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I've heard that ethnic rhinoplasty is more challenging. Is this true of ethnic revision rhinoplasty?
Ethnic rhinoplasty is a challenge due to various factors inherent in the ethnic patient and ethnic nose. First and foremost, an understanding of the desired aesthetic goal is paramount. Once this understanding is achieved in the context of the individual's ethnic background, facial features, and desires, the next step is the analysis. Ethnic patients may have variable strengths of cartilage of the nose, variable lengths of the nasal bones, and variable thickness of the nasal skin; all these variables have implications in the rhinoplasty procedure. In the revision case, these factors play a role.
Because African Americans are more prone to keloid scars in general, is this something to look out for after an ethnic rhinoplasty?
Keloid scar after rhinoplasty is very rare.
I'm Middle Eastern and I come from a family of oversized noses. While everyone else seems content with their nose, I am not. My nose is large all around, large tip, large nostrils, and wide from the bridge to the base. I would like a total resculpting of my nose. If actual nose tissue is removed to reduce the size of my nose, where is that incision? Would I be able to work the next day? I don’t care if there is a bandage on my nose.
A necklift is an excellent option to address laxity of skin in the neck. The necklift is a surgical procedure performed through incisions behind the ear and occasionally underneath the chin. Through these incisions, we can perform neck liposuction as needed to address excess fat in the neck. We can further tighten the neck muscle to achieve refinement in the neckline. Then, the excess skin can be trimmed.
I have a very pronounced hook to my nose which I believe is fairly normal among those of Persian descent. Nevertheless, I do not like it and would like to improve. How much improvement can I expect?
The "hook" appearance may be due to a combination of bump along the bridge of the nose and weakness of support to the nasal tip. The bump along the bridge of the nose is typically bony and cartilage in nature. Shaving down these structures will help to address the "hook" appearance. As well, improvement in the position of the nasal tip (if needed) will further address the "hook" appearance.
I’m an African American living in Southern California and am interested in getting a nose job. I don’t want a “cookie cutter” nose that would be given to someone who’s Caucasian. How do you avoid this?
Each ethnic rhinoplasty is performed so that the final result "fits the face." In other words, I take into consideration your face and consider the nose job to change the overall appearance of the nose so that it is in harmony with your facial features. As a result, each facial plastic surgery is individualized rather than performed in a "cookie cutter" fashion. Finally, your ethnicity and race are considered during the consultation when discussing the goals for surgery.
Are there general things that Hispanic patients want changed about their nose with rhinoplasty?
Some of the more common requests I hear from my Hispanic patients who seek rhinoplasty include a desire to refine the appearance of the nasal tip and narrow the nostrils. The nasal tip refinement in Hispanic patients can be a challenge due to the fact that Hispanics typically have thick nasal skin. This thick nasal skin camouflages the cartilage that forms the shape of the nasal tip. In these situations, I may use several options to achieve refinement of the nasal tip, including suturing techniques and tip grafting techniques. Narrowing the wide nostrils is achieved with nasal base reduction techniques.
I'm African American, 33, female. My last nose job was two years ago and involved a Goretex implant to fix a low nasal bridge. I know have a pollybeak deformity which I think is due to improper placement of the implant. Can this be fixed?
Yes, the implant can either be modified or removed and replaced. If removed and replaced, the question is what should we replace the implant with? Options include a similar implants as you previously had. Another option is using your own cartilage, from the rib, with a covering of temporalis fascia, to achieve the desired result. Of note, the pollybeak deformity you have may be due to scar tissue in the region above the tip of the nose; this region is called the supratip. Steroid injection in this area may address the pollybeak appearance if the pollybeak is due to scar tissue.
I'm 23, female and African American living in Socal. I'd like to have a bump on my nose removed and the tip lifted. My nose is also a little crooked. Can all of these things be fixed?
Yes, all of the aforementioned can be addressed in a nose job. The bump along the bridge of the nose can be reduced. We use an innovative instrument designed by Bien Air Surgery to take down that bump in a delicate, yet exact, manner. Meanwhile, the nasal tip rotation can be increased through a variety of techniques. Finally, a slightly crooked nose may be improved upon; however, it is very challenging (if not impossible) to achieve a perfectly straight nose. The reason for this limitation is due to facial asymmetries, as well as the several potential causes of crooked nose, including but not limited to facial asymmetries, bony deformities, septal deviation, cartilage irregularities, enlarged turbinates.
I'm Asian with a very low nasal bridge. What material do you use to raise the bridge, Gore-Tex, cartilage, silicone?
In Asian rhinoplasty cases where augmentation is needed to raise the bridge, I prefer to use your own cartilage. That cartilage is obtained from either the nasal septum, the ear, or the rib.
|Rami K. Batniji, M.D, F.A.C.S. Facial Plastic Surgeon||949-650-8882||361 Hospital Road, Suite #329, Newport Beach, CA 92663|