V.C., a 21 year old female, was unhappy with the height of her nose and the position of her chin. Following asian rhinoplasty and chin augmentation surgery, the profile of the nose has been augmented and the chin brought into a more balanced and attractive position.

Following asian rhinoplasty, the height of the nose is augmented and the tip of the nose refined to bring it into better balance with the other facial features.

Following asian upper eyelid surgery, the eyelid crease is precisely defined.

J.C., a 38 year old female, was concerned with the appearance of her lower eyelids. Friends and colleagues would comment that she always looked tired. Excess eyelid fat was removed during transconjunctival (no skin incision) lower eyelid surgery. The result is a more alert and youthful appearance.

All before & after photographs are Dr. Denton's patients.

Cosmetic Surgery for the Asian Patient

Cosmetic Surgery for Asian patients is a unique field. While many of the surgical techniques developed in North America were designed specifically for Caucasians, unique features and anatomy of the Asian patient necessitate a different approach in particular when considering the nose, upper eyelid and chin.

Dr. Andrew B. Denton is as a Board Certified Facial Plastic Surgeon with fellowship training from the University of California San Francisco who practices in Vancouver, British Columbia. Because both of these locales boast vibrant and large Asian communities, Dr. Denton has extensive experience and expertise in the field of Asian cosmetic surgery.

During your consultation, you will have the opportunity to discuss your treatment options with Dr. Denton in a confidential and unhurried setting. Computer imaging will be performed to demonstrate to you the expected result following your rhinoplasty procedure. Surgery is performed in Dr. Denton’s fully accredited private operating facility.

Asian Rhinoplasty:

Research has shown that Asians have relatively fewer growth centers in the nose and mid face area than their Caucasian counterparts. This helps to explain the position of the nose and upper lip. Typically the bridge of the nose is low and the tip is wide and poorly defined. As a result, during an Asian rhinoplasty, the goal is usually to raise and narrow the bridge and to add definition to the tip with or without narrowing the nostrils. This is in contrast to the typical Caucasian rhinoplasty which usually involves making the nose smaller. As with all surgery performed on Asian patients, success is measured by a result that is consistent with the individual's ethnic identity.

For more information about rhinoplasty, including alternatives, surgery costs, and follow-up, see page 2.

more rhinoplasty info

Asian Blepharoplasty:

The differences between the upper eyelids of Asian and Caucasian patients are threefold. The Asian eyelid is characterized by a poorly defined or absent crease, an excess of fat and an epicanthal fold of varying size and configuration. The goals of Asian blepharoplasty are to create a natural appearing upper lid crease that complements and is in balance with the other facial features, to remove excess fat and, if necessary, to make changes to the epicanthal fold. Two techniques are used to create the eyelid crease during blepharoplasty - each with its own advantages and disadvantages. The 'suture method' limits the size of the incision but may be less permanent than the 'incisional method' in which excess skin is also removed at the same time as the crease is being created or changed. Also, the suture method does not address excess fat or the epicanthal fold, both of which require skin incisions.
When considering cosmetic surgery of the lower eyelid, fewer differences exist between the techniques used in Asian and Caucasian patients. In both ethnic groups, the goals are to reduce eyelid puffiness and wrinkling.

For more information about eyelid surgery, including alternatives, surgery costs, and follow-up, seepage 2.

more blepharoplasty info

Chin and Jaw Surgery in the Asian Patient:

Chin:

The chin is the anchor of the face. Ideally it should be neither too small nor too big. Among Asian patients, a small chin is observed much more frequently than an overly prominent chin. During chin augmentation surgery, a small incision is made either inside the mouth or in a skin crease just behind the rounded area of the chin. The chin implant, which has a consistency similar to the soft tissues of the chin, is secured in position in front of the jawbone. The incision is then closed, undetectably concealing the chin implant. Chin augmentation can be carried out as a stand-alone procedure but is often performed in combination with neck liposuction, rhinoplasty (nasal reshaping) or facelift surgery.

For more information about facial implant surgery, including alternatives, surgery costs, and follow-up, see page 2.

more implant info

Jaw:

A jaw line that is overly prominent and out of proportion with the rest of the face detracts from an otherwise attractive appearance. In the past, surgical treatments were offered that involved grinding away the outer part of the jaw to narrow the face. Because in most cases excess jaw width is caused by an enlargement of the jaw muscles, the most exciting advancement in this area has been nonsurgical treatment using Botox. When small amounts of Botox are injected into the body of the muscle, a decrease in the size of the muscle and, therefore, the width of the jaw are bserved within a period of weeks. Research has shown the beneficial effects to last greater than one year.