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Rhinoplasty for the African American Patient

Our facial plastic surgeons, Drs. Litner and Solieman, are experienced in the nuances of African American noses and respect the need to maintain the nose's ethnicity while improving its appearance. This has allowed our surgeons to conduct African American rhinoplasty procedures in Beverly Hills that result in natural-looking features.

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Rhinoplasty for African American Patients in Beverly Hills

Written by Dr. Litner and Dr. Solieman 12/13/19

Most of our African American patients who are interested in rhinoplasty simply want their noses to balance better with their features. While we recognize that there is tremendous variability among African American noses, typically African American patients seek rhinoplasty because of the feeling that the nose is too wide, “too big,” or does not match other features of the face.

Double board-certified facial plastic surgeons, Drs. Litner and Solieman, work together on every rhinoplasty, which allows them to achieve refined results and a very low revision rate. We invite you to read more about us, the anatomy of African American noses, and the techniques we employ to achieve optimal results.

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How We Perform African American Rhinoplasty

The reason you should consider us for your African American Rhinoplasty is simple: we are highly trained and have years of experience in this specialty. You may have already come across our African American textbook page or one of our many blog posts regarding how we perform African American rhinoplasty or how we can make your nostrils smaller while keeping a natural look. However, what is most dear to us are the thank you letters we get from satisfied patients, such as the one below:

“While in the process of conducting research for qualified plastic surgeons to perform rhinoplasty on my African-American nose, I was exposed to numerous horror stories involving bad surgical outcomes of patients like me that received the same procedure. As a result, I was somewhat apprehensive about moving forward with the surgery until I went to Profiles Beverly Hills and met Drs. Litner and Solieman who assured me they would be able to perform the surgery I wanted without giving me a “cookie cutter” nose that didn’t fit my face or racial identity. Rather, I would receive an aesthetically pleasing custom nose while maintaining complete functionality, which is what I desired.

Upon meeting them, both surgeons instantly put me at ease with their professionalism, knowledge, and down to earth good humor. Now, after (6) months post surgery, I can honestly say my procedure was a success and has already far exceeded my expectations with only having experienced minimal down time and bruising. Not only do I have the perfect nose for my face, even those closest to me have not suspected I had anything done. I truly feel the surgeons gave me the nose I should have been born with, and I didn’t have to mortgage my house to pay for it.

Lol. Regardless of your ethnic background, these guys flat out know what they are doing. Competent, passionate physicians like them are the prize of the medical profession and I wish to express my heartfelt appreciation for the excellent care, kindness, and support I received from them and their fine staff before, during, and after the procedure to help make my experience so positive. PROFILES IS AWESOME! Thanks again.”

Why is Rhinoplasty Different in African American Patients?

If we were to compare the African American nose to other ethnicities, we find that our African American patients tend to have:

  • Short Tip Cartilages – resulting in the tip appearing too short and/or droopy
  • Wide Nasal Tips with Excess Tissue in the Nasal Tip – resulting in poor tip definition
  • Wider Nostrils – making the nose appear too wide
  • Wider, Lower Nasal Bridges – making the nose look too wide and/or washed out
  • Thin, Soft Septal Cartilage – making rhinoplasty difficult as there is little support
  • Thicker Skin – making it difficult to add tip definition and refinement during the procedure
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AFRICAN AMERICAN RHINOPLASTY - Before Treatment Photo: female front view, patient 1AFRICAN AMERICAN RHINOPLASTY - After Treatment Photo: female front view, patient 1BeforeAfter
AFRICAN AMERICAN RHINOPLASTY - Before Treatment Photo: female right side view, patient 1AFRICAN AMERICAN RHINOPLASTY - After Treatment Photo: female right side view, patient 1BeforeAfter

*Results May Vary

AFRICAN AMERICAN RHINOPLASTY - Before Treatment Photo: female front view, patient 1AFRICAN AMERICAN RHINOPLASTY - After Treatment Photo: female front view, patient 1
AFRICAN AMERICAN RHINOPLASTY - Before Treatment Photo: female right side view, patient 1AFRICAN AMERICAN RHINOPLASTY - After Treatment Photo: female right side view, patient 1

Click here to view more actual patient photos.

*Results May Vary

What Does This Mean to You If You are Considering Surgery?

