Why aren't more doctors anxious to become experienced in African American rhinoplasty?

Almost every website I visit, the pictures are the exactly the same; someone is getting a bump shaved off of their bridge. I've seen some extremely skilled docs in wide nose reduction, but very few. Why aren't more doctors anxious to become experienced in African American rhinoplasty? Are any doctors here skilled enough to produce a before and after like Oprah's or Patti Labelle's?

Doctor Answers 9

There are many of us who do ethnic rhinoplasty-look again.

Those of us who live in areas with a large African-American or Hispanic population do many ethnic rhinoplasties. Ask your doctor to show you non-caucasian rhinoplasties. In these noses, as well as Asian noses, we often increase the height of the bridge and decrease the width of the nostrils. This should be done in such a way as to retain the ethnicity of the nose. In other words, we don't try to make a Black nose into a caucasian nose.

Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 24 reviews

A nose is not a nose is not a nose

College Girl,

As a percentage, African Americans comprise a small number of the rhinoplasties performed in this country every year. It is a basic tenet of advertising that your ads target the greatest population that is likely to respond. For rhinoplasty, that population is the caucasion with a large hump on the nose. It is also very easy to show a nice result with this kind of rhinoplasty. For these two reasons alone you may not see many African American rhinoplasty photos online. Good luck!

African American Rhinoplasty...Halle Berry Versus Michael Jackson

Hi College Girl,

Rhinoplasty is the most difficult of all facial plastic surgical procedures. Ethnic rhinoplasty can be the most difficult of rhinoplasty procedures. There are many doctors who perform excellent, natural appearing African American rhinoplasty. Every nose is different, must be carefully examined, and a surgical plan must be carried out with skill and a sense of nasal aesthetics.

When performed properly, the nose may look like Patti Labelle's, Oprah's, and Halle Berry's. When performed with poor judgment you get Michael Jackson's nose.

In the Houston area, I like doctors Russ Kridel, Jack Gunter, and Sam Lam.

Good luck and happy holidays.

Dr. P

Michael A. Persky, MD
Encino Facial Plastic Surgeon
5.0 out of 5 stars 28 reviews

The African American experience

Hello and thanks for your question.

Ethnic or African American rhinoplasty can be a particularly complex procedure. I have found that the key to this surgery is to provide aesthetic harmony or balanced features to my patients. A BCPS will perform a thorough examination and must also delineate your specific goal, the "look" that you're trying to achieve.

Oftentimes the AA rhinoplasty will involve the use of multiple cartilage grafts to the tip, bridge, and sometimes the nostril rims. A reduction in nostril size and control of flaring nostrils can produce dramatic results. Some AA patients may be septal cartilage- deficient  and require rib cartilage grafts for their nasal reconstruction. A potential  keloid scar at the chest wall donor site may be problematic.

Many surgeons particularly enjoy the challenge of these cases but may not have had as much experience with the ethnic population. So the short answer is yes great AA rhinoplasties can be achieved by a skilled and interested surgeon. 

African American Rhinoplasty

After performing thousands of Rhinoplastys through the years I believe that I can produce results that will make you love your nose. It is important that the nose looks amazing and matches your face. If you would like to have a consultation please contact us.

George T. Boris, MD, FRCS, FACS
Los Angeles Facial Plastic Surgeon
4.0 out of 5 stars 14 reviews

Is there a shortage of Surgeons performing African-American Rhinoplasty?

This may be an accurate perception. Ethnic Rhinoplasty surgery is a niche withing the niche of Rhinoplasty surgery. Not every plastic surgeon is versed or deeply experienced in Rhinoplasty due to the breadth of the specialty. Nonetheless, at least in urban centers, there will be surgeons who have performed a significant number of procedures on ethnic minorities. Best of Luck   Dr Harrell

Jon F. Harrell, DO
Miami Plastic Surgeon
5.0 out of 5 stars 40 reviews

Why aren't more doctors anxious to become experienced in African American rhinoplasty?

Ethnic noses are much more difficult to do and get a good result than Caucasian noses. The skin is usually very thick and the nostrils very wide. Current techniques do not address the ethnic noses in such a way to achieve a very good to excellent results. One needs to be bold and innovative to be able to go beyond what is norm to get a natural and proportional nose. Also, it is more dramatic to show a picture after a big hump is removed.

Mohsen Tavoussi, MD, DO
Newport Beach Facial Plastic Surgeon
4.5 out of 5 stars 7 reviews

Ethnic Rhinoplasty

I think you haven’t done enough homework. Personally, I have done quite a few rhinoplasty surgeries on patients of all types of ethnicities. Practicing in south Florida, I treat quite a few individuals of Hispanic and African ethnicity, where there are many shared characteristics of the nose.

Jeffrey Epstein, MD, FACS
Miami Facial Plastic Surgeon
4.5 out of 5 stars 79 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.