African American Rhinoplasty: Q&A
Ask a QuestionHow to Get a Smaller African American Nose Tip?
I have since found before and after pictures of the model I had in a previous question. Looking at her before nose, which is on the left in the pictures, her tip is significantly smaller. I was always informed by dr's that its NOT possible to get a lot of definition in a black nose. What technique is used to create a small tip like this?
By creating a smaller tip and a defined bridge, does this somehow create a optical illusion that the nose is smaller than it really is? Thank you :-)
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14 Doctor Answers |
Asked by
sweetchildofmine
+1
African American Rhinoplasty
Hi,
It is very challanging to reduce the tip size of an African American nose.The techniques that i use are what I call the three tiered approach. They consist of deffating the tip and adding cartilage grafts to the tip. Also elevation of the bridge will give the the whole nose a narrow appearance. The bridge elevation si done with a custom implant carved from silastic.
Best,
Dr.S
+2
Modifications of Goldman technique to refine African American nose
In most cases, the techniques that I prefer to treat the relatively typical bulbus, amorphus, ill-defined African American nasal tip are modifications of the “Goldman “ technique of vertical dome division supported by the use of cartilaginous struts and battens. In my hands and in my long-standing rhinoplasty experience, this technique affords me the best projection, definition and support of the tip in these cases.
Freehold Facial Plastic Surgeon
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How to get a narrow tip with African American Rhinoplasty
There isn't just 'one' characteristic African American Nose. Skin thickness varies, as does the thickness and stiffness of the tip cartilages. These differences can make it more or less easy to aggressively shape a nose. Better pre-existing tip support and thinner skin - easier to get a narrower tip. Heavy thick skin and weak, flimsy tip cartilages - tougher to create a sculpted looking tip. Of course, in a reasonable candidate there should be a significant amount of hope that...
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African American Rhinoplasty
Regardless of Race, it is important for rhinoplasty doctor to understand the patient's goals. Most African American rhinoplasty patients desire increased tip definition, a slight decrease in nostril width or size and more definition of the nasal bridge. They don't want a "Caucasian Nose".
Tip definition is the most important change. This definition can be acheived by contolling skin thickness, shaping the existing tip cartilage domes and...
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Techniques to refine African American nose
By creating a smaller tip and more of a defined bridge, this does give an optical illusion that the entire nose is smaller. It appears smaller only because the tip is narrower and the bridge is higher. When the bridge is higher it gives the appearance that the nasal bones are narrower, even though they have not been narrowed. The amount of definition that can be obtained in African-American rhinoplasty depends on how thick the presenting skin is. Rhinoplasty surgery is not skin...
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African-American nasal tip
In noses with thick skin, definition can be improved by changing cartilage shape and usually adding cartilage grafts to increase strength and maintain the desired contour. It is not about skin color, just skin thickness. All African-Americans do not have thick skin as we see in the pictures of the model you submitted.
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Ethnic rhinoplasty techniques
Hello,
Increasing tip projection and maybe a tip graft would be of benefit if you have thick skin. In addition, alar base reduction would be used to create the appearance of a smaller tip. Hope this helps answer your question.
Dr. Nassif
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Tip definition in the African American rhinoplasty
There is generally no single maneuver to create the well defined tip in a "typical" African American nose. As you have stated and have been told in the past, it is more difficult to obtain extreme definition in thicker skinned noses. That does not necessarily mean that you cannot have significantly improved definition when the surgery is performed appropriately.
I have a large ethnic population of rhinoplasty patients and the metaphor I use to explain the changes we are going to...
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African American Nose
Typically a compbination of procedures are performed. Commonly, a reduction of cartilages and stitches to control the shape with conservative defatting of the skin with selective grafting of the tip and dorsum to provide enhanced definition and projection is performed in combination with nostril wedge resections.
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Rhinoplasty in African American nose
It certainly is possible to refine a nasal tip in an African-American. However, in patients that have very thick tissues, it can be quite difficult.
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.
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