If a rhinoplasty is a difficult procedure , then an ethnic rhinoplasty is even more challenging since the skin may be thicker, the nasal bones and cartilages are less supportive and the overall shape is more difficult to reproduce consistent results. Therefore, it is important to understand the aesthetics of a ethnic rhinoplasty patient.
For instance, in the Africian-American nose, requires a good understanding what it take to reshape and build up the nose as well as make the nostrils smaller in most cases. The patient needs to understand that the healing process may be longer as well due the patients thicker skin .



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