Natural looking African American rhinoplasty without implant (Photo)

Based on your desires I would probably recommend an open rhinoplasty. However if we sat down and discussed your desires and significant narrowing of the tip was not a concern it would be possible to perform the surgery through a closed approach. Another factor that would impact my approach would be the crooked nature of your nose; examination in the office will allow your surgeon to choose the best approach based on your anatomy.  Narrowing of the nose at the alar base (the base of the nostrils) will lessen the spread with your smile. If you need an implant of some sort, you can definitely use cartilage from inside your nose.

Thank you very much for sharing your concerns with us.Through rhinoplasty we make small changes, but that is quite noticeable. 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.With this procedure you get a delicate nose, better harmonize with your other facial features.Respectfully,Dr. Emmanuel Mallol.-

Thank you for your question.  Rhinoplasty on the African-american nose can be challenging since the skin is thicker, making it more difficult to highlight changes made to the underlying cartilage.  The ideal candidate would be one who wants to maintain their ethnicity while changing some of the features of their nose.  In your case, you would like a narrower nose when smiling.  I have had great success with alar resections - removing a portion of the nostril skin with an incision in the groove between the nostril and lip (alar groove).  This reduces the width and 'flair' of the nostrils.  To Narrow the tip, I generally prefer the open technique to easily assess and refine the tip cartilage.  Your PS may prefer the closed technique, and that choice is unique to each provider.  Keep in mind what I said earlier, that our thicker skin may camouflage the cartilage refinements.  Lastly, if you need augmentation of the nose (which I'm not certain you do based on your photos), ear cartilage is a fine alternative to silicone (or other synthetic) implants.   Best of luck to you.  VN

Dear 12daisiesyou are a good candidate for a natural looking result with your rhinoplasty. What is important is that you discuss what you mean by natural with your surgeon and he/she understands what your perception of natural looking is. You also need to discuss what you want for your bridge, tip and base width ... In term of rhinoplasty approach, both open and closed can give you a great result. If you wanted the base of your nose narrowed, a closed approach would be a safer method. Looking at your pictures, I dont see any need for an open approach. Your septal and ear cartilage are likely to be enough for a narrower and better defined bridge (dorsal augmentation).

African American rhinoplasty is a cosmetic surgery procedure that reshapes the nose to improve its appearance and function while preserving the patient's ethnic features. It's also known as an ethnic rhinoplasty, a term used by many plastic surgeons to describe nose surgeries for non-European patients. The goal of African American rhinoplasty is to achieve a natural-looking result that complements the patient's other facial features. It can address a variety of concerns, such as:A wide nasal bridgeFlared nostrilsA deviated septumThe size, shape, or function of the nose The type of technique used depends on the patient's goals and specific characteristics. Some common techniques include:Alarplasty: Narrows the nostrils by removing soft tissueDorsum surgery: Narrows the cartilage and bone that runs down the nasal bridgeTip rhinoplasty: Reshapes, refines, or lifts the nasal tip Patients who are good candidates for African American rhinoplasty are usually in good health, non-smokers, and have realistic expectations.