I have been very unhappy with my nose for several years now and have wanted rhinoplasty for about a year and a half. I don't want just a thinner nose, I want it to be completely different. Thinner and instead of being flat I would like it to have a point to it. With that being said, because my nose is so wide and big, is it going to be harder and more dangerous for me to get rhinoplasty? Will the recovery process take longer?
Answer: Ethnic Rhinoplasty.
Your photos are very helpful. Your analysis is accurate and I agree that your nose calls undue attention to itself and away from the rest of your beautiful facial features. The changes you are asking for fall into the realm of ethinic rhinoplasty and reshaping is definitely possible .
In general, African, Asian and Hispanic noses will have the following features when compared to a Caucasian nose:
Increased width across the middle vault and nasal base.
Decreased projection of the dorsum as well as the tip of the nose.
Increased nostril flaring.
In most cases the ethnic nose is proportional to and 'fits' the rest of the face. However, if reshaping is desired then ethnic rhinoplasty usually involves one or more maouevers:
Dorsal augmentation grafting. My preference is to use one's own tissues (autologous grafts) such as ear cartilage or rib grafts. The technique I have gravitated to uses diced cartilage packed into a temporalis fascia cylinder. This technique is excellent in that it is very well accepted when compared to synthetic implants and avoids the major pitfalls of solid cartilage grafts such as warping or graft edge visibility.
Increased tip projection and definition. This can be accomplished using a combination of one or more of the following: tip grafts, selective tip cartilage excsion and suture techniques.
Alar base narrowing and nostril modification. The width across the nostrils as well as nostril flare can be reduced using excision techniques.
I wish you the best of luck.
Mario J. Imola, MD, DDS, FRCSC.
Helpful 5 people found this helpful
Answer: Ethnic Rhinoplasty.
Your photos are very helpful. Your analysis is accurate and I agree that your nose calls undue attention to itself and away from the rest of your beautiful facial features. The changes you are asking for fall into the realm of ethinic rhinoplasty and reshaping is definitely possible .
In general, African, Asian and Hispanic noses will have the following features when compared to a Caucasian nose:
Increased width across the middle vault and nasal base.
Decreased projection of the dorsum as well as the tip of the nose.
Increased nostril flaring.
In most cases the ethnic nose is proportional to and 'fits' the rest of the face. However, if reshaping is desired then ethnic rhinoplasty usually involves one or more maouevers:
Dorsal augmentation grafting. My preference is to use one's own tissues (autologous grafts) such as ear cartilage or rib grafts. The technique I have gravitated to uses diced cartilage packed into a temporalis fascia cylinder. This technique is excellent in that it is very well accepted when compared to synthetic implants and avoids the major pitfalls of solid cartilage grafts such as warping or graft edge visibility.
Increased tip projection and definition. This can be accomplished using a combination of one or more of the following: tip grafts, selective tip cartilage excsion and suture techniques.
Alar base narrowing and nostril modification. The width across the nostrils as well as nostril flare can be reduced using excision techniques.
I wish you the best of luck.
Mario J. Imola, MD, DDS, FRCSC.
Helpful 5 people found this helpful
Answer: All you need is a skilled and experienced African American rhinoplasty expert Greetings from Istanbul and thank you for sharing your concerns.To address your question: Rhinoplasty aimed at significant transformation, such as what you're considering, can be more complex but it's not necessarily more dangerous or associated with a longer recovery period. It's all about selecting a skilled surgeon experienced in ethnic rhinoplasty.For the changes you desire, the procedure would likely involve a few key steps:- Refinement of the nasal bones to achieve a more streamlined look,- Use of a rib cartilage graft to elevate and define the bridge of your nose,- A strategic tip plasty to eliminate excessive fatty tissue, coupled with additional rib grafting for structure, and- Reduction of the nostrils to align with the newly contoured nose.The end result would be a narrower nose with a less bulbous tip and more projection that complements your facial features beautifully.Your next step should be to seek a consultation with a surgeon specializing in African American rhinoplasty, who would be able to provide more personalized advice. Best of luck!
Helpful
Answer: All you need is a skilled and experienced African American rhinoplasty expert Greetings from Istanbul and thank you for sharing your concerns.To address your question: Rhinoplasty aimed at significant transformation, such as what you're considering, can be more complex but it's not necessarily more dangerous or associated with a longer recovery period. It's all about selecting a skilled surgeon experienced in ethnic rhinoplasty.For the changes you desire, the procedure would likely involve a few key steps:- Refinement of the nasal bones to achieve a more streamlined look,- Use of a rib cartilage graft to elevate and define the bridge of your nose,- A strategic tip plasty to eliminate excessive fatty tissue, coupled with additional rib grafting for structure, and- Reduction of the nostrils to align with the newly contoured nose.The end result would be a narrower nose with a less bulbous tip and more projection that complements your facial features beautifully.Your next step should be to seek a consultation with a surgeon specializing in African American rhinoplasty, who would be able to provide more personalized advice. Best of luck!
Helpful
August 20, 2018
Answer: Rhinoplasty options You should be able to get dramatic results but be careful you don't go too far the opposite way. In other words, I wouldn't recommend turning yout tip into a "point". Changing your tip into one that is more narrow, with better definition and projection will create an obvious difference without looking strange. Take celebrity photos with you at your consultations to better help you explain to your surgeon what you are looking for. Good luck.
Helpful
August 20, 2018
Answer: Rhinoplasty options You should be able to get dramatic results but be careful you don't go too far the opposite way. In other words, I wouldn't recommend turning yout tip into a "point". Changing your tip into one that is more narrow, with better definition and projection will create an obvious difference without looking strange. Take celebrity photos with you at your consultations to better help you explain to your surgeon what you are looking for. Good luck.
Helpful
June 6, 2018
Answer: AA Rhinoplasty fro wide flat nose AA and ethnic noses require augmentation on the nose bride, tiplasty to refine the tip, and often alar base reduction to narrow the base of nose. Options available to raise the bride are silastic implants and your own cartilage from either behind the ear or rib cartilage, depending on the amount needed. A thorough consultation with an experienced ethnic rhinoplasty surgeon will help you decide on your best options.
Helpful
June 6, 2018
Answer: AA Rhinoplasty fro wide flat nose AA and ethnic noses require augmentation on the nose bride, tiplasty to refine the tip, and often alar base reduction to narrow the base of nose. Options available to raise the bride are silastic implants and your own cartilage from either behind the ear or rib cartilage, depending on the amount needed. A thorough consultation with an experienced ethnic rhinoplasty surgeon will help you decide on your best options.
Helpful
January 25, 2017
Answer: African American Rhinoplasty African American frequently desire rhinoplasty to create a thinner nose and make the nose less flat. Many of the techniques discussed are different than Caucasian rhinoplasty which often involves reductive techniques. First of all, there are a variety of techniques to thin a nose including:1. Osteotomies- narrowing nasal bones2. Augmenting the bridge- using cartilage to make the nose appear thinnerIn addition, the nasal tip can be made both thinner and less flat by projection of the nasal tip. This is often accomplished by using cartilage from the nose to support the nasal tip and give it structure. Finally, some patients desire less heaviness along the bottom of the nose benefit from an alar base reduction. This can involve a variety of techniques including inside the nose and outside the nose approaches.
Helpful
January 25, 2017
Answer: African American Rhinoplasty African American frequently desire rhinoplasty to create a thinner nose and make the nose less flat. Many of the techniques discussed are different than Caucasian rhinoplasty which often involves reductive techniques. First of all, there are a variety of techniques to thin a nose including:1. Osteotomies- narrowing nasal bones2. Augmenting the bridge- using cartilage to make the nose appear thinnerIn addition, the nasal tip can be made both thinner and less flat by projection of the nasal tip. This is often accomplished by using cartilage from the nose to support the nasal tip and give it structure. Finally, some patients desire less heaviness along the bottom of the nose benefit from an alar base reduction. This can involve a variety of techniques including inside the nose and outside the nose approaches.
Helpful
August 31, 2016
Answer: Choose a Surgeon Expert in African-American Rhinoplasty African-American rhinoplasty is a subspecialty that requires extra care, training and expertise. To give your nose more definition and make it look less flat, the surgeon will take cartilage from another area of your body, such as: The nasal septumThe earA ribThis would be used to build up your nasal bridge and support reconstruction of the nose so that the improvements obtained during surgery would be maintained throughout your lifetime. During your rhinoplasty procedure, the tip of the nose would be reshaped to give it more of the “point” that you desire. This is done by bring the tip of your nose out farther from the face, thinning the nasal skin, and reshaping the nasal tip cartilages. The nasal bones and width of the nostrils are wide. They will be made slimmer with nasal osteotomies and alar base reduction. Rhinoplasty should improve the shape of your nose while preserving its unique ethnic qualities and keeping it in harmony with the rest of your face.
Helpful
August 31, 2016
Answer: Choose a Surgeon Expert in African-American Rhinoplasty African-American rhinoplasty is a subspecialty that requires extra care, training and expertise. To give your nose more definition and make it look less flat, the surgeon will take cartilage from another area of your body, such as: The nasal septumThe earA ribThis would be used to build up your nasal bridge and support reconstruction of the nose so that the improvements obtained during surgery would be maintained throughout your lifetime. During your rhinoplasty procedure, the tip of the nose would be reshaped to give it more of the “point” that you desire. This is done by bring the tip of your nose out farther from the face, thinning the nasal skin, and reshaping the nasal tip cartilages. The nasal bones and width of the nostrils are wide. They will be made slimmer with nasal osteotomies and alar base reduction. Rhinoplasty should improve the shape of your nose while preserving its unique ethnic qualities and keeping it in harmony with the rest of your face.
Helpful