I Would Like to Know if You Do Plastic Surgery on Black People and if You Can Correct the Bone in Their Nose? (photo)

Doctor Answers (10)

African American Nose (augmentation).Dr. Sesto L implant.

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In the past we used a sculpture costal cartilage of the patient to give projection to broad and undefined nose. Today we use a silicone preshape L implant to improve the tip and the dorsum of the nose at the same time, previous management of the cartilage of the tip.

I have improved the colummella portion of the silicon L shape implant to maintain the projection  and support of the tip in the thick skin of the african american noses. It is produce  under my name by Silimed from Brasil.

The success of this technique is to avoid the implantation trough the nostrils, and the best way for that is an external vertical intercartilage colummelar incision.


Dominican Republic Plastic Surgeon
5.0 out of 5 stars 10 reviews

Rhinoplasty for black patients

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A few of the most common concerns that prompt black patients to seek rhinoplasty include the flat bridge and the width of the lower nose including flaring of the nostrils. Additionally, a flat, large, ill-defined tip may also accompany these other features. Increasing the height of the dorsum will help to balance the profile but also improve definition of the bridge from the front view. In some instances, the bones of the upper nose need to be addressed to make the bridge appear narrower and more balanced. This along with improving tip definition and projection can help to make the nose appear less flat and give the nose more definition. Typically, alar base surgery is also required to decrease the flaring or an excessively rounded appearance of the nostrils as well as their size. Although it is possible to make the nose look significantly better with rhinoplasty, it is important that the resulting changes still appear in balance with the other facial features and remain ethnically congruent to avoid an unnatural result and stigmatizing result. With rhinoplasty in the black patient, there is no leeway for an overdone nose - this is terribly stigmatizing and we have seen good examples of this in the media! Avoiding an 'operated' appearance in the black male is especially important.

The goal of rhinoplasty surgery should be to create a nose that is best suited to your face both in proportion and shape so that you achieve the most natural looking result. If done well, it is possible to achieve a result after rhinoplasty that looks significantly better to you while making it not obvious that surgery was ever performed.

You would benefit from a consultation with a board certified plastic surgery that has significant experience with rhinoplasty in black patients.

Jamil Ahmad, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 6 reviews

African American Rhinoplasty

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The technique used by the surgeon is dependent on what you want the outcome to be and your anatomy.  
The bridge bone can elevated to appear more defined by using a nasal implant.  Below are options that you may discuss during consultation:

Gortex
Silicone
Rib Cartilage
Ear Cartilage
Rib Cadaver

The bridge can also be simply shaved for reduction or if you had a nasal fracture the bones can be reset.
The sides of the nose (alar reduction) are commonly reduced in African American rhinoplasties.  This can be a great compliment to the bridge and creates more symmetry and definition.  

Philip Miller, MD
New York Facial Plastic Surgeon
4.5 out of 5 stars 37 reviews

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African American Rhinoplasty

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In general, African American patients want to achieve the following goals with their rhinoplasty surgery:

1) Make the nostrils narrower
2) Increase the size of the nose when looking at the profile (view from the side)
3) Improve definition of the tip
4) Fix the drooping tip
4) Create a natural nose to fit the face

Are you speaking of correcting a broken nose, or narrowing the nose? Either way, improvements can be made. I would recommend a consult with a rhinoplasty surgeon who is experienced with African American rhinoplasty, as they will be able to examine your nose in person and provide you with advice. I hope this helps, and good luck to you.

Jonathan Kulbersh, MD
Charlotte Facial Plastic Surgeon
5.0 out of 5 stars 21 reviews

Rhinoplasty in african-american

+1

It really depens upon what you desire.  Commonly if the dorsum is low, a graft is used to raise the dorsum and this often can improve some of the width in the upper third to one-half of the nose.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 16 reviews

African American rhinoplasty

+1

 There are many different procedures that can be performed on African American noses  during the rhinoplasty procedure. These include an alar-plasty to narrow the nostrils, tip-plasty to narrow the tip cartilages, osteotomies to narrow the nasal bones and cartilage grafting to the bridge if it is shallow and needs to be built up. If there is a hump present, then  it can be shaved down. Look for a very  experienced rhinoplasty surgeon for best results

William Portuese, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 55 reviews

Rhinoplasy surgery

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Rhinoplasty is possible on all ethnic variations.  Sometimes the techniques can vary depending upon your anatomy.   Find a plastic surgeon who has experience with rhinplasty surgery.  

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 9 reviews

Rhinoplasty for the African-American American nose.

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Rhinoplasty for the African-American  nose requires both narrowing the width  as well as the tip and  the base of the nose. This should be done in a natural way so that you retain your ethnicity but the nose does not look done. Make sure you see you very experienced surgeon for this

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 14 reviews

I Would Like to Know if You Do Plastic Surgery on Black People and if You Can Correct the Bone in Their Nose?

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             There are any number of modifications that can be made to the nose.  Find a plastic surgeon with ELITE credentials who performs hundreds of rhinoplasties and rhinoplasty revisions each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.

Kenneth Hughes, MD Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 191 reviews

Rhinoplasty on African Americans

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We have performed hundreds of Rhinoplastys on African Americans and make sure each one comes out as the patient invisioned. You should not have any fears about getting the perfect nose. If you would like to do a virtual consultation feel free to contact my office.  Good luck

George T. Boris, MD, FRCS, FACS
Los Angeles Facial Plastic Surgeon
4.0 out of 5 stars 13 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.