasal tip. This left a depressed scar over the nasal tip and a lot of scar tissue. The patient underwent a secondary rhinoplasty with placement of a costal cartilage rib graft to her bridge and tip. She also had a costal cartilage strut to support her tip. The photographs represent a one year postoperative result.


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