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15
May
ETHNIC NOSE IMPROVEMENT CONCERNS

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.

The Procedure

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!

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You can contact Dr. Slupchynskyj's patient coordinator and they can answer additional detailed questions, schedule a consultation, or schedule surgery.

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  • I am so thankful to have come across Dr. Oleh Slupchynskyj of The Aesthetic Institute of New York & New Jersey. "Dr. S." (as I like to call him for obvious reasons, haha) is a Double Board Certified Facial Plastic Surgeon, and it turns out he has an entire website dedicated to his work with African-American patients: www.africanamericanrhinoplasty.com. I was immediately impressed with the wealth of information that he has on his site, including information about his practice, his stellar credentials, his surgical inventions (i.e., the SLUPimpla...

  • I was terrified of having surgery but after two consultations with Dr. S., my anxiety was alleviated, and this was my biggest hurdle. I was able to see what my results would be after surgery through "computer imaging". He spent as much time with me as needed and said I could come back as many times as I wanted before making a decision. That was refreshing. I asked to speak with at least 3 other patients of Dr. S. and did. They shared my initial fear and they helped me by explaining their experiences from a patient's point of view! Dr. S. specia...

  • The doctor is very approachable and personable and I felt that he is really listening to me. He made every effort to be easily accessible via email or phone. He also followed me every step of the process, not only during the surgery but also during the recovery period.

  • Double Board Certified with specialized training and loads of experience in Nose Surgery. I was able to see and discuss my results beforehand thru computer imaging so I felt very comfortable with what my result would be. Having consulted with other Drs. who did not have same training, imaging and were twice the surgical cost, I made my decision.

  • Dr. S. is excellent. From the first visit to the follow-ups I always felt comfortable. Look great and feel great, have recommended him others. Really great bedside manner and I was not the best patient. Thanks Dr. S. I really appreciate your patience!!

  • I had a Rhinoplasty done by Dr. S. and he did exactly what I wanted, which was a custom bridge implant.

  • As a 74 year old African-American woman, I was apprehensive regarding the SLUPlift™ Surgery. In the past, when I discussed plastic surgery with family and friends they spoke negatively about the surgery. Eventually I decided it was something I wanted to do for myself. I found Dr. Slupchynskyj while surfing the Internet and reviewing several of his before and after photos. After meeting the Dr. he assured me that I would be OK — and he was correct. After the surgery I did not have to take any pain medication and I was out shopping within 4 d...
  • Worth It
    I am a 27 year old, African-American female from the Midwest and I just recently had a Rhinoplasty procedure performed on February 9, 2012. I had known for a long time that I wanted to have the procedure done to correct a bump in the bridge of my nose, reduce the width of my nose, as well as to refine my down-turned nasal tip. This was an operation that I was not going to trust to just anybody, so I spent countless hours researching and looking for a surgeon who had significant experience working with African-American patients. Because I liv...
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