Rhinoplasty (Nose Job)

Open and closed rhinoplasty by a specialist plastic surgeon using composite technique for Asian noses — silicone bridge augmentation combined with ear cartilage tip refinement for natural, long-lasting results.

Rhinoplasty at Dr Leo Plastic Surgery encompasses both cosmetic and functional nasal surgery, with each case individually planned based on anatomy, aesthetic goals, and functional requirements. Dr Leo employs a composite rhinoplasty technique designed specifically for Asian nasal anatomy, which typically presents with a lower bridge, wider alar base, and bulbous, fat-heavy nasal tip. The technique combines: a silicone implant to augment the nasal dorsum (bridge); tip plasty to debulk excess fat and cartilage at the nasal tip; harvested ear cartilage grafted at the tip to add projection and definition; and alloplastic material for correcting upturned or over-rotated noses. Alarplasty (reduction of the nostril flare) is incorporated where indicated. Two surgical approaches are offered. Closed (endonasal) rhinoplasty places all incisions inside the nostrils — no external scar, shorter operative time, and faster recovery. It is the most common approach at the clinic. Open rhinoplasty uses a 4–5mm incision at the columella (the strip between the nostrils), providing better visibility for complex tip work, revision cases, or significant structural changes. The columellar scar typically fades to near-invisibility over several months. Both approaches are performed as day surgery under sedation, with an operative duration of approximately 2 hours. Columellar sutures (open technique) are removed at 1 week; alar sutures at 10–14 days. The procedure also addresses functional concerns such as deviated septum and breathing difficulties. Final rhinoplasty results take 6–12 months as swelling gradually subsides.