The term "African American rhinoplasty" does not adequately reflect the significant diversity of nasal types that are often found within this population.
The African American population comes from a wide background of countries and geographic regions of the world. Patients' noses and their overall appearance often reflect this multicultural history.
However, most African American patients seeking rhinoplasty want a generalized narrowing of the nose, with more tip definition and a narrower bridge. Included in this is usually narrowing of the nostrils.
Due to the fact that African American patients often have thicker skin and small or thin cartilage components, different types of grafts are usually required in order to provide strength and definition to the nose. This technique is generally referred to as Augmentation Rhinoplasty and may include grafts to the nasal tip, the bridge of the nose, and the base of the nose. These techniques are also used in non-African American operations with great success.
With that in mind, most patients want a natural result that retains the essence of their ethnicity and pre-operative appearance. The balance between a patient's aesthetic desires and the increasing complexity of the maneuvers required to achieve a certain result is the most important decision that both the surgeon and patient need to make.



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