We have found two things to be the most important to our success with African American rhinoplasty:

  • We truly understand how to maintain and enhance natural African American beauty. We do not over-build the bridge or try to give you a “white” nose
  • We know how to achieve a great, natural, long-lasting nose when dealing with the usual challenges of thicker skin, shorter nasal bones, and softer cartilage

Potential Risks and Temporary Side-Effects of Rhinoplasty

People of all ethnicities should be aware of the potential risks and temporary side-effects of rhinoplasty. These include:

  • Minimal risk of infection
  • Asymmetry in the nose
  • Negative reaction to anesthesia
  • Pain during the recovery period
  • Temporary breathing difficulties

Aesthetic and Surgical Details

In general, for most of our African American patients, the widened frontal view is the most troublesome issue, especially at the tip and nasal base. Moreover, sometimes there is a real lack of bridge height from a profile view. As such, the fundamental issue is how to make the nose less wide to balance the face and look smaller even as we look to build underlying support.

What distinguishes our approach is a clear focus on tip definition and nasal base reduction that is appropriate to your face. Many plastic surgeons approach the African American nose with a belief that by building the bridge and adding cartilage to the tip, the nose will look more refined. While this does occur to a point, the reality is that it can lead to a loss of ethnic identity and a larger nose without the desired refinement from a front view.

AFRICAN AMERICAN RHINOPLASTY - Before Treatment Photo: male front view, patient 2AFRICAN AMERICAN RHINOPLASTY - After Treatment Photo: male front view, patient 2BeforeAfter
AFRICAN AMERICAN RHINOPLASTY - Before Treatment Photo: male right side view, patient 2AFRICAN AMERICAN RHINOPLASTY - After Treatment Photo: male right side view, patient 2BeforeAfter

*Results May Vary

AFRICAN AMERICAN RHINOPLASTY:  Before Treatment Photo: male front view, patient 2AFRICAN AMERICAN RHINOPLASTY: After Treatment Photo: male front view, patient 2
AFRICAN AMERICAN RHINOPLASTY: Before Treatment Photo: male right side view, patient 2AFRICAN AMERICAN RHINOPLASTY: After Treatment Photo: male right side view, patient 2

Click here to view more actual patient photos.

*Results May Vary

At PROFILES, utilizing an open approach, we are able to accomplish a number of critical steps:

  • We are able to remove the excess fibroareolar tissue that leads to a widened appearance. This is a key point because it allows for the skin to contract down to the new structure and give you the definition you are seeking. And let us be clear that this is not “thinning of the skin.”
  • When providing tip definition we suture your own tip cartilages into a more defined, supported structure prior to suturing into place a tip graft, when needed. The benefit of this is not only the increased tip support and refinement we are able to achieve but also the fact that the tip graft, when required, is sutured into position ensuring that over time it stays in the correct position.
  • In dealing with the nasal base and nostrils, our technique for alar base reduction allows you to retain the natural curvature you are seeking while getting the proper amount of reduction without scarring.
  • In dealing with the widened dorsum, we do not just place a graft or implant on top of your widened nasal bones. While this technique will increase bridge height, it will not correct the fact that the nose looks wide on a front view. When this is an issue, we narrow the nasal bones prior to placing any graft that is required for bridge height.

The resulting natural aesthetic that achieves the permanent refinement you are seeking has made us one of the foremost rhinoplasty centers for African Americans in the country. If you want to learn more about working with Drs. Litner and Solieman, get in touch with Beverly Hills PROFILES and make an appointment today.

FAQs

  • Is rhinoplasty permanent?

    Although it may take up to a year for all swelling to subside, the results obtained through a rhinoplasty procedure are usually permanent. Revision rhinoplasties are usually performed when patients are not happy with the outcome or because there is a functional problem in the nose, not because of the results.

  • How intense is the pain during rhinoplasty recovery?

    During rhinoplasty recovery, patients report mild to moderate pain levels. In most cases, the discomfort is treated via over-the-counter medication, although Drs. Litner and Solieman will provide specific instructions to each patient, which need to be followed after the procedure.

  • Are nose jobs dangerous?

    Similarly to other cosmetic procedures, rhinoplasty surgery has risks and side-effects you must take into consideration. With this in mind, hundreds of thousands of rhinoplasties are conducted across the country every year, so it’s a fairly common procedure. Just make sure you work with double board-certified surgeons that have a proven track record.

  • What are the side-effects of rhinoplasty?

    Rhinoplasty surgery can produce temporary side effects such as:

    • Bleeding at the incision site
    • Visible swelling
    • Discomfort and numbness during the recovery
    • Blocked nose or nasal bleeding
  • How long is recovery from rhinoplasty?

    All rhinoplasty patients are different, so your road to recovery will be a unique journey. In many cases, patients can return to normal activities within a few weeks, except for high-intensity physical activities. Before your operation, Drs. Solieman and Litner will go over everything you need to know.

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