African American Rhinoplasty
26 year old black female who had a previous Rhinoplasty by another surgeon. The other surgeon used a standard silicone implant to try to raise the bridge. The implant only added more bulk to the bridge of the nose as well as add more pollybeak deformity to the lower third of the nose. The... patient was very unhappy with the results. She said the it made her nose look "bulbous and more downturned or under rotated and under projected." Performed a Revision Rhinoplasty using an open approach. A custom carved silastic implant was used to replace the old implant and elevate the bridge and naso-frontal angle. The pollybeak deformity was also reversed. The tip bulbosity was revised by removing fatty tissue and scar tissue under the nasal tip skin. Also multiple cartilage grafts were used to reconstruct the tip and restore adequate projection and rotation. Revision Rhinoplasty in Ethnic and African American noses is notoriously difficult and it's always better to get it right the first time.