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Ethnic Rhinoplasty

The major difference with this procedure is that the upmost care and attention to detail will be implemented. The end result is for the patient to remain connected to their ethnic background, and retain their identity. The procedure will not change that, it will simply allow the patient to subtly adjust the shape and/or size of their nose.

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ACHIEVING DEFINITION IN ETHNIC RHINOPLASTY

Skin quality and thickness is one of the most important factors in determining your final Rhinoplasty result. And it can also be one of the hardest to predict. When we perform Rhinoplasty, most of what we do involves altering the cartilage and bone that makes up the nasal skeleton. We shape the cartilage and bone in many ways to take on the new desired contour. During the healing period for many months after surgery, the skin and soft tissue that lays over this skeleton must contract inwards and ‘shrink wrap’ onto this altered framework for the desired changes to become noticeable. That’s why you don’t see real definition for weeks to months after surgery while the skin and soft tissue is swollen.

Most people have skin of moderate thickness. The thinner your skin, the faster and better it will contract. So, if you have very thin skin, you can expect over time that a lot of definition can be achieved. This has obvious advantages but may also have its disadvantages. Thin skin will allow for a high degree of refinement but any tiny irregularities or asymmetries may also show through. This can be especially true if you have thin skin and very strong prominent cartilage underneath. You can recognize this in someone whose entire tip cartilage outline can be seen easily through the skin. We may recommend in certain circumstances using a layer of material such as fascia or acellular dermis (Alloderm) during surgery as a thin cover and concealer to help smoothen out your final look.

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Featured Patient Story

Excessive nasal width can cause the nose to dominate other fine, delicate facial features. In Ethnic Rhinoplasty, the key to obtaining a more refined nose is to create a nasal framework upon which the thick skin will wrap around. This pretty young Persian woman wanted to reduce her nasal width, the fullness in her tip, and the sense that her tip was downturned. These six month photos show significant improvements in achieving these goals and her nose will only get better yet.

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THE IRANIAN, MEDITERRANEAN, AND MIDDLE EASTERN RHINOPLASTY

Oftentimes, Drs. Solieman and Litner find that their Iranian, Middle Eastern, and Mediterranean patients have an overall larger nose, with either a straight bridge or a large hump. In these patients, the nasal tip is also typically large. Sometimes, Iranian and Middle Eastern patients have noses that are generally more droopy and lacking in adequate tip support compared to the average Caucasian nose. These noses require a different approach to achieve the beautiful result you are looking for. Drs. Solieman and Litner will discuss the importance of skin thickness and impress upon you the benefits and difficulties that arise due to the heavy, thick skin often found in patients of Mediterranean and Middle Eastern descent. And, they’ll tell you why they are able to achieve the natural, beautiful nose you want without causing the scooped out or pinched look that is all too frequently seen.

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AFRICAN AMERICAN RHINOPLASTY

Over the years we have found that many of our African American patients who present for rhinoplasty feel that their nose is too wide, “too big,” and undefined for their face. So, you can imagine there is often some confusion when we explain that augmentation rhinoplasty is often needed in order to make their noses look smaller.

Another way of understanding this is to see that in order to correct a nose that is too wide and too short, it is important to build up and add to the tip structure in order to not only provide adequate support but also to give lasting tip definition and refinement. The result for you is a thinner, more refined nose.

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Read our blog post: I am African American and am considering rhinoplasty. Is your rhinoplasty technique different for me?.

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HISPANIC RHINOPLASTY

As would be expected with any ethnic population, we have found that there is a continuum of nasal features in our Hispanic population, rather than distinct types. Rather than trying to categorize various subgroups, here at Profiles we focus on your individual characteristics and your goals. In general, we have found that our Hispanic patients’ facial and nasal characteristics can be differentiated from our Caucasian patients in the following ways

  • Broader faces, commonly with prominent cheek bones and a relatively small nose
  • A slightly small chin
  • A Nasal hump
  • Wider nostril
  • Wider and lower nasal bridge
  • Moderately thick, sebaceous skin

So what does this mean to you?

It means that it is important for you to work with surgeons who will take the time to understand what you are trying to achieve and who are comfortable in dealing with different ethnic populations. We take these differences in anatomic and structural components into consideration in planning your surgery and in explaining to you, what can be accomplished with your surgery. During your consultation we will work together to define what your goals are using computer imaging. Based on your desires and your individual anatomy, we will then devise a surgical plan which is best suited to achieve your individual goals.

For further info we recommend you go to our Modern Rhinoplasty online book to read further.

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ASIAN RHINOPLASTY

A low nasal bridge is probably the most common surgical indication for rhinoplasty in our Asian patients. However, unlike many other surgeons who use unnatural silicone implants, we utilize your own natural cartilage to build up the bridge and give the tip more meaningful definition. The result is a natural look that lasts.

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