Objectives: A retrospective analysis of various techniques to improve the dorsal aesthetic Lines of the nose in Indian patients has been made. The purpose is to understand what works and when to improve the dorsal aesthetic lines.

Introduction: Indian noses mostly have ill defined dorsal aesthetic lines, hence appear broad. Simply narrowing the nose does not improve the dorsal aesthetic lines. This is not only because of the thick skin of nose but also because of shallow bridge of the nose. Various techniques for augmenting the shallow bridge have been described. Given the variation in the type of skin in Indian subcontinent, various techniques are discussed and their outcomes analysed.

Materials / method: Male and female patients complaining of broad nose, shallow nose bridge were included in the study. Age group 18-60. Photoshop was used to analyse the nose and plan the surgical procedure. U graft from the septum, DCF and rib grafts were the options used. We have analysed the results. The technical steps of the U graft, DCF graft and counterbalancing rib graft have been discussed.

Results: All cases showed good to very good improvement in dorsal aesthetic lines. Patient satisfaction rate was very high.

Conclusion: Some noses which have poor dorsal aesthetic lines and adequate projection, could benefit by U graft from the septum. Those needing 3-5 mm increase in projection benefit by DCF. Those needing more than 5 mm augmentation need a rib graft. If tip projection is to be improved along with dorsum, rib should be the first choice.

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Objectives: We will show a easy way to increase tip projection without cutting septal cartilage

Introduction: Asian rhinoplasty usually needs to increase tip projection. Due to auricular cartilage is pliable and curved, the septal cartilage is more preferred for septal extension graft material but limited in amount.

Materials / method: Medpor with auricular cartilage is used to increase tip projection

Results: Total infection rate is about 2% from 817 case series

Conclusion: Medpor with auricular cartilage is an alternative material and technique in Asian rhinoplasty

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Objectives: Understanding surgical anatomy including facial layers, spaces, and retaining ligaments is crucial for stable application of facelift techniques
in Asian patients.

Introduction: Demand for surgical rejuvenation of the face is rapidly increasing in Asia as a result of continued economic development and growth of the aged population. Few facelift methods have been described or developed specifically for older Asian patients, whose distinct facial characteristics make achievements of satisfactory results relatively difficult. The author would like to introduce his experience and results with a facelift technique incorporating ‘High SMAS Facelift with Release of Retaining Ligaments in Sub-SMAS Plane’ to rejuvenate the aging Asian face.

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