Optimizing Nasal Tip Surgery for Asians: A Systematic Review of Techniques and Postoperative Outcomes

Abstract

Background: The Asian nose is typically characterized by thick skin, abundant soft tissue, and a relatively weak cartilage framework, which often results in an under-projected nasal dorsum and tip. Methods: Following PRISMA 2020 guidelines, this systematic review focused exclusively on full-text articles published in English between 2014 and 2024. Result: The study conducted a comprehensive review of over 100 publications sourced from reputable databases, including ScienceDirect, SagePub, and PubMed. Following an initial screening, four publications were identified as warranting more in-depth analysis. Consequently, a thorough review of these selected studies was performed to ensure a detailed and rigorous evaluation. Conclusion: Recent advancements in Asian tip-plasty, such as combining techniques like spreader grafts, septal extension grafts, and columellar strut grafts, have demonstrated promising postoperative outcomes. Key improvements include increasing nasal length, enhancing tip projection, and reinforcing the nasal tip framework. These techniques show significant potential in achieving more desirable aesthetic results in Asian rhinoplasty.