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.
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 Cotes.-
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.
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:
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.
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.
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.
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
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.
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
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