Asian Rhinoplasty

FORWORD

The art and science of rhinoplasty are a complex and interesting
subject, which are far from fully developed in our understanding. As
the world literature on nasal aesthetic surgery has expanded, it has
become evident that ethnic differences in nasal surgery have been
relatively poorly researched both scientifically and clinically.
Frequent examples of poor practice have been seen as a consequence
and many patients suffered. It is therefore much to the credit of
Professor Han that he has contributed this well illustrated and
referenced work on managing the Asian nose from an aesthetic
perspective. The book is a fine example of an author using his
experience of careful and refined technique to teach methodology, and
applying rigorous scientific method to explore the underlying
principles to tackle difficult problems.

The first part of the work is a well researched and referenced
anatomical description of the nose, detailing the specific aspects
which define the Asian profile, and which must be addressed when
aesthetic adjustments are sought. This is a valuable reference point,
not only for the surgeon working regularly in Asia on such patients,
but also for the skilled rhinoplasty surgeon working on predominantly
Caucasian patients who might from time to time have cause to operate
on similar cases.
The second section of the book moves on to the practical details of
the operative management of Asian rhinoplasty. Here a variety of
methods are covered, including access incision, management of the
injured nose, a good practical and safe method for using strut
augmentation, and how to manage the very difficult issue of the short
nose. The concluding chapter on tissue engineering in augmentation
rhinoplasty is really an exercise in 21st Century crystal ball
gazing, bringing the work completely up to date.

This work is a commendable addition to the literature on rhinoplasty,
and brings a welcome scientific approach to the historic art of
surgical technique.

Tim Goodacre
Florey Lecturer in Clinical Medicine
The Queens
College &
Senior Clinical Lecturer
Nuffield Department of Surgery
University of Oxford








Foreword ⅵ
Preface ⅷ
Acknowledgements ⅹⅰ


Part I. Surgical Anatomy of the Asian Nose
1. Skin and Subcutaneous Tissue 003
2. Muscles of the External Nose 015
3. Nasal Tip Supporting Structures 033
4. Alar Cartilages 053
5. Structures Determining the Nostril Shape of the Asian Nose 067
6. External Nasal Nerve 083

Part II. Operative Techniques for the Asian Nose
7. Footplate Extended Incision for Asian Rhinoplasty 97
8. Corrective Osteotomy Technique for a Posttraumatic Deviated Nose
119
9. Augmentation Rhinoplasty Minimizing Nasion Level Changes - A
Simple Method - 135
10. Short Nose Correction by Releasing Tip Supporting Structures 147
11. Tissue-Engineering Technology in Augmentation Rhinoplasty 163

Subject Index 183