From the point of view of the facial plastic surgeon, certain facial features necessitate formulation of unique surgical approaches for aesthetic modification and justify specialized study of surgical techniques that are consistent and reliable in producing good aesthetic results in the Asian face. Cosmetic surgery of the Asian face is a challenging and fascinating endeavor. In large part, the challenge relates to understanding cultural and psychologic differences that often translate into behavior that may be unfamiliar to the surgeon. Continuing efforts to understand the Asian psyche are mandatory if communication is to be effective.