African American Rhinoplasty. Nostril Reduction, Bridge and Tip Definition? (photo)

Hello, I am a black women seeking Rhinoplasty. I would like to have my nostrils reduced, a defined bridge and a tip, if cartilage will be used I prefer my own tissue. I presume a may have to travel ( I am located in Alberta, Canada). If there are any specialists on board who can accommodate distant consultations, and has adequate experience working with ethnic patients please respond. I have attached before and after photos of desired results I would like achieve. Thank you

Doctor Answers 11

For African-American rhinoplasty, look for an experienced specialist

A properly trained and experienced rhinoplasty specialist should be able to come up with a surgical plan that both addresses your concerns and honours your ethnic heritage, although the results may not be exactly like the photos you show, given that each individual is different. It's very important that you find a facial plastic surgeon who has experience in African-American rhinoplasty and who can show you before and after pictures of patients with similar ethnic backgrounds and the outcomes achieved. Our clinic here in Toronto has a VECTRA 3D imaging system, which simulates the expected results so you can preview what you will look like as the result of a rhinoplasty.

Toronto Facial Plastic Surgeon
4.8 out of 5 stars 146 reviews

Rhinoplasty, some advices:

Thank you very much for the questions.
The harmony between facial parts makes us instinctively recognize the beauty... without knowing it, without defining it, just a perception that surprises and captivates us.

In this regard, After having analyzed all the info. and photos provided to us, i recommend you perform an Open Full Rhinoplasty, includding narrowing of the nasal base and nostrils, with nasal bones treatment (controled fracture) and alar + triangular nasal cartilages re-shaping.
With this procedure you get a delicate nose, better harmonize with your other facial features.

Dr. Emmanuel Mallol.-

Emmanuel Mallol Cotes, MD
Dominican Republic Plastic Surgeon
4.7 out of 5 stars 251 reviews

African American Rhinoplasty

Hello, and great to hear you are doing your research prior to having any surgery performed. All of the things you mentioned are possible with rhinoplasty, and your surgery can yield a great result when performed properly. Your own natural cartilage and tissue are ideal for use during rhinoplasty as compared to artificial materials. When looking for a surgeon, consider the following:

1) Credentials

2) Board certification

3) Fellowship training

4) A good amount of before and after photos showcasing the surgeon's result

5) Great patient testimonials

Traveling frequently takes place when undergoing rhinoplasty, as the ideal surgeon for you is sometimes in another area. When seeking the advice of an ethnic rhinoplasty specialist, examine his or her website for information on distance consults and local hotel accommodations. I hope this helps, and I wish you the best of luck

Jonathan Kulbersh, MD
Charlotte Facial Plastic Surgeon
5.0 out of 5 stars 66 reviews

African american Rhinoplasty

Many of our African Canadian patients request narrowing and refinement of there nose. The greatest challenge in these patients is the thickness of the skin. Thick skin camouflages the changes made to the underlying nasal framework. It is important that you compare your nose to someone who also has thick skin to give your self a realistic expectation of what's possible. Thick Skin is like a ski glove. No matter how small the hand inside,  the glove always looks big.

Thomas Buonassisi, MD
Vancouver Facial Plastic Surgeon
4.9 out of 5 stars 105 reviews

African American Rhinoplasty. Nostril Reduction, Bridge and Tip Definition?

            Your tip can be refined.  The hump can be reduced, and the bridge, narrowed.  The nostrils and alar base can be reduced as well if you would like.  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
4.9 out of 5 stars 492 reviews

African American Rhinoplasty options to reduce nostrils and create bridge and tip defintion

The concerns you have with your nose and changes you're looking to make are pretty common in my experience. An alar base reduction can be used to narrow the nostrils. The bridge can be built up using cartilage grafts from your septum (and/or ear if more cartilage is needed). Controlled bone fractures to narrow your nasal bones may also be helpful as well.

Tip refinement can be achieved via suture techniques and also by using cartilage grafts in many cases.

One limitation in your specific case is your skin thickness, especially that of your tip. In some patients there is a fibro-fatty fat pad that can be removed to thin the skin somewhat but your overall skin thickness will be a limiting factor in how much narrowing and refinement is possible.

I offer virtual consultations which prove to be very helpful for my patients who are coming from out of state and internationally.

You can learn more about rhinoplasty in non-Caucasian patients at my web reference link below.

Thomas A. Lamperti, MD
Seattle Facial Plastic Surgeon
4.9 out of 5 stars 21 reviews

African American Rhinoplasty. Nostril Reduction, Bridge and Tip Definition? (photo)

You can have some improvement in your nose.  However you have to be realistic and not compare yourself with anybody else.  The desired look that you have posted has one very major difference with yours, you have very thick skin which she does not.  Thick skin in Black noses results in interference with manifestation of the modifications that are made to the cartilaginous framework.

Ruben B. Abrams, MD, FACS
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 19 reviews

Rhinoplasty for nostril reduction bridge and tip definition

 Nostril reduction is accomplished with an alar-plasty , and  tip definition is accomplished with tip suturing techniques and potential grafting of cartilage to the tip as well  to give more projection and narrowness. Osteotomies will  narrow the bridge,  while cartilage grafts harvested from inside the nose can build up the bridge. It's important to have realistic expectations going into this type of surgery, since thick nasal tip skin can mask the results of a rhinoplasty.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 143 reviews

Ethnic Rhinoplasty

Based upon your photo's it appears that you desire more definition and balance.  This can be accomplished by building up the dorsum, narrowing the bony base and nostrils and refining the tip.  Based upon your photos and desires this can likely be accomplished with septum or ear cartilage.  
Anthony E. Brissett MD

Anthony E. Brissett, MD, FACS
Houston Facial Plastic Surgeon
5.0 out of 5 stars 13 reviews

African-American rhinoplasty for more aesthetic appearance.

African-American rhinoplasty for you would involve narrowing your nostrils defining the bridge and using cartilage from septum to add to your bridge as shown in the photos you submitted. The thickness of your skin will determine how to narrow your tip can be made.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 34 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.