Оne size nose does not fit all faces
There is a fine balance between aesthetic considerations and functionality that an ethnic rhinoplasty surgeon must attempt to achieve and maintain.
Rhinoplasty is by far the most challenging and complex of all existing cosmetic surgery procedures. It is made all the more challenging by added nuances brought to the table by the patient’s cultural background. Those, if not taken very seriously, can result in outcomes that range from unbalanced/unnatural to full-scale disasterous. Moreover, a patient who has features that are a mix of two ethnicities contributes to even more complication, affecting the ethnic rhinoplasty planning, procedure, and recovery process.
To help you understand this unique challenge and prepare for the surgery, we offer a bird’s eye view on ethnic rhinoplasty. This should guide you through the nuances and give you an idea of what to expect and what you can do to secure the best nose surgery results.
Not all Noses are the Same, Neither are all Surgeons
We strongly advise prospective patients to choose a plastic surgeon who specializes in rhinoplasty. There are specialist surgeons for heart surgery and brain surgery. There is a growing tendency to specialize in nose surgery, it being such a complex field. Non-Caucasian patients should follow an additional rule – they should find a surgeon that either specializes in ethnic rhinoplasty or has a large portfolio of ethnic patients.
The techniques that are employed by surgeons in rhinoplasty depend on the skin, the nose structure, and other specific considerations. Surgeons who have been focusing on ethnic rhinoplasty can be relied on to deliver a natural, well balanced result for ethnic patients. Ask a surgeon for their before and after photos of patients who share your ethnic background.
Introducing the African American Nose
Ethnic rhinoplasty on African American patients should take into account the characteristics of the African American nose:
- Very Thick Skin
- Thin Cartilage
- Short Nasal Holes
- Less Structural Support
Thick skin makes it difficult to produce pronounced definition when sculpting the nose. A surgeon has to know how to sculpt the skin tissue, bone and cartilage to achieve the desired result. In addition, dark facial skin is prone to hyperpigmentation or even keloid scars, especially when it is thick. This creates a need for extra precision when placing incisions and later on, assigning appropriate postoperative care.
In addition, the African American nose can be less defined and droopy, but the additional problem of weak cartilaginous support needs to be addressed and the nose strengthened before definition can be added safely. Often the effect of adding height to the bridge can be achieved without adding tissue or mass onto the fragile nose structure, but by subtly narrowing the nasal tip and reducing nostril size.
Introducing the Asian Nose Traits
- Large Collumelae
- Weakly Projected Tip
- Shallow Nasal Bridge
- Thin Cartilage, Weak Septum
- Hyperpigmentation Prone Skin
Most rhinoplasty patients of Asian descent tend to desire a nose with a higher bridge, slightly narrower tip with greater tip projection. Asian noses also tend to be different among different ethnic groups, but the overall tendency is such. Nostril base narrowing is also popular when nostrils are too wide or flared. Unlike Caucasian rhinoplasty procedure which is normally reductive, Asian rhinoplasty is typically an augmentation procedure. Creating a natural looking Asian nose means creating a nose shape that will be in aesthetic harmony with the patient’s ethnicity.
Introducing the South Asian or Indian Nose Characteristics
- Weakly Projected Tip
- High Dorsum With Pronounced Hump
- Downward Sloping Nostrils
- Skin Prone to Hyperpigmentation
- Thick Skin, Prone to Scarring
With a skin thickness that is somewhere halfway between Central Asian and African patients, South Asian rhinoplasty requires even greater care in placing incisions. Some South Asian noses display a dorsal hump, which needs to be carefully excised in order to create an even, aesthetic profile.
Most South Asian patients have noses that are under-rotated and over projected at the same time, yet some South Indian patients can have softer, wider and poorly supported nose. Knowing this distinction is crucial if a surgeon is to avoid painful mistakes and create a pleasing, natural looking result. One of the keys to a successful South Asian or Indian ethnic rhinoplasty procedure is preserving the angularity and contour that is unique to the patients’ unique ethnic features.
Rhinoplasty is a complex surgical procedure, and can take anywhere between two to three hours. The patient will have a local anesthesia during the operation, depending on the specifics of the expected process. After, as is the case with all and any surgery, swelling and bruising can be expected and a full recovery can take from two to six months, rarely taking longer.
If you have any more questions, don’t hesitate to shoot us an email, and we will do our best to assist you. Good luck on your path!