We are constantly being bombarded with glamorous pictures of film and TV stars who look fabulous no matter where they are. On the beach, at a film première, or at a nightclub, these women are always in the spotlight. And the largest group of people who see these pictures and want to look the same are teenage girls.
If you are contemplating having a rhinoplasty (nose job), there are things you will need to address before committing to surgery. If you are going to correct a misshapen nose or you have a defect that does not allow you to breathe properly, you will need to understand how to prepare for surgery.
Question: Is it true that augmentation is common in African American procedures and what does this entail?
Answer: Most African-american nose lack the dorsal height or projection from the plane of the face. In addition, the tip is flat and broad with weak tip support. If only dorsal augmentation is required, the surgery can be performed by a simpler closed-approach with a quicker recovery. If both tip work as well as dorsal augmentation are required, an open-approach surgery is needed and will require a slightly longer recovery.
Question: I am an African-American female interested in rhinoplasty surgery. I have read that with ethnic noses, there are added obstacles that surgeons must be aware of. What are these obstacles, and how likely is it that I will have a successful surgery?
Answer: African-American noses have several common characteristics such as relatively flat dorsum, wide or flaring alae; thick skin; and poor tip support or weak cartilages. It is important that the rhinoplasty surgeon understands these traits and has a plan to address them accordingly. Furthermore, a good rhinoplasty surgeon should be able to appreciate sometimes-subtle intra-ethnic differences as well.
When performing rhinoplasty on African American patients, do you more commonly use an open or closed approach and why?
It depends on what the patient needs. African American nose has certain features such as flat dorsum, wide tip, flaring nostrils and thick skin. Most of my patients request dorsal augmentation, tip refinement and narrowing of the alae. These are best done using the open technique.
I’m an African American male in my early 30s and am contemplating ethnic rhinoplasty. Is it possible to fix flared nostrils while also narrowing my nose?
Yes. Flaring or wide alae is one of the characteristics of African American nose. African American nose also tends to have flat dorsum, take off point of the nose is lower than Caucasian nose, and thinker skin with weaker cartilages. It is important that the surgeon understands these nuances and makes appropriate corrections during rhinoplasty for the best result.
Many patients who are interested in rhinoplasty (nose job surgery) are often anxious and scared. Some would like to change the shape of their nose without surgery. This can be sometimes achieved using fillers.