Would an ethnic rhinoplasty help me achieve my desired results? (photos)

Hello and thank you for your question. Based on your photograph and goal, you may benefit from a tip refining rhinoplasty. Your surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. Cartilage grafts may also be used to help improve tip refinement. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

How is an ethnic rhinoplasty done? The surgery is done with an anesthetic with intravenous sedation, or under general anesthesia.
Cosmetic rhinoplasty normally only involves hidden incisions within the nostrils. Through these incisions, the surgeon will be able to correct the placement of cartilage and bones, which are the framework of your nose.

Additional incisions may be necessary depending on your needs and goals. For example, to narrow the nasal bone base diameter, a small nick in the skin, a few millimeters, is sometimes placed at the upper nose near the corner of the eye. These heal as imperceptible scars in the vast majority of our patients.

More complex nasal operations, such as a tip rhinoplasty, often require a small incision in the skin at the base of the nose (columella). This tiny scar is barely visible, yet it allows the surgeon to “lift” the nasal skin and directly view all of the cartilage and bone requiring correction. This is termed an “open rhinoplasty.” To narrow the base of the nose, small incisions are placed in the groove where the nostril meets the cheek.

You would benefit from an open rhinoplasty to narrow the tip .. Weir excisions at the base of the nostrils to narrow the base of the nose would create a more balanced but natural appearance that will still look like you.

The nose resembles a pyramid; if it appears shorter from the side view, it will look wider from the front view. Therefore, to make your nose appear narrower, we need to enhance its projection. The only way to achieve this is through ethnic rhinoplasty. I prefer using the patient's own rib cartilage due to its near-perfect compatibility. Also, I wrap the cartilage to prevent any bending. For the tip area, an alar base reduction is also necessary, which is commonly a part of ethnic rhinoplasty in my practice.