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Question:
I'm Middle Eastern with a bulbous nasal tip. I'd like to have the tip just slightly narrowed – I do not want a drastic change. Is this possible? Will the rest of my nose be left untouched?
Answer:
Yes, it is possible to achieve refinement of the nasal tip alone assuming this change will be in harmony with the remainder of the nose.
Question:
I'm half Hispanic and half Asian. I have a bulbous tip that I would like refined and I would like the sides of the bridge narrowed. How is this done?
Answer:
The nasal tip refinement is achieved through a step-wise approach. I first attempt to achieve refinement of the nasal tip with your own nasal tip cartilages by placing stitches in those cartilages. These stitches re-shape the cartilage to achieve refinement. If further refinement is needed, I use cartilage from the nasal septum to place at the tip of the nose. Refinement of the nasal tip in Hispanic and/or Asian noses can be challenging as the nasal skin is thick and the nasal tip cartilages are relatively weak. The sides of the nasal bridge can be narrowed a few different ways. If there is need for nasal bridge augmentation, I use cartilage and fascia (a tough fibrous layer of tissue from your own body) to achieve bridge augmentation; this augmentation gives the appearance of a narrower bridge in Asian noses. Another method for narrowing of the nasal bridge is re-positioning the nasal bones.
Question:
I'm African American and my nose is very flat but also very wide. To narrow it, would you remove excess tissue? And could this tissue then be used to build up my nose to make it less flat?
Answer:
The African American nose tends to have a wide nasal base. One method to narrow the wide nasal base is with nasal base reduction. This helps address nostril flare. In an effort to make the nose less flat, I use several techniques, including suturing techniques and grafting techniques. The grafts I use are cartilage and the source is from the nasal septum. Occasionally, I may need to use ear cartilage. If more grafting is needed, I may use rib cartilage.
Question:
I'm 23, Asian American, and I'd like to get a nose job. What I want most is to have more definition added to my nasal tip. Does this require tip grafts?
Answer:
In my experience, Asian Americans tend to have thick nasal skin, weak/broad nasal tip cartilages. This combination usually results in the benefit of using some type of tip grafting. The source of the tip graft is usually nasal septal cartilage. Initially, I perform refinement techniques upon your own nasal tip cartilages. However, if we find that these maneuvers (suturing techniques and cephalic margin trim) do not achieve enough refinement, we may use nasal tip grafts.
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