Asian noses frequently appear short, lack a prominent nasal bridge, and lack nasal tip projection. Unlike Caucasians, whose noses usually require a reduction from having a nose that is too prominent, Asians usually require a dorsal augmentation to increase both the dorsal height and tip projection. This augmentation can be performed using either a silicone prosthesis or a patient’s own cartilage. While L-shaped silicone implants work well and have no associated donor site morbidity, there is always a risk of implant infection and extrusion. Autologus cartilage augmentation techniques are much less likely to get infected or extrude but is associated with a donor site morbidity that many patients find unattractive.