Few surgeons in LA have before & afters of Black American rhinoplasties. How do I decide which surgeon to consult with?

Hello cannonmalibu - Thanks for your question. 70% of my rhinoplasty practice is dedicated to ethnic rhinoplasty but African-American rhinoplasty is not as common as rhinoplasty on Hispanic, Asian, and Middle Eastern patients.  This explains why it is hard to find the photos that might resemble what you are looking to achieve.  I just performed a similar procedure on a man with a very large, wide nose that was beautifully improved by dorsal implant augmentation, tip reduction, and nostril narrowing.  His nose has a sharp looking bridge, a beautiful break to the tip, and significantly improved tip projection.  There are specialists in African-American rhinoplasty closer to you such as Jason Hamilton in LA and David Mabrie in San Francisco, that you may want to speak with who will have a large number of before and after photos that might interest you. As long as your surgeon has experience with ethnic noses, listens to your desires, and realistically counsels you on probable outcomes, there are many surgeons who will deliver what you want. If you'd like to speak more about this, I would love to talk to you via Skype.  Good luck, Dr. Shah 

i'm sure you realize that all black noses are not the same. The one you chose as an example has a very Caucasian nose. Having done the surgery for more than 35 years on many African-American males I find them very resistant to letting us use their photographs.  I don't know why this is but males in general are more reluctant than females. See an experienced rhinoplasty surgeon who's noses are natural whether they are Hispanic or black or Asian since they will share common denominators of wide nostrils thick skin and insufficient tip projection.