The embryology, anatomy and aesthetic considerations of the Asian nose are quite unique. In most cases the dorsal profile is flat and needs to be augmented. Often the tip is wide and lacks projection, and the base of the nose may be too wide.
In addition the angle between the base of the nose and the upper lip is often too acute. Although Dr. Brown prefers silicone implants to augment the bridge, he prefers to use cartilage from the ear to define the tip. Not only does this look more natural, it also avoids the pointy shiny tip created by a silicone implant. The patient’s own cartilage can also be used to fill in the angle between the nose and the upper lip, and in some cases the base of the nose is narrowed. Most patients are able to return to work in 1 week, although heavy exercise should be avoided for 2-3 weeks.