✼ Asian Eyelid and Mongolian fold
The size and shape of Asian eyes are very different. Asian patients commonly do not have a supra tarsal fold (eyelid crease) or have a small crease and most have excess skin hooding the medial part of the eye. Others also may have shortening of the eye length at the lateral aspect of the eye (lateral canthus). To reshape the appearance and size of the eyes, many different surgical procedures can be done. Many approaches such as non incisional, partial incision, and full incisional techniques are used to create the supra tarsal fold. Typical fold size for women are 8-10 mm and for men 6-8 mm. To open the medial and lateral parts of the eyes, soft tissue re arrangement procedure like medial epicanthoplasty and lateral epicanthoplasty is perform to increase the length of the eyes. Excess skin in the inner corner of the eye that is commonly called Mongolian fold, give the appearance of a curtain like closure of the inner eye. To open the Mongolian fold, Dr Kahng uses a redraping technique rather than a “z” plasty to minimize scarring. To increase the length laterally, Dr Kahng uses a V-Y advancement technique for the lateral canthoplasty. Combining all of these techniques, can dramatically reshape the eyes.
✼ Asian Rhinoplasty
This procedure is different from the traditional rhinoplasty performed mainly for Caucasian patients. For Asian, an open rhinoplasty is the prefered method. The nose has to be built up to reshape the nose rather than reducing the size/height of the nose. Asians also have limited septal cartilage and week cartilage support so to reshape the tip of the nose, cartilage or acellular dermal martrix ( Alloderm) is used. As for the bridge, Asians have a low bridge and typically need to augment the bridge with a silicone implant or other natural materials like dermal fat graft or Alloderm. Dr Kahng does not recommend using Gortex material to augment the bridge due to its complications. Also more flaring of the nostrils are seen in Asians. To narrow the base of the nose, alar wedge excision (Weir excision) can be done. For mild cases, suture technique to synch the base or intra nasal wedge resection can be performed as well.
✼ Asian Breast Augmentation
Breast augmentation in the Asian population is still the most common plastic surgery for the body. Due to cultural and anatomical differences, Asian breast augmentation is performed differently compared to the general population. The axillary or infra mammary fold incision is more commonly done due to the smaller areola size. However, Dr Kahng can still use a smaller areola if the patient desires to have that approach with the use of the Keller Funnel device. Also due to the narrower chest diameter, skin tightness, and smaller amounts of breast tissue, silicone gel implants are preferred over saline implants to minimize implant palpability and show (rippling). Also moderate profile and anatomic shaped silicone gel implants are more commonly used. But again Dr Kahng will assess each individual and tailor the incision and implant type, shape, size. To limit the capsular contracture rate, Dr Kahng uses no betadine and performs a "No Touch Technique